Am I Pregnant? Ovarian Cysts and Menstrual Irregularities

Can I get pregnant?

On September 17, I had my menstrual period, and on October 13, I had sexual intercourse.
Initially, there was no condom used for two to three thrusts, then I withdrew and put on a condom to continue.
I ejaculated only after withdrawal.
On October 26, I took a pregnancy test, which was negative.
My menstrual period started on October 27 and lasted for 7 days, with the same blood flow as usual.
After that, there was no sexual activity.
On November 4, I took another pregnancy test, which was negative.
I did not have my menstrual period in November.
On December 1, I visited a gynecologist, who did not request a urine test or inquire about sexual activity.
Instead, they performed an ultrasound and noted a cyst on my right ovary, prescribing Shiton for 3 days, to be taken three times a day, stating that my period would come after finishing the medication and the cyst would disappear.
I would like to ask the doctor:
Q1: Can I be assured that I do not need to worry about being pregnant?
Q2: Since the doctor only mentioned the cyst on the ultrasound, does that mean I am not pregnant?
Q3: How long after finishing Shiton will my menstrual period likely come?
Q4: Is the absence of my menstrual period related to the cyst?
Q5: I have been experiencing abdominal pain for two weeks.
I asked if the pain is caused by the cyst, but the nurse said it is not.
What could be the reason for the lower abdominal pain lasting two weeks?

Xiao Lin, 10~19 year old female. Ask Date: 2018/12/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On September 17, I had my menstrual period, and on October 13, I had sexual intercourse.
Initially, there was unprotected penetration for two to three thrusts, then I withdrew and put on a condom to continue.
I ejaculated only after withdrawal.
On October 26, I took a pregnancy test, which was negative.
My menstrual period started on October 27 and lasted for 7 days, with the same flow as usual.
After that, there was no sexual activity.
On November 4, I took another pregnancy test, which was also negative.
I did not have my menstrual period in November.
On December 1, I visited a gynecologist.
The doctor did not request a urine test or ask about sexual activity; instead, they performed an ultrasound and said there was a cyst on my right ovary.
They prescribed Shiton for 3 days, to be taken three times a day, and said that after finishing the medication, my period would come and the cyst would disappear.
Q1: Can I be assured that I am not pregnant?
A: Yes.
Q2: Since the doctor only mentioned the cyst during the ultrasound, does that mean I am not pregnant?
A: Yes.
Q3: How long after finishing the Shiton will my menstrual period come?
A: In 3 to 7 days.
Q4: Is the reason my period hasn't come due to the cyst?
A: Yes.
Q5: I've had abdominal pain for two weeks.
I asked if the pain was caused by the cyst, and the nurse said no.
What could be the reason for the lower abdominal pain for two weeks?
A: It's difficult to determine the cause of the lower abdominal pain for two weeks, but it is unlikely to be caused by the cyst.

Reply Date: 2018/12/02

More Info

Based on the information provided, it appears that you have several concerns regarding your menstrual irregularities, potential pregnancy, and the presence of an ovarian cyst. Let's address your questions one by one and provide some additional context regarding ovarian cysts and their implications for pregnancy.

Q1: Am I Pregnant?
Given that you had a menstrual period on 10/27 after engaging in sexual activity on 10/13, it is unlikely that you are pregnant. A negative pregnancy test on 10/26, followed by a normal menstrual period, typically indicates that you are not pregnant. Pregnancy tests are most accurate when taken after a missed period, so the tests you took before your period were likely reliable.

Q2: Is the Ovarian Cyst a Sign of Pregnancy?
The ultrasound findings of a cyst on your right ovary do not necessarily indicate pregnancy. Ovarian cysts are common and can occur for various reasons, including hormonal fluctuations during your menstrual cycle. The presence of a cyst does not rule out pregnancy, but in your case, since you had a normal menstrual period after the sexual encounter, it is more likely that the cyst is unrelated to pregnancy.

Q3: When Will My Period Come After Taking Shiton?
Shiton (likely a form of hormonal medication) is often prescribed to help regulate menstrual cycles or manage symptoms associated with ovarian cysts. The time it takes for your period to return after completing the medication can vary. Generally, you may expect your period to return within a few days to a couple of weeks after finishing the medication, but this can depend on individual hormonal responses.

Q4: Is the Absence of My Period Due to the Cyst?
The absence of your menstrual period could be related to the ovarian cyst, especially if it is causing hormonal imbalances. However, other factors such as stress, changes in weight, or underlying health conditions can also affect your menstrual cycle. If your period does not return after completing the medication, it would be advisable to follow up with your healthcare provider for further evaluation.

Q5: What Could Be Causing My Abdominal Pain?
Persistent abdominal pain for two weeks can be concerning. While the nurse indicated that it is not likely caused by the cyst, it is essential to consider other potential causes. Abdominal pain can arise from various issues, including gastrointestinal problems, muscle strain, or other gynecological conditions. If the pain persists or worsens, it is crucial to seek further medical evaluation to determine the underlying cause.

Additional Context on Ovarian Cysts and Menstrual Irregularities
Ovarian cysts are fluid-filled sacs that can develop on the ovaries. They are common and often benign. Functional cysts, which are related to the menstrual cycle, usually resolve on their own without treatment. However, if a cyst is large or causes symptoms such as pain or pressure, treatment may be necessary.

Menstrual irregularities can be caused by hormonal imbalances, stress, changes in weight, or underlying medical conditions such as polycystic ovary syndrome (PCOS). If you experience persistent irregularities or symptoms, it is essential to consult with a healthcare provider for a comprehensive evaluation.

In summary, based on your situation, it seems unlikely that you are pregnant given your menstrual history and negative pregnancy tests. The ovarian cyst may be contributing to your symptoms, but further evaluation is warranted to address your abdominal pain and menstrual irregularities. Always consult with your healthcare provider for personalized medical advice and treatment options.

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