Pregnancy Chances: When to Seek Medical Advice - Obstetrics and Gynecology

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Probability of pregnancy?


I had my period on September 13, but it hasn't come since then.
At the end of October, I had intercourse (with a condom the entire time).
I took pregnancy tests during this period, but all were negative.
In mid-November, I visited a gynecologist, who advised me to wait for my period to return, but it still hasn't.
On December 17, I went to the gynecologist for an examination.
When the doctor asked if I would be pregnant if I were, I answered and was then sent for a urine test, but I wasn't informed of the results.
The urine test showed no pregnancy, and I was given an injection to induce my period and then sent home.
In the past few days, I've felt like my period is about to come, and I've noticed an increase in clear, white discharge, but it still hasn't arrived.
What is the likelihood of being pregnant? If my period doesn't come within a week, should I continue to wait or go for another check-up?

Niming, 20~29 year old female. Ask Date: 2018/12/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On September 13, I got my period, but it hasn't come since then.
At the end of October, I had intercourse (with a condom the whole time), and I took pregnancy tests during that period, all of which were negative.
In mid-November, I visited a gynecologist, who told me to just wait for my period to come, but it still hasn't arrived.
On December 17, I went to the gynecologist for an examination.
When the doctor asked if I would be pregnant if I were, I answered and was then asked to take a urine test.
The doctor didn't inform me of the results, but the urine test showed no pregnancy.
I was given an injection to induce my period and sent home.
In the past few days, I've felt like my period might come, and I've noticed an increase in clear, white discharge, but it still hasn't arrived.
What is the probability of being pregnant? Answer: On December 17, the urine test showed no pregnancy, so the probability of being pregnant is zero.
If my period doesn't come after a week, should I continue to wait or go for another visit? Answer: You should go for another visit.

Reply Date: 2018/12/22

More Info


Understanding pregnancy chances and knowing when to seek medical advice can be a source of anxiety for many individuals. Based on your situation, it seems you have been experiencing irregular menstrual cycles and have undergone several medical evaluations without a definitive conclusion regarding your pregnancy status.
Firstly, it's important to understand that a missed period can occur for various reasons beyond pregnancy, including stress, hormonal imbalances, changes in weight, and other health conditions. Since you mentioned that you had a menstrual period on September 13 and then experienced a delay, it is essential to consider the timing of your menstrual cycle. If your cycles are typically regular, a missed period could indicate pregnancy, especially if you have engaged in sexual activity, even with protection. However, condoms are not 100% effective, and there is always a small chance of pregnancy.

You mentioned that you took pregnancy tests, which returned negative results, and that you visited a gynecologist who suggested waiting for your period to return. This is a common approach, as sometimes the body may take time to regulate itself, especially after a missed period. The presence of clear, white discharge can be a normal part of your menstrual cycle, but it can also indicate hormonal changes, which may be related to your missed period.

If you have not had a period for more than a week beyond your expected date, it is advisable to follow up with your healthcare provider. They may recommend further testing, such as a blood test for pregnancy, which is more sensitive than urine tests and can detect lower levels of the pregnancy hormone hCG. Additionally, they may want to investigate other potential causes for your missed period, such as thyroid issues, polycystic ovary syndrome (PCOS), or other hormonal imbalances.

In summary, while the chances of pregnancy may seem low given the negative tests and the use of condoms, it is essential to listen to your body and seek medical advice if your period does not arrive soon. A follow-up appointment can provide clarity and peace of mind. Your healthcare provider can offer guidance tailored to your specific situation, ensuring that any underlying issues are addressed and that you receive appropriate care.

In the meantime, maintaining a healthy lifestyle, managing stress, and keeping track of your menstrual cycle can be beneficial. If you experience any unusual symptoms, such as severe pain, heavy bleeding, or other concerning signs, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and staying proactive in your healthcare is always a wise choice.

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