Probability of pregnancy
Hello Doctor, I have irregular menstrual cycles.
I had sexual intercourse on January 2nd, but as of now, February 9th, my period still hasn't arrived.
On January 26th, I experienced some premenstrual symptoms, such as a slight reddish discharge on my panty liner and some red spotting when I wiped after using the restroom.
Usually, in such cases, my period would start the next day, but it didn't, which has made me quite anxious.
Typically, I buy a pregnancy test to take seven days after intercourse, so I tested on January 21st and 29th, both showing negative results.
However, my period is still delayed, which is causing me a lot of anxiety.
On February 1st, I went to a gynecologist, who performed an ultrasound and said it didn't look like I was pregnant.
The doctor prescribed some medication for me to have on hand, suggesting that I could take it after confirming with another pregnancy test.
I don't doubt the doctor's expertise, but the consultation lasted less than five minutes, and there was no pregnancy test done before prescribing the medication, which left me feeling like my concerns weren't fully addressed, increasing my worry.
In the past few days, I've experienced occasional dizziness, a strange sensation in my abdomen, a feeling of heaviness, and frequent nausea.
I've heard that early pregnancy can cause such symptoms, which adds to my concern.
Could you please advise me on what I should do next? What is the likelihood of being pregnant in this situation? Thank you for your response, 😊.
Xinli Yali Hao Da de Nüzi, 30~39 year old female. Ask Date: 2019/02/09
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, regarding your significant psychological stress: Since you have already taken a urine test on January 21 and January 29, the doctor did not repeat the test, and you have also had an ultrasound.
Theoretically, the likelihood of pregnancy should be very low.
If your period still hasn’t arrived, it is advisable to take another urine test.
If the result shows no pregnancy, you can take medication to induce your period.
Try not to overthink it and create unnecessary stress.
In the future, remember to practice safe sex to avoid feeling anxious afterward, which can be both mentally taxing and financially burdensome.
Reply Date: 2019/02/09
More Info
It sounds like you are experiencing a lot of anxiety regarding your irregular menstrual cycle and the possibility of pregnancy. Let’s break down your concerns and provide some clarity on the situation.
Firstly, irregular periods can be caused by a variety of factors, including hormonal imbalances, stress, weight changes, and underlying health conditions. Since you mentioned that you had unprotected intercourse on January 2nd and your period was due on February 9th, it is understandable that you are concerned about the possibility of being pregnant, especially since you have experienced some pre-menstrual symptoms.
The spotting you noticed on January 26th could be indicative of several things. It might be a sign of ovulation, which can sometimes occur mid-cycle, or it could be related to the hormonal fluctuations that come with irregular periods. It’s also possible that this could be implantation bleeding if you were indeed pregnant, but since your pregnancy tests on January 21 and 29 were negative, this seems less likely.
Regarding your visit to the gynecologist, it’s important to feel comfortable and confident in the care you receive. If the doctor performed an ultrasound and indicated that it did not appear to be a pregnancy, that is a reassuring sign. However, if you still feel uncertain, it is perfectly reasonable to seek a second opinion or request further testing, such as a blood test for pregnancy, which can detect lower levels of the hormone hCG than urine tests.
The symptoms you are experiencing, such as dizziness, abdominal discomfort, and nausea, can be associated with early pregnancy, but they can also be attributed to other factors, including anxiety or hormonal changes related to your menstrual cycle. Stress can significantly impact your body and may contribute to feelings of nausea and dizziness.
In terms of your chances of being pregnant, if you had negative urine tests and the ultrasound did not indicate pregnancy, it is less likely that you are pregnant. However, if your period does not arrive soon, it would be wise to follow up with your healthcare provider. They may recommend a blood test to confirm pregnancy or explore other reasons for your missed period.
As for your irregular periods, it might be beneficial to keep a menstrual diary to track your cycle, symptoms, and any other relevant factors. This information can be helpful for your healthcare provider in determining the underlying cause of your irregular cycles and developing a treatment plan if necessary.
In conclusion, while your symptoms may be concerning, it is essential to communicate openly with your healthcare provider about your worries. If you continue to feel anxious or if your symptoms worsen, do not hesitate to seek further medical advice. Remember, your health and peace of mind are paramount, and it’s important to advocate for yourself in your healthcare journey.
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