Pregnancy Concerns: Symptoms, Tests, and Common Questions - Obstetrics and Gynecology

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About pregnancy?


1.
Is it possible that these symptoms indicate pregnancy?
2.
I have read online that it is possible to have a period while pregnant.
Can I confirm that the bleeding I had on March 2 was indeed my period?
3.
What could be the cause of the light bleeding that lasted a week starting on March 14? What about the abdominal pain?
4.
Can I be certain that I am not pregnant since both pregnancy tests were negative?
5.
Why do I feel the urge to urinate on March 23? Is it because I drank green tea, which is a diuretic?
6.
What could be the reason for my lower abdomen to appear larger? Is it related to pregnancy?
7.
Why does it hurt and feel hard when I press below my belly button? Could this be a sign of pregnancy?
8.
What are the common symptoms of pregnancy?
9.
Am I being overly worried? I have many questions because I am very concerned.
Thank you for your help, doctor.

Niming, 10~19 year old female. Ask Date: 2019/03/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1/22 menstruation began, on 2/3 there was intimate contact but no genital contact and no ejaculation (through clothing), on 2/28 a pregnancy test was negative, menstruation occurred from 3/2 to 3/7, on 3/14 there was light bleeding lasting about a week, on 3/16 a pregnancy test was negative, and since 3/14 there has been persistent lower abdominal pain and a frequent urge to urinate.
On 3/23, there was a strong urge to urinate (after drinking green tea in the afternoon), the lower abdomen has become larger, and since yesterday (3/23), there has been slight pain and hardness below the navel in the area of three fingers.

Q1.
Is it possible that these symptoms indicate pregnancy?
Ans: It is not possible to be pregnant.
Q2.
I have seen many online sources stating that one can still have menstruation after becoming pregnant, so is the bleeding on 3/2 definitely menstruation?
Ans: The negative pregnancy test on 2/28 indicates that the bleeding on 3/2 should be considered menstruation.
Q3.
What could the light bleeding on 3/14 for a week be due to? And what about the abdominal pain?
Ans: This could be related to ovulation.
Q4.
If both pregnancy tests are negative, can we be certain that there is no pregnancy?
Ans: It is necessary to wait 7-10 days for confirmation.
Q5.
Why do I have a strong urge to urinate on 3/23? Is it due to the diuretic effect of green tea?
Ans: That is a possibility.
Q6.
What could be the reason for the enlarged lower abdomen? Is it pregnancy?
Ans: It is not pregnancy.
Q7.
Why does pressing on the abdomen cause pain and hardness? Could it be pregnancy?
Ans: It is not possible to be pregnant.
Q8.
Additionally, what are the symptoms of pregnancy?
Ans: A missed period.
Q9.
Am I worrying too much?
Ans: Yes.

Reply Date: 2019/03/24

More Info


Understanding pregnancy concerns can be quite overwhelming, especially when you are experiencing various symptoms and uncertainties. Let’s address your questions one by one, while also providing some context about pregnancy symptoms and what they might indicate.

Q1: Is it possible that these symptoms indicate pregnancy?
While your symptoms could suggest pregnancy, they are not definitive. Symptoms such as abdominal pain and changes in urination can occur for various reasons, including hormonal changes, stress, or even urinary tract infections. The best way to confirm pregnancy is through a reliable pregnancy test, ideally taken after a missed period.

Q2: Is the bleeding on March 2nd definitely a period?
If you had a normal menstrual cycle on March 2nd, it is likely that this was indeed your period. However, some women experience light bleeding or spotting during early pregnancy, which can sometimes be mistaken for a period. If you have concerns, it’s advisable to consult with a healthcare provider.

Q3: What could the light bleeding on March 14th indicate?
The light bleeding you experienced could be due to several factors, such as ovulation spotting, hormonal fluctuations, or even implantation bleeding if you were pregnant. However, since you had a negative pregnancy test, it’s less likely to be related to pregnancy. The abdominal pain could be due to various reasons, including gastrointestinal issues or menstrual cramps.

Q4: Can two negative pregnancy tests confirm that I am not pregnant?
Generally, two negative tests taken at the appropriate time (after a missed period) are a good indication that you are not pregnant. However, if you continue to experience symptoms or have concerns, it is wise to consult a healthcare provider for further evaluation.

Q5: Why do I feel the need to urinate frequently?
Frequent urination can be caused by increased fluid intake, such as drinking green tea, which has diuretic properties. It can also be a symptom of a urinary tract infection or other medical conditions. If this persists, it’s best to seek medical advice.

Q6: What could cause my abdomen to feel larger?
Abdominal bloating can occur for various reasons, including hormonal changes, digestive issues, or even stress. It is not a definitive sign of pregnancy, especially if you have had negative pregnancy tests.

Q7: Why does my abdomen feel hard and painful?
A hard and painful abdomen can be caused by several factors, including muscle tension, digestive issues, or even early signs of pregnancy. If the pain is severe or persistent, it’s important to consult a healthcare provider.

Q8: What are common symptoms of pregnancy?
Common early pregnancy symptoms include missed periods, nausea (often referred to as morning sickness), breast tenderness, fatigue, and frequent urination. However, many of these symptoms can also be related to other conditions or stress.

Q9: Am I worrying too much?
It’s completely normal to feel anxious about potential pregnancy and related symptoms, especially if you are unsure about your body’s signals. However, excessive worry can lead to stress, which can further complicate your physical symptoms. It may be helpful to talk to someone you trust or a healthcare professional about your concerns.

In conclusion, while your symptoms may be concerning, they are not definitive indicators of pregnancy. It’s essential to monitor your symptoms and consult with a healthcare provider for personalized advice and reassurance. They can provide the necessary tests and evaluations to help clarify your situation and guide you through any concerns you may have. Remember, taking care of your mental health is just as important as your physical health during this time.

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