Could I Be Pregnant? Symptoms and Safe Periods - Obstetrics and Gynecology

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Can I get pregnant?


Hello doctor, I am the inquirer with ID 144979.
I asked a question yesterday, and last night my girlfriend mentioned that she started experiencing abdominal pain again.
Her period is now 7 days late.
Besides a discharge of brown and clear sticky fluid on the 25th, there has been nothing else.
Could this indicate a possible pregnancy? I have calculated that we were in the safe period; what are the chances of pregnancy?

Xiao Hei, 10~19 year old female. Ask Date: 2019/04/01

Dr. Huang Jianzhong reply Obstetrics and Gynecology


My girlfriend mentioned that she started having abdominal pain again, and her period is now 7 days late.
Besides a discharge of brownish and clear sticky fluid on the 25th, there hasn't been anything else.
Could this be a sign of pregnancy?
Answer: It would be a good idea to take a pregnancy test.
Although you calculated it to be during the safe period, is there a significant chance of pregnancy?
Answer: Pulling out during unprotected intercourse can still lead to pregnancy.
The safe period is not always reliable.

Reply Date: 2019/04/01

More Info


When considering the possibility of pregnancy, it is essential to understand the menstrual cycle, ovulation, and the timing of sexual intercourse in relation to these factors. Based on your description, it seems that your girlfriend's menstrual cycle is irregular, which can complicate the determination of her fertile window and the likelihood of pregnancy.

Typically, ovulation occurs about 14 days before the start of the next menstrual period. If her cycle is around 28 days, ovulation would generally occur around day 14. However, if her cycles are longer or shorter, this timing can shift. Engaging in unprotected intercourse during the fertile window significantly increases the chances of conception. If your girlfriend's last period was on the 25th, and she has missed her period by seven days, it is advisable to take a home pregnancy test to confirm whether she is pregnant.

The symptoms you mentioned, such as abdominal pain and the presence of brownish discharge, can be indicative of various conditions, including early pregnancy or premenstrual symptoms. Brown discharge can sometimes occur at the beginning of a pregnancy, often referred to as implantation bleeding, which happens when a fertilized egg attaches to the uterine lining. However, it can also be a sign of hormonal changes or the onset of menstruation.

Regarding the "safe period," it is crucial to note that calculating safe periods can be unreliable, especially with irregular cycles. The "safe period" method relies on the assumption that ovulation occurs at a predictable time, which may not be the case for everyone. If your girlfriend's cycles are not consistent, it is challenging to accurately predict when she is fertile.

If there is a concern about pregnancy, the best course of action is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. For the most accurate results, it is recommended to take the test after a missed period.

If the test is positive, it is essential to schedule an appointment with a healthcare provider to discuss the next steps, including prenatal care options. If the test is negative and her period does not start soon, it may be wise to consult a healthcare professional to explore potential underlying issues that could be causing the delay.

In summary, while there is a possibility of pregnancy given the missed period and the timing of intercourse, the most reliable way to confirm this is through a pregnancy test. Additionally, understanding the menstrual cycle and the factors that influence ovulation can help in planning and making informed decisions regarding sexual health and pregnancy. If you have further concerns or questions, do not hesitate to reach out to a healthcare provider for personalized advice and support.

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