Could I Be Pregnant? Symptoms and X-Ray Concerns - Obstetrics and Gynecology

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Suspected pregnancy


My last menstrual period was on February 28.
I had unprotected intercourse on March 18, 19, and 21.
Currently, my period is late, and I have been experiencing symptoms such as breast tenderness and abdominal discomfort.
On March 30, I sought medical advice and even had an X-ray because the doctor suspected I might have kidney stones.
The results showed that I only had a urinary tract infection.
I have been hoping to conceive.
Based on what I've said, is there a possibility that I could be pregnant? If I am indeed pregnant, could the X-ray cause any issues? I'm very worried.

Lin, 20~29 year old female. Ask Date: 2019/04/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The last menstrual period was on February 28.
There was unprotected intercourse on March 18, 19, and 21.
Currently, the period is late, and there are symptoms such as breast tenderness and abdominal discomfort.
On March 30, I consulted a doctor and even had an X-ray, suspecting kidney stones.
The results showed only a simple urinary tract infection.
I have been hoping to conceive.
Based on what I said, is there a possibility of being pregnant?
Answer: The last menstrual period was on February 28, and there was unprotected intercourse on March 18, 19, and 21, so there is a possibility of pregnancy.

PS: If I am indeed pregnant, could the X-ray cause any issues? I am very worried.

Reply Date: 2019/04/02

More Info


It's understandable to feel anxious about the possibility of being pregnant, especially when considering recent X-ray exposure and associated symptoms. Let's break down your situation and address your concerns regarding pregnancy and the effects of X-ray exposure.

Based on your timeline, your last menstrual period was on February 28, and you had unprotected intercourse on March 18, 19, and 21. If your period is late, it is indeed possible that you could be pregnant, especially if you are experiencing symptoms such as breast tenderness and abdominal discomfort, which can be early signs of pregnancy. The best way to confirm pregnancy is to take a home pregnancy test or consult with your healthcare provider for a blood test.

Regarding your concern about the X-ray you had after experiencing symptoms that led to a diagnosis of a urinary tract infection (UTI), it's important to understand the implications of X-ray exposure during early pregnancy. The amount of radiation from a standard X-ray is relatively low, and studies have shown that the risk of harm to a developing fetus from a single diagnostic X-ray is minimal. The critical period for fetal development is during the first trimester, particularly within the first few weeks after conception when the embryo is most vulnerable to teratogenic effects.

In general, the consensus in the medical community is that exposure to X-rays at levels typically used for diagnostic imaging does not significantly increase the risk of birth defects or miscarriage. However, if the X-ray was taken specifically targeting the abdomen or pelvis, there may be a slightly higher concern, but still, the risk remains low. The threshold for concern is usually considered to be around 5 rad (a unit of radiation dose), and typical X-ray doses are much lower than this. For example, a standard abdominal X-ray might deliver a dose of about 0.1 to 1 rad.

If you are indeed pregnant, it is advisable to inform your healthcare provider about the X-ray exposure so they can monitor your pregnancy appropriately. They may recommend additional ultrasounds or other evaluations to ensure everything is progressing normally.

In summary, while it is possible that you could be pregnant given your symptoms and the timing of your unprotected intercourse, the X-ray you received is unlikely to have a significant negative impact on a potential pregnancy. The best course of action is to take a pregnancy test and consult with your healthcare provider for personalized advice and care. If you are pregnant, they will guide you on the next steps and any necessary precautions to take moving forward. Remember, early prenatal care is crucial for a healthy pregnancy, so don't hesitate to reach out to your doctor for support and guidance.

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