Early Pregnancy Symptoms and Conception Risks - Obstetrics and Gynecology

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During pregnancy?


Hello, doctor.
I would like to ask what symptoms may occur one month into pregnancy.
Is it possible for irritability to be a symptom at one month of pregnancy? My last menstrual period started on February 7, and my next period started on March 13.
I'm unsure if that was a dangerous period.
I had genital contact with my boyfriend on March 22, but there was no ejaculation and no penetration.
On March 30, I also had genital contact with my boyfriend without ejaculation and no penetration.
However, I am concerned about the possibility of sperm in pre-ejaculate fluid.
What is the likelihood of pregnancy in this situation? Is it very low, like one in ten thousand? Also, does sexual desire increase significantly at one month of pregnancy? Thank you, doctor.

Jj, 10~19 year old female. Ask Date: 2019/04/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology


What symptoms can occur one month into pregnancy? Is being easily angered a symptom of being one month pregnant? Answer: The symptoms one month into pregnancy can vary; some people may experience increased irritability.
My last menstrual period started on February 7, and the next one began on March 13.
I am unsure if this is a dangerous period.
On March 22, I had genital contact with my boyfriend, but there was no ejaculation and no penetration.
On March 30, there was also genital contact without ejaculation or penetration.
However, I am concerned about the possibility of sperm in pre-ejaculate fluid.
What is the likelihood of pregnancy in this situation? Is it one in ten thousand? Answer: The likelihood of pregnancy is indeed very low, around one in ten thousand.
Also, during the first month of pregnancy, does sexual desire increase significantly? Answer: It can vary; some individuals may experience an increase in sexual desire.

Reply Date: 2019/04/05

More Info


During early pregnancy, women may experience a variety of symptoms, and understanding these can help in recognizing the changes occurring in the body. Common symptoms in the first month of pregnancy can include missed periods, nausea (often referred to as morning sickness), breast tenderness, fatigue, and mood swings.
Regarding your question about mood swings and irritability, it is indeed possible for women to experience heightened emotions during early pregnancy. This can be attributed to hormonal changes, particularly the increase in hormones such as progesterone and estrogen, which can affect mood and emotional stability. While feeling more irritable or emotional can be a symptom of early pregnancy, it is not exclusive to pregnancy and can also be influenced by other factors such as stress or personal circumstances.

As for your concerns about conception risks, it is important to note that pregnancy can occur even with external genital contact, especially if pre-ejaculatory fluid (pre-cum) is present. This fluid can contain sperm, and while the likelihood of pregnancy from such contact is lower than from penetrative intercourse, it is not impossible. The probability of conception from the scenarios you described (external contact without ejaculation) is difficult to quantify precisely, but it is generally considered to be low. However, it is not zero, and if you are concerned about the possibility of pregnancy, it may be wise to take a home pregnancy test if your period is late.

In terms of sexual desire, many women report changes in libido during pregnancy. Some may experience an increase in sexual desire due to hormonal changes, while others may find their interest decreases due to physical discomfort or emotional fluctuations. Each woman's experience is unique, and these changes can vary widely.

If you suspect you might be pregnant or are experiencing unusual symptoms, it is advisable to consult with a healthcare provider. They can offer guidance, perform necessary tests, and provide support tailored to your individual situation. Early prenatal care is crucial for monitoring the health of both the mother and the developing fetus.

In summary, early pregnancy can bring about a range of symptoms, including mood swings and changes in libido. While there is a possibility of pregnancy from external genital contact, the risk is relatively low. If you have concerns about pregnancy or your symptoms, seeking medical advice is the best course of action.

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