Could I Be Pregnant? Early Symptoms and Concerns - Obstetrics and Gynecology

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After having sexual intercourse on April 7th, I used a condom, but it seems like there was a slight penetration.
The next day, I took emergency contraception.
On April 12th, I experienced bleeding, which increased the following day.
On April 15th, I started taking regular birth control pills.
After starting the pills, I experienced discomfort in my lower abdomen and dizziness, followed by a sore throat.
Are these symptoms indicative of pregnancy? Is it possible to have pregnancy symptoms this early?

zy, 10~19 year old female. Ask Date: 2019/04/21

Dr. Chen Liqin reply Obstetrics and Gynecology


Hello, your discomfort may be related to the use of contraceptive pills or cold medications.
However, if you are concerned, it is advisable to visit an obstetrics and gynecology clinic for evaluation and a pregnancy test.

Reply Date: 2019/04/21

More Info


When it comes to early pregnancy symptoms and concerns, it’s important to understand that the body undergoes various changes after conception, and these changes can manifest in different ways. Based on your timeline and the events you've described, let's break down the situation.

Firstly, you mentioned having unprotected intercourse on April 7, followed by taking emergency contraception the next day. Emergency contraception is designed to prevent pregnancy after unprotected sex, and it is most effective when taken as soon as possible. The bleeding you experienced on April 12 could be a side effect of the emergency contraceptive pill, as these medications can cause changes in your menstrual cycle, including spotting or breakthrough bleeding.

Regarding your question about whether these symptoms could indicate pregnancy, it’s essential to note that early pregnancy symptoms can vary widely among individuals. Common early signs of pregnancy include missed periods, nausea, breast tenderness, fatigue, and frequent urination. However, these symptoms typically do not appear until a few weeks after conception, often around the time of a missed period.

In your case, since you took emergency contraception shortly after the sexual encounter, it is less likely that you would experience typical pregnancy symptoms so soon. The discomfort in your lower abdomen and dizziness could be attributed to the hormonal changes caused by the emergency contraceptive pill or the initiation of the regular birth control pill you started on April 15. These medications can lead to side effects such as nausea, headaches, and abdominal discomfort as your body adjusts to the hormones.

The sore throat you mentioned is likely unrelated to pregnancy and could be due to other factors such as allergies, a viral infection, or even stress. It’s not uncommon for individuals to experience various physical symptoms during times of anxiety or uncertainty, especially when it comes to concerns about pregnancy.

If you are still worried about the possibility of being pregnant, the most reliable way to confirm or rule out pregnancy is to take a home pregnancy test. These tests are most accurate when taken after a missed period, but some sensitive tests can detect pregnancy hormones a few days before a missed period. If the test is positive or if you continue to experience concerning symptoms, it would be advisable to consult with a healthcare provider for further evaluation and guidance.

In summary, while early pregnancy symptoms can occur, the timing and nature of your symptoms suggest that they may be more related to the hormonal effects of the emergency contraception and the birth control pill rather than an indication of pregnancy. If you have any lingering concerns or if your symptoms worsen, seeking medical advice is always a prudent step. Remember, your health and peace of mind are paramount, and healthcare professionals are there to help you navigate these uncertainties.

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