Pregnancy Concerns: Delayed Menstruation After Protected Intercourse - Obstetrics and Gynecology

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Hello Doctor: I had intercourse with my girlfriend on March 19, and we used a condom throughout.
She got her period on March 31, which was quite heavy and lasted for at least three days.
However, her period did not come in April.
Could this just be a simple case of a delayed period?

Mr. Lin, 10~19 year old female. Ask Date: 2019/05/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology


You had sexual intercourse with your girlfriend on March 19, using protection throughout.
She got her period on March 31, which lasted for at least three days with a significant amount of flow.
However, her period did not come in April.
Is this just a simple case of a delayed period? Answer: It should just be a simple case of a delayed period.

Reply Date: 2019/05/12

More Info


When it comes to concerns about delayed menstruation after protected intercourse, it's important to understand the various factors that can influence a woman's menstrual cycle. In your case, since you had protected intercourse on March 19 and your girlfriend had her period on March 31, it indicates that she was not pregnant from that encounter. However, the absence of her period in April raises some questions.

Firstly, it's essential to recognize that menstrual cycles can be irregular for a variety of reasons. Stress, changes in weight, hormonal fluctuations, and even changes in routine can all impact the regularity of a woman's cycle. If your girlfriend has experienced any significant life changes or stressors since her last period, this could be a contributing factor to her delayed menstruation.

Additionally, while condoms are an effective form of contraception, no method is 100% foolproof. If there was any breakage or slippage of the condom during intercourse, there is a slight chance of pregnancy. However, since she had a normal period shortly after the intercourse, this likelihood is significantly reduced.

If your girlfriend's period does not arrive soon, it would be advisable for her to take a home pregnancy test. These tests are generally reliable and can provide peace of mind. If the test is negative and her period still does not come, it may be worth consulting a healthcare provider to explore other potential causes for the delay.

In terms of medical knowledge, it's important to note that conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can also lead to irregular periods. A healthcare provider can perform tests to rule out these conditions if necessary.

In summary, while the absence of a period can be concerning, it does not automatically indicate pregnancy, especially given that your girlfriend had a normal period shortly after your protected intercourse. Factors such as stress, lifestyle changes, and hormonal fluctuations can all play a role in menstrual irregularities. If her period does not return soon, a home pregnancy test and a consultation with a healthcare provider would be prudent steps to take.

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