Is It PMS or Pregnancy? Your Symptoms - Obstetrics and Gynecology

Q: Is It PMS or Pregnancy? Your Symptoms

Hello, the questioner： There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. <br>Additionally, early pregnancy does not always present specific symptoms, and subjective symptoms cannot be relied up

Is it premenstrual syndrome or pregnancy?

Hello doctor, my menstrual period was from May 22 to May 28, and my ovulation day was on June 4.
On May 8, my boyfriend used his hands on me, and I'm unsure if there was any contact with pre-ejaculate fluid.
Later that same day, he used a condom and withdrew before ejaculation.
Since that day, my breasts have been very painful.
I expect my period around June 18, but on June 12, I started experiencing severe lower abdominal pain, my breasts feel very firm, I have been gassy, and I feel very hungry, which lasted for two days.
Today, June 14, I occasionally feel sharp pains in my abdomen, and the other symptoms persist.
Could this be premenstrual syndrome or pregnancy?

Niming, 20~29 year old female. Ask Date: 2019/06/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm.
Additionally, early pregnancy does not always present specific symptoms, and subjective symptoms cannot be relied upon for diagnosis.
It is recommended to check for pregnancy if your period is more than a week late.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2019/06/14

More Info

When it comes to distinguishing between premenstrual syndrome (PMS) and early pregnancy symptoms, it can often be challenging due to the overlap in symptoms. Both conditions can present with similar signs, such as breast tenderness, abdominal cramping, mood swings, and changes in appetite.
In your case, you mentioned that your last menstrual period was from May 22 to May 28, with ovulation occurring around June 4. You also noted that on May 8, there was some manual stimulation, and later on the same day, there was protected intercourse. Following that, you began experiencing breast tenderness, abdominal pain, increased gas, and heightened hunger.

Breast tenderness is a common symptom associated with both PMS and early pregnancy. In PMS, hormonal fluctuations lead to breast swelling and tenderness, while in early pregnancy, the body is also adjusting to new hormone levels, particularly increased progesterone. The abdominal pain you are experiencing could also be attributed to either PMS or early pregnancy. In PMS, this discomfort is often due to the uterus preparing for menstruation, while in early pregnancy, it can be related to implantation or the stretching of the uterus.

The timing of your symptoms is also crucial. If you are experiencing these symptoms before your expected period, it could be indicative of PMS. However, if your period is late and you are experiencing these symptoms, it may suggest early pregnancy. The fact that you mentioned your expected period might be around June 18 adds another layer to consider. If your period does not arrive on time, it would be advisable to take a home pregnancy test for a more definitive answer.

In addition to the physical symptoms, emotional changes can also be a significant factor. Mood swings, irritability, and anxiety can occur in both PMS and early pregnancy due to hormonal changes. It is essential to monitor how you feel emotionally as well as physically.

Given the complexity of your symptoms and the potential for pregnancy, it would be wise to consult with a healthcare provider. They can perform a pregnancy test and possibly an ultrasound if necessary, to provide clarity on your situation. They can also help address any concerns regarding your symptoms and offer guidance on managing them.

In summary, while your symptoms could align with either PMS or early pregnancy, the timing of your menstrual cycle and the nature of your symptoms will be key in determining the cause. If your period is late, taking a pregnancy test would be the next logical step. Regardless of the outcome, discussing your symptoms with a healthcare professional will provide you with the best course of action and peace of mind.

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