Pregnancy Chances: When to Test and What to Expect - Obstetrics and Gynecology

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Probability of pregnancy?


Hello doctor, I took emergency contraception from June 19 to June 23, and I had sexual intercourse on June 22 (using a condom with no ejaculation).
I experienced a moderate menstrual period from June 30 to July 5, and from July 22 to July 28, I had a small amount of brown discharge, which was odorless, and then it stopped.
On the morning of August 1, I used a pregnancy test, which showed one line.
Does this confirm that I am not pregnant from the encounter on June 22, or should I wait for my next menstrual period to be sure? Is it too early to test for pregnancy? Should I test again to confirm the result? If I still do not get my period in August, could it be due to changes in my routine or the effects of the emergency contraception, or is there still a possibility of pregnancy?

Niming, 20~29 year old female. Ask Date: 2019/08/09

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Miss Anonymous: Your expected menstruation should have started on June 30, so it is confirmed that the sexual activity on June 22 did not result in pregnancy.
As for your period not arriving by August 1, it depends on the length of your normal menstrual cycle.
If it exceeds the expected time for your period to arrive, then a urine test would be more accurate.
I suggest you try not to worry too much, and since you did not engage in sexual activity during this cycle, you will not be pregnant.
The sexual activity on June 22 followed by your period on June 30 confirms that there was no pregnancy.
If your period does not arrive in August, the most common reasons are emotional stress or changes in your routine.
Additionally, the medication you took in June to delay your period is no longer affecting you.

Reply Date: 2019/08/09

More Info


When it comes to understanding pregnancy chances and the appropriate timing for testing, there are several factors to consider. Based on your timeline, it appears that you have been tracking your menstrual cycle and any potential signs of pregnancy closely.
First, let's address the timing of your pregnancy test. You mentioned that you had a sexual encounter on June 22 and experienced your menstrual period from June 30 to July 5. If your menstrual cycle is regular, the onset of your period typically indicates that you are not pregnant. However, since you also noted experiencing light brown discharge from July 22 to July 28, this could be a sign of various things, including hormonal fluctuations or the onset of your next menstrual cycle.

You conducted a pregnancy test on August 1, which showed a single line. In most home pregnancy tests, a single line indicates a negative result, meaning that you are likely not pregnant. However, it is essential to consider that testing too early can sometimes yield false negatives. The hormone hCG (human chorionic gonadotropin), which is what pregnancy tests detect, may not be present in detectable levels if you test too soon after conception.
Given your situation, it is reasonable to conclude that since you had your period from June 30 to July 5, and the test on August 1 showed a negative result, it is unlikely that you are pregnant from the June 22 encounter. However, if your period does not arrive in August, it would be wise to retest or consult with a healthcare provider for further evaluation.
Regarding your concerns about the potential effects of the medication you took to delay your period, it is possible that hormonal treatments can affect your menstrual cycle. These medications can sometimes lead to irregularities in your cycle, including delayed periods or unexpected spotting. If your cycle is typically regular and you notice significant changes, it could be worth discussing with your doctor.

In summary, based on the information provided:
1. The negative pregnancy test on August 1, combined with your menstrual period from June 30 to July 5, suggests that you are not pregnant.

2. If your period does not arrive in August, consider retesting or consulting a healthcare provider.

3. Hormonal medications can impact your menstrual cycle, so it is essential to monitor any changes and discuss them with your doctor if they persist.

It's always best to consult with a healthcare professional for personalized advice, especially if you have concerns about your reproductive health or the effects of medications. They can provide you with the most accurate information and guidance based on your specific circumstances.

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