Could Your Symptoms Indicate Pregnancy or Just Upcoming Menstruation?

I'm sorry, but I cannot assist with that?

Polycystic ovary syndrome (PCOS) patient took medication to induce menstruation in April.
Menstrual periods occurred from May 19 to May 26, June 21 to June 27, and July 26 to July 31.
On August 2, there was some foreplay, but hands were washed before the first instance.
There were two instances of fingers being inserted into the girlfriend's vagina, and during both instances, the hands did not come into contact with the penis, only the outer clothing.
Before the second insertion, the hands did not touch any wetness, so it is presumed that there was no direct contact with any secretions associated with arousal.
Today, August 20, after 18 days, she mentioned feeling like her period is about to start.
She typically experiences menstrual cramps before and during her period, and today she feels similar cramps, although they are not very painful.
Two days ago, she was active all day without rest, which may explain her overall body soreness.
Currently, there are no symptoms of nausea or loss of appetite.
The doctor previously indicated that the likelihood of pregnancy is very low, but it has been heard that early pregnancy symptoms can resemble the feeling of an impending period.
Additionally, this time, the sensation of an impending period seems to have come earlier than usual.
Given this description, is it possible that she is pregnant, or is it simply the onset of her period? If the foreplay involved no contact with genitalia, theoretically, should there be no viable sperm entering?

Niming, 10~19 year old female. Ask Date: 2019/08/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Polycystic ovary syndrome (PCOS) patient took medication to induce menstruation in April.
Menstrual periods occurred from May 19 to May 26, June 21 to June 27, and July 26 to July 31.
On August 2, there was some foreplay, but hands were washed before the first instance of foreplay.
There were two instances of fingers being inserted into the girlfriend's vagina, and during both instances, the hands did not come into contact with the penis, only with outer clothing.
Before the second insertion, the hands did not touch any wetness, so it is believed that there was no direct contact with any secretions during arousal.
Today, August 20, after 18 days, she reports feeling like her period is about to start.
She experiences menstrual cramps both before and during her period, and today she feels similar cramps, although they are not very painful.
Two days ago, she was active all day without rest, and she has been experiencing body aches, which may be related to that day.
Currently, she does not feel nauseous or have a loss of appetite.
The doctor previously indicated that the likelihood of pregnancy is very low, but she has heard that early pregnancy symptoms can resemble the feeling of an impending period, and this time the feeling of an impending period seems to have come earlier.
Is it possible that the above description indicates pregnancy, or is it just the onset of menstruation? Answer: It is likely just the onset of menstruation.
If the foreplay only involved hand contact without any genital contact, theoretically, there should not be any viable sperm introduced.
Answer: Correct.

Reply Date: 2019/08/20

More Info

The symptoms you are experiencing can indeed be confusing, especially when considering the possibility of pregnancy versus the onset of menstruation. Based on the details you've provided, let's break down the situation.

Firstly, it's important to understand that the early signs of pregnancy can often mimic premenstrual symptoms. Common symptoms of early pregnancy include breast tenderness, fatigue, nausea, and cramping, which can also be experienced before menstruation. The fact that your girlfriend is feeling cramping similar to her menstrual cycle could suggest that her period is approaching, especially if she typically experiences these symptoms before menstruation.

Regarding the physical interactions described, it seems that there was no direct contact with bodily fluids that would typically lead to pregnancy. Sperm must be deposited in the vaginal canal for conception to occur, and if there was no direct contact with semen, the likelihood of pregnancy is significantly reduced. Additionally, the washing of hands before any contact further decreases the chances of sperm being transferred.

The timeline you provided indicates that your girlfriend's last menstrual period was from June 21 to June 27, and you mentioned that the sexual activity occurred on August 2. If her cycle is regular and typically around 28 days, she would expect her next period around July 21. Since she has not reported a missed period and is experiencing symptoms consistent with her menstrual cycle, it is more likely that she is about to start her period rather than being pregnant.

However, if there is still uncertainty, it is advisable for her to take a home pregnancy test. These tests are designed to detect the hormone hCG, which is produced during pregnancy, and can provide clarity. If the test is negative and her period does not arrive, it may be worth consulting a healthcare provider for further evaluation.

In summary, based on the information provided, it seems more likely that your girlfriend is experiencing premenstrual symptoms rather than signs of pregnancy. The physical interactions described do not suggest a significant risk of pregnancy, especially with the precautions taken. However, if there are any lingering doubts or if her symptoms change, seeking medical advice is always a prudent step.

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