Symptoms: Is It Just PMS or Could It Be Pregnancy?

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

Could the doctor infer that the symptoms of a slightly enlarged abdomen and some pain when pressing on the chest are just signs that menstruation is approaching? If menstruation is delayed for too long, can pregnancy be completely ruled out, and can menstrual regulation or induction be performed directly?

Niming, 10~19 year old female. Ask Date: 2019/09/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Based on the symptoms of a slightly enlarged abdomen and some pain in the chest when pressed, could this indicate that menstruation is approaching? If menstruation is delayed for too long, can pregnancy be completely ruled out, and can one directly use menstrual regulation or induce menstruation? If menstruation is delayed for too long, it is advisable to take a pregnancy test first.

Reply Date: 2019/09/09

More Info

When it comes to distinguishing between premenstrual syndrome (PMS) and early pregnancy symptoms, it can often be quite challenging due to the overlap in symptoms. Many women experience similar signs, such as breast tenderness, abdominal bloating, and mood changes, whether they are about to start their menstrual cycle or are in the early stages of pregnancy.

In your case, the symptoms you mentioned—slight abdominal enlargement and breast tenderness—can indeed be indicative of PMS. PMS typically occurs in the luteal phase of the menstrual cycle, which is the time between ovulation and the start of menstruation. During this phase, hormonal changes, particularly increases in progesterone, can lead to symptoms such as bloating, breast tenderness, mood swings, and fatigue. These symptoms usually resolve once menstruation begins.

However, it is important to note that early pregnancy can also present with similar symptoms. For instance, breast tenderness is a common early sign of pregnancy due to hormonal changes, and some women may experience abdominal discomfort or bloating as their body adjusts to the pregnancy. The key difference is that pregnancy symptoms often persist beyond the expected date of menstruation.

If you find that your period is delayed, it would be prudent to take a pregnancy test. Home pregnancy tests are generally reliable and can provide a good indication of whether or not you are pregnant. If the test is positive, it is advisable to schedule an appointment with your healthcare provider for further evaluation and confirmation.

Regarding your question about whether you can completely rule out pregnancy and proceed with menstrual regulation if your period is significantly delayed, it is essential to approach this cautiously. If you have a missed period and a negative pregnancy test, it may still be worth waiting a few days before retesting, as hormone levels can take time to rise enough to be detected. If menstruation does not occur after a reasonable period, consulting with a healthcare provider is recommended. They can help determine the underlying cause of the missed period, which could be due to various factors such as stress, hormonal imbalances, or other health issues.

In summary, while the symptoms you are experiencing could suggest that your period is approaching, they could also indicate early pregnancy. If your period is delayed, taking a pregnancy test is the best course of action. If you have concerns about your menstrual cycle or symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and management. They can provide guidance on whether menstrual regulation or other interventions are necessary based on your individual health status.

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