Am I Pregnant? Common Concerns and Symptoms Explained - Obstetrics and Gynecology

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Is it pregnancy?


Hello doctor, I was supposed to get my period yesterday, but it hasn't arrived.
I had protected intercourse on September 1st, and the condom was intact as I checked it with water.
I've been feeling a dull ache in my lower abdomen these past few days, and my breasts have enlarged and are painful when pressed.

1.
Could this be a sign of pregnancy?
2.
Could it be that I'm too anxious and stressed, causing my period to be delayed?
3.
My body temperature has been around 37.4°C; does this indicate that my period is coming?
4.
I woke up before my alarm went off this morning; could this be due to excessive stress?
5.
This morning I felt a bit nauseous after breakfast; is this related to early pregnancy?
Thank you.

Niming, 20~29 year old female. Ask Date: 2019/09/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1.
Is it possible that I am pregnant? Answer: It is unlikely that you are pregnant.

2.
Could it be that I am just too anxious and stressed, causing my period to be delayed? Answer: It is likely.

3.
My body temperature has been around 37.4 degrees Celsius; does this indicate that my period is about to start? Answer: It is likely.

4.
I woke up before my alarm went off; could this be due to too much stress? Answer: It is likely.

5.
This morning I felt a bit nauseous after breakfast; is this related to early pregnancy? Answer: It is not related.

Reply Date: 2019/09/10

More Info


It sounds like you are experiencing a lot of anxiety and uncertainty regarding the possibility of being pregnant, especially since your period is late. Let's address your concerns one by one, and I'll provide some additional context to help you understand what might be happening.

1. Could you be pregnant? Given that you had protected intercourse and the condom did not break, the likelihood of pregnancy is low. However, no contraceptive method is 100% effective, and sometimes, even with precautions, pregnancy can occur. The symptoms you are experiencing, such as breast tenderness and a feeling of heaviness in your lower abdomen, can be early signs of pregnancy, but they can also be related to other factors, including hormonal changes or stress.

2. Could stress be delaying your period? Yes, stress can significantly impact your menstrual cycle. The body reacts to stress by releasing hormones that can disrupt the normal hormonal balance required for menstruation. If you are feeling anxious or under pressure, it could very well be the reason for your delayed period.
3. Is a body temperature of 37.4°C related to your period? A body temperature of 37.4°C (99.3°F) is slightly elevated and can be associated with ovulation or early pregnancy. However, it is also within the normal range for many individuals, especially if you are feeling unwell or stressed. If your temperature remains elevated for an extended period, it might be worth discussing with a healthcare provider.

4. Waking up before your alarm could be due to stress. Stress and anxiety can lead to sleep disturbances, including waking up earlier than usual. If your mind is racing with thoughts about your potential pregnancy or other concerns, this could be affecting your sleep quality.

5. Feeling nauseous after breakfast can be an early pregnancy symptom. Nausea can indeed be a sign of early pregnancy, but it can also be caused by anxiety or other gastrointestinal issues. If this symptom persists, it would be advisable to consult with a healthcare provider.

In summary, while there is a possibility of pregnancy, the symptoms you are experiencing could also be attributed to stress and anxiety. It is essential to take a moment to breathe and consider your mental well-being. If your period does not arrive in the next week or so, consider taking a home pregnancy test for clarity.
Additionally, if you find that your anxiety is overwhelming or affecting your daily life, it may be beneficial to speak with a mental health professional. They can provide support and strategies to help manage your anxiety. Remember, it’s okay to seek help, and taking care of your mental health is just as important as your physical health.

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