Am I Pregnant? Symptoms and Testing After Unprotected Sex

Are you pregnant?

Hello Doctor, I had unprotected sexual activity on September 24th, but there was no penetration and no ejaculation, only external rubbing.
My period was due on October 1st but did not arrive.
On the morning of October 3rd, I used a pregnancy test, which showed one line.
On October 4th, I went to the gynecologist for an abdominal ultrasound and urine test, both of which indicated that I was not pregnant.
The doctor prescribed medication, and I have completed the medication three days ago, but my period still hasn't come; it is now eight days late.
I am very worried as I feel some bloating in my abdomen and have a sensation of something flowing from my vagina, but there is nothing, possibly just discharge.
Is there still a chance of pregnancy? Would it be too early to see the gynecologist again? I have just moved to a new environment a month ago; could this change in environment affect my menstrual cycle? If I were to confirm a pregnancy, what symptoms would I expect in the first week? Thank you, Doctor.

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

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On September 24, there was sexual activity without a condom, no penetration, and no ejaculation, only external rubbing.
The menstrual period was expected on October 1 but did not arrive.
On the morning of October 3, a pregnancy test showed one line.
On October 4, I went to the gynecologist for an abdominal ultrasound and urine test, both of which indicated no pregnancy.
The doctor prescribed medication, which I have taken for three days, but my period still has not come, and it is now eight days late.
I am very worried; my abdomen feels a bit bloated and painful, and I feel like something is flowing from my vagina, but there is nothing, possibly just discharge.
Is there still a chance of pregnancy? Would it be too early to see the gynecologist again? I have just moved to a new environment and have been living here for a month.
Could the new environment be affecting my menstrual cycle? If pregnancy is confirmed, what symptoms would typically appear after one week? Answer: No penetration and no ejaculation, only external rubbing; the pregnancy test showed one line, confirming that pregnancy is unlikely.

Reply Date: 2019/10/09

More Info

Based on the information provided, it appears that you have taken several steps to assess your pregnancy status after engaging in unprotected sexual activity. You mentioned that you had sexual intercourse on September 24 without a condom, but there was no ejaculation inside. Your menstrual cycle is typically regular, with your last period starting on August 28, and you expected your next period on October 1, which has now been delayed by eight days.

You performed a home pregnancy test on October 3, which showed a negative result (one line), and subsequently visited a gynecologist on October 4, where both an ultrasound and a urine test confirmed that you are not pregnant. Despite these results, you are experiencing some abdominal discomfort and changes in vaginal discharge, which is causing you concern.

Understanding Your Situation
1. Pregnancy Testing Accuracy: Home pregnancy tests are generally reliable when used correctly, especially if taken after a missed period. Since your test on October 3 was negative and the medical evaluation on October 4 also confirmed no pregnancy, it is unlikely that you are pregnant. The hormone hCG, which is detected by pregnancy tests, typically becomes detectable in urine about 14 days after conception. Given that you had a negative test after your expected period, the likelihood of pregnancy is low.

2. Menstrual Cycle Changes: Stress, changes in environment, and other factors can indeed affect your menstrual cycle. Moving to a new environment can introduce stressors that may disrupt your hormonal balance, potentially leading to a delayed period. It is not uncommon for women to experience irregularities in their menstrual cycles due to various factors, including emotional stress, changes in routine, or even diet and exercise.

3. Symptoms You Are Experiencing: The abdominal bloating and discomfort you are feeling could be attributed to several factors, including hormonal changes, premenstrual symptoms, or even gastrointestinal issues. The sensation of having something flowing from the vagina could be related to increased vaginal discharge, which can occur due to hormonal fluctuations or infections. If the discharge has a strong odor, changes in color, or is accompanied by itching or irritation, it may indicate an infection that would require medical attention.

4. When to Seek Further Medical Advice: Since you have already consulted a gynecologist and received negative results for pregnancy, it may not be necessary to return immediately unless your symptoms worsen or you develop new symptoms. If your period does not arrive soon, or if you continue to experience discomfort, it would be prudent to follow up with your healthcare provider. They can perform further evaluations to rule out other potential issues, such as hormonal imbalances or infections.

5. Signs of Early Pregnancy: If you were to become pregnant, common early symptoms might include breast tenderness, nausea, fatigue, and changes in appetite. However, since you have tested negative and have not experienced these symptoms, it is less likely that you are pregnant.

Conclusion
In summary, based on the negative pregnancy tests and medical evaluations, it is unlikely that you are pregnant. Your symptoms may be related to stress or hormonal changes due to your new environment. If your period does not arrive soon or if you have concerns about your symptoms, it is advisable to consult your healthcare provider for further evaluation. They can provide reassurance and help address any underlying issues that may be affecting your menstrual cycle and overall health.

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