Am I Pregnant? Irregular Periods and PCOS Concerns

Can I still get pregnant this way?

My last menstrual period was from September 6 to 12.
In the past two to three months, my period has been increasingly delayed.
I expected it to come on October 11, and I took a pregnancy test on October 13, which showed a single clear line.
Today, on the 18th, I tested again with my morning urine, and it also showed a single clear line.
I feel a dull pain in my lower abdomen, similar to menstrual cramps, but my period still hasn't arrived.
Is there still a chance I could be pregnant? Should I test again? Last year, when my period was delayed, I went to a gynecologist and was diagnosed with polycystic ovary syndrome (PCOS) and was prescribed medication to induce menstruation.
However, my periods returned to normal afterward.
Why is this happening? Do I still have PCOS or not? I read online that PCOS can cause weight gain, but I don't have that symptom.
Are the recent delays in my period related to PCOS? Do I need to see a doctor, or should I wait for my period to come on its own?

Lin, 20~29 year old female. Ask Date: 2019/10/18

Dr. Huang Jianzhong reply Obstetrics and Gynecology

My last menstrual period was from September 6 to 12.
In the past two to three months, my periods have been increasingly delayed.
I expected my period to arrive on October 11, and I took a pregnancy test on October 13, which showed a single clear line.
Today, on the 18th, I tested again with morning urine, and it also showed a single clear line.
I feel a dull pain in my lower abdomen, similar to when my period is about to start, but it hasn't come yet.
Is there still a chance I could be pregnant?
Answer: The chance of pregnancy is very low.
Do I need to test again?
Answer: If needed, you can test again on November 1.
Last year, when my period was delayed, I went to a gynecologist and was diagnosed with polycystic ovary syndrome (PCOS) and was given medication to induce menstruation.
However, my periods have been regular every month since then.
Why is this happening? Do I still have PCOS or not?
Answer: You do not have polycystic ovary syndrome.
I read online that PCOS can cause weight gain, but I do not have that symptom.
Are the recent delays in my menstrual cycle related to PCOS?
Answer: There is no connection.
Do I need to see a doctor, or should I wait for my period to come on its own?
Answer: Wait for your period to come on its own.

Reply Date: 2019/10/18

More Info

When it comes to determining whether you are pregnant, especially with a history of irregular periods and polycystic ovary syndrome (PCOS), there are several factors to consider. Based on your description, it seems that your menstrual cycle has been irregular, with your last period occurring from September 6 to September 12. You expected your next period around October 11, but it has not arrived yet. You have taken two pregnancy tests, both of which returned negative results, indicating a single line, which typically means no pregnancy.

Given your situation, it is important to understand that irregular periods are a common symptom of PCOS. This condition can cause hormonal imbalances that lead to delayed or missed periods. Even if you have had regular cycles after taking medication to induce menstruation, it does not necessarily mean that your PCOS has resolved. The hormonal fluctuations associated with PCOS can still affect your cycle, leading to delays.

The symptoms you are experiencing, such as lower abdominal discomfort that feels like premenstrual cramps, could be attributed to several factors, including the possibility of your period starting soon or the effects of PCOS itself. It is also worth noting that stress, changes in weight, and lifestyle factors can further complicate menstrual regularity.

Regarding your question about the possibility of pregnancy despite negative tests, it is generally considered unlikely, especially since you have taken two tests that both returned negative results. However, if your period does not arrive within a week or so, it may be worth taking another pregnancy test. Sometimes, testing too early can yield a false negative, particularly if your hormone levels are not yet high enough to be detected.
If you are concerned about your irregular cycles and the possibility of PCOS, it would be advisable to consult with a healthcare provider. They can perform a thorough evaluation, which may include blood tests to check hormone levels and an ultrasound to assess your ovaries. This will help determine whether you still have PCOS and what treatment options may be available to help regulate your menstrual cycle.

In summary, while the likelihood of pregnancy seems low given your negative tests and the timing of your cycle, it is essential to monitor your symptoms and consult a healthcare professional if your period does not arrive soon or if you have ongoing concerns about your reproductive health. Regular check-ups can help manage PCOS and any related symptoms effectively, ensuring that you receive the appropriate care and support.

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