Am I Pregnant? Pregnancy Risks and Testing - Obstetrics and Gynecology

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Could this lead to pregnancy?


Hello, doctor.
My last menstrual period started on September 25 and ended on October 3.
I had unprotected intercourse with my boyfriend on October 11, but we used a condom, and I'm not sure if it broke.
My boyfriend says it didn't, but I'm still a bit worried.
Therefore, I bought a pregnancy test on October 18, and it showed one line.
Then, on October 21, I bought another test, and it also showed one line.
I tested again on October 28, and it still showed one line, indicating that I am not pregnant.
However, my period still hasn't arrived.
Could I be pregnant, or should I see a doctor?

c, 20~29 year old female. Ask Date: 2019/10/28

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
C: Since you used a condom and there was no ejaculation, the theoretical chance of pregnancy should be very low, so there is no need to worry too much.
Additionally, dizziness can only be confirmed after a missed period; for example, if your period started on September 25, you would need to wait until after October 25 for a reliable test.
Since you tested negative for pregnancy on October 28, it is indeed unlikely that you are pregnant.
If you are still concerned, it would be a good idea to consult a doctor.

Reply Date: 2019/10/28

More Info


Based on the information you've provided, it seems that you are experiencing a delay in your menstrual cycle after having unprotected intercourse, even though you used a condom. The fact that you have taken multiple pregnancy tests (on October 18, 21, and 28) and all have shown a negative result is a good indicator that you are likely not pregnant. However, there are several factors to consider regarding your situation.

Firstly, it's important to understand that pregnancy tests are generally very reliable when used correctly and at the right time. Most home pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG) in your urine, which is produced after a fertilized egg implants in the uterus. If you tested negative and your period is still delayed, it could be due to a variety of reasons unrelated to pregnancy.

One common reason for a missed period is stress. Emotional or physical stress can disrupt your hormonal balance, leading to irregularities in your menstrual cycle. Other factors that can affect your cycle include significant weight loss or gain, excessive exercise, or underlying health conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders.

Another possibility is that you may have ovulated later than usual in your cycle. If you have a longer cycle, ovulation may occur later, and thus, your period may also be delayed. If you are unsure about your ovulation cycle, tracking your basal body temperature or using ovulation predictor kits can provide more insight.

Given that you have taken multiple tests and they have all returned negative results, it is unlikely that you are pregnant. However, if your period does not arrive soon, or if you continue to experience symptoms such as nausea, breast tenderness, or fatigue, it would be wise to consult a healthcare provider. They can perform a blood test for pregnancy, which is more sensitive than urine tests, and can also evaluate for other potential causes of your missed period.

In summary, while the likelihood of pregnancy seems low based on your negative tests, it is essential to monitor your body and seek medical advice if your period does not come or if you have any concerns. Your health and peace of mind are important, and a healthcare professional can provide the necessary guidance and support.

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