Abdominal Pain: Could It Be Pregnancy Symptoms? - Obstetrics and Gynecology

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Today, there is a situation of abdominal pain.
I asked if it was above or below the navel, and he said he didn't know, but it hurts quite a bit.
Additionally, it happened once in the morning and once at night, totaling two episodes of pain.
Doctor, does this resemble pregnancy-related abdominal pain? Is a pregnancy test necessary? The only contact was a finger that touched a small amount of pre-ejaculate fluid and then engaged in finger intercourse.
Can we say the chance of pregnancy is zero?

Mao Mao, 20~29 year old female. Ask Date: 2019/11/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Today, there was a case of abdominal pain.
I asked if it was above or below the navel, and he said he didn't know, but it was quite painful.
Moreover, it occurred once in the morning and once at night, totaling two episodes of pain.
Doctor, does this resemble pregnancy-related abdominal pain? Answer: It does not resemble pregnancy-related abdominal pain.
Is a pregnancy test necessary? Answer: A pregnancy test is not necessary; if there was only a slight contact with pre-ejaculatory fluid during digital penetration, the likelihood of pregnancy can be considered negligible.
Answer: Yes.

Reply Date: 2019/11/09

More Info


Abdominal pain during pregnancy can be a concerning symptom for many expectant mothers. It is essential to understand the potential causes and implications of such pain, especially when considering the various stages of pregnancy and the physiological changes that occur in a woman's body.

Firstly, it is important to note that abdominal pain can manifest in different ways during pregnancy. Many women experience discomfort due to the stretching of ligaments as the uterus expands. This type of pain is often described as sharp or cramp-like and can be exacerbated by movements such as turning over in bed, walking, or even sneezing. However, if the pain is persistent, severe, or accompanied by other symptoms such as bleeding, fever, or changes in bowel habits, it is crucial to seek medical attention promptly.

In your case, the description of the pain being located above or below the navel, along with its intermittent nature, could suggest a variety of causes. While it may be related to normal pregnancy changes, it could also indicate other issues such as gastrointestinal disturbances, urinary tract infections, or even more serious conditions like ectopic pregnancy or miscarriage, particularly if there is a history of complications in previous pregnancies.

Regarding your question about the possibility of pregnancy, if you have engaged in sexual activity that involved the transfer of bodily fluids, there is a potential risk of pregnancy, albeit low if there was no direct vaginal intercourse. The likelihood of conception from finger contact with pre-ejaculate fluid is generally considered minimal, but it is not entirely zero. If you are experiencing symptoms that lead you to suspect pregnancy, taking a home pregnancy test can provide clarity. These tests are designed to detect the hormone hCG, which is produced shortly after conception.

If the abdominal pain continues or worsens, or if you develop any additional symptoms such as nausea, vomiting, or changes in your menstrual cycle, it would be wise to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the cause of the pain and rule out any serious conditions.

In summary, while abdominal pain can be a common symptom during pregnancy, it is essential to monitor the nature and severity of the pain. If there are any concerns about the possibility of pregnancy or if the pain is severe or persistent, seeking medical advice is the best course of action. Early intervention can help address any potential issues and provide peace of mind during this critical time. Always prioritize your health and well-being, and do not hesitate to reach out to a healthcare professional for guidance.

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