Menstrual Issues: Pregnancy Concerns and Ovulation Pain Explained - Obstetrics and Gynecology

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Menstrual issues


1.
Based on the information provided, if there was no ejaculation and no further sexual contact after September 3rd, the likelihood of pregnancy is very low, especially since menstruation occurred on September 25th and October 24th.
However, it is important to note that no method is 100% effective in completely ruling out pregnancy without a test.
2.
The abdominal pain you are experiencing on November 10th could be related to hormonal changes in your menstrual cycle, possibly indicating that your period is approaching.

3.
It is possible that the pain could be ovulation pain (mittelschmerz), which occurs around the time of ovulation, but given the timing and your menstrual cycle, it is more likely related to premenstrual symptoms.

Niming, 20~29 year old female. Ask Date: 2019/11/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On September 3rd, there was penetration without a condom, but there was no ejaculation, and there was no ejaculation upon withdrawal.
Menstruation occurred on September 25th and October 24th.
However, today, November 10th, there is a slight abdominal pain that feels similar to premenstrual symptoms.

1.
Can pregnancy be completely ruled out?
Answer: Yes, it can be ruled out since there has been no sexual contact after September 3rd.
2.
Why does it feel like menstruation is about to start on November 10th?
Answer: It is likely ovulation.
3.
Is it ovulation pain?
Answer: Yes, it is.

Reply Date: 2019/11/10

More Info


When it comes to understanding menstrual issues, pregnancy concerns, and ovulation pain, it's essential to consider several factors that can influence your symptoms and overall reproductive health. Based on your situation, let's address your questions one by one.

1. Can pregnancy be completely ruled out?
Given that you had unprotected intercourse on September 3rd but did not experience ejaculation, the likelihood of pregnancy is significantly reduced, especially since you have had regular menstrual cycles on September 25th and October 24th. The menstrual cycle typically indicates that ovulation and subsequent fertilization did not occur. However, it is important to note that no method is 100% foolproof. If you are experiencing symptoms that are concerning, a home pregnancy test can provide additional reassurance. Testing is most accurate when done after a missed period.

2. Why do I feel menstrual-like pain on November 10th?
The discomfort you are experiencing may be related to several factors. If your menstrual cycle is typically around 28 days, the pain could be a sign that your period is approaching. This type of pain is often referred to as dysmenorrhea, which is common and can occur due to the release of prostaglandins, hormones that cause the uterus to contract. Additionally, hormonal fluctuations throughout your cycle can lead to premenstrual symptoms, including cramping and discomfort.
3. Is it ovulation pain?
Ovulation pain, also known as mittelschmerz, typically occurs around the middle of your menstrual cycle, which is about 14 days before your next expected period. If your cycles are regular, ovulation pain would have likely occurred around mid-cycle, which would not align with the timing of your current symptoms. However, some women do experience ovulation pain that can last longer or occur at different times due to individual variations in their cycles.

Additional Considerations:
It's important to recognize that menstrual and ovulation-related pains can vary significantly from person to person. Factors such as stress, diet, exercise, and overall health can influence your menstrual cycle and associated symptoms. If you find that your symptoms are severe, persistent, or accompanied by other concerning signs (such as heavy bleeding, severe pain, or unusual discharge), it would be wise to consult with a healthcare provider. They can perform a thorough evaluation, which may include a physical exam and possibly imaging or blood tests, to rule out any underlying conditions such as ovarian cysts or endometriosis.

In conclusion, while the likelihood of pregnancy is low given your circumstances, the discomfort you are experiencing could be attributed to normal menstrual cycle variations or hormonal changes. Keeping track of your symptoms and menstrual cycle can provide valuable information for you and your healthcare provider. If you have ongoing concerns or if your symptoms worsen, seeking medical advice is always a prudent step.

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