Pregnancy Chances: Symptoms and Concerns Explained - Obstetrics and Gynecology

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Probability of Pregnancy


On March 1, March 3, and March 7, there were sexual encounters.
After that, there was some urethritis, with pain during urination, a bit of blood, and increased frequency of urination.
Menstruation started on March 26, but the flow was lighter than usual.
There was no menstruation at night but it returned in the morning until March 31.
After that, the discharge was clear with a slight yellow tint, and there was a feeling of fullness in the upper abdomen, with a decreased appetite and nausea when overly full.
There has been no sexual activity since March 7.
Is there a possibility of pregnancy? A pregnancy test was taken on the evening of April 27, which was negative.
Since April 24, the discharge has been clear and white.
On April 29, there was slight breast tenderness and the discharge has increased.
Does this mean menstruation is approaching?

mm, 10~19 year old female. Ask Date: 2020/04/29

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it seems that you are not pregnant, and your menstrual period may be approaching soon.
Wishing you good health.

Reply Date: 2020/04/29

More Info


Understanding pregnancy chances and the associated symptoms can be quite complex, especially when considering the various factors that can influence a woman's body during this time. Based on your description, it seems you have experienced a range of symptoms and concerns that may indicate a potential pregnancy or other underlying issues.

Firstly, it's important to note that the timing of sexual intercourse in relation to your menstrual cycle plays a crucial role in determining the likelihood of pregnancy. Sperm can survive in the female reproductive tract for up to five days, so if you had unprotected intercourse around the time of ovulation, there is a possibility of conception. However, since you mentioned that your menstrual period arrived on March 26, albeit lighter than usual, this could suggest that you are not pregnant. A lighter period can sometimes occur due to various reasons, including stress, hormonal fluctuations, or even early pregnancy, but it is generally a sign that menstruation is occurring.

The symptoms you described, such as urinary discomfort, pain during urination, and the presence of blood, may indicate a urinary tract infection (UTI). UTIs can cause symptoms like frequent urination, urgency, and pain, and they are not uncommon. If you suspect a UTI, it is advisable to consult a healthcare provider for appropriate testing and treatment.
Regarding the changes in your discharge, it is normal for women to experience variations in vaginal discharge throughout their menstrual cycle. Clear, stretchy discharge is often associated with ovulation, while a thicker, yellowish discharge can occur at other times. If the discharge is accompanied by an unusual odor, itching, or irritation, it may warrant further investigation for possible infections.

The breast tenderness you mentioned can also be a symptom of hormonal changes, which can occur due to various reasons, including the menstrual cycle, pregnancy, or other hormonal imbalances. If you are experiencing persistent breast pain or other concerning symptoms, it is wise to seek medical advice.

As for the pregnancy test you took on April 27, if it was negative and you have not had any further sexual activity since March 7, it is likely that you are not pregnant. However, if your period does not return to normal or if you continue to experience unusual symptoms, it may be beneficial to repeat the pregnancy test after a week or consult with a healthcare provider for further evaluation.

In summary, while your symptoms may raise concerns about pregnancy, they could also be attributed to other factors such as hormonal changes or infections. It is essential to monitor your symptoms closely and seek medical advice if they persist or worsen. Regular check-ups and open communication with your healthcare provider can help address any concerns and ensure your overall health and well-being.

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