Could I Be Pregnant? Menstrual Changes and Symptoms - Obstetrics and Gynecology

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Can I get pregnant?


Hello, I had sexual intercourse with my boyfriend on April 3rd, and he withdrew before ejaculation.
On April 6th, I experienced what seemed to be my period, lasting about six to seven days.
The last couple of days turned brown, and the flow decreased.
The first four days were bright red with a heavier flow.
Since then, we have not had any sexual activity.
I've been active, but my period, which should have arrived in mid-May, has not come yet.
I also feel like I can't eat, my stomach feels bloated, and after drinking water before bed, I feel pressure in my chest.
I feel hungry but have no desire to eat.
Could I be pregnant? Should I buy a pregnancy test? (Previously, I didn't feel unwell before my period, but since the intercourse on April 3rd, I seem to feel discomfort before my period.) My period for May has not arrived yet; if I'm not pregnant, could there be other possible reasons?

Niming, 10~19 year old female. Ask Date: 2020/05/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you take a pregnancy test and it shows negative, you can wait another week.
If your period still hasn't arrived, it's advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2020/05/16

More Info


It sounds like you are experiencing a lot of uncertainty and concern regarding your menstrual cycle and the possibility of pregnancy. Let's break down your situation and address your questions.

First, it's important to understand that menstrual cycles can be influenced by a variety of factors, including stress, hormonal changes, and physical health. The fact that you had a period around April 6th, which lasted for about six to seven days, is a good sign that your body is functioning normally. However, the change in the color and flow of your menstrual blood, particularly the transition to a brownish color towards the end, can be typical as well. This often indicates older blood that is taking longer to exit the body.

Regarding your concerns about pregnancy, the timing of your sexual activity on April 3rd, combined with the subsequent menstrual-like bleeding, suggests that you may not be pregnant. However, since your period for May has not arrived yet, it is understandable that you are feeling anxious. The symptoms you describe, such as feeling bloated, having a loss of appetite, and experiencing discomfort in your abdomen, can be attributed to various factors, including hormonal fluctuations, stress, or even gastrointestinal issues.

If you are still concerned about the possibility of pregnancy, it would be a good idea to take a home pregnancy test. These tests are generally reliable and can provide you with peace of mind. If the test is negative and your period still does not arrive, it would be wise to consult with a healthcare provider to explore other potential causes for your missed period.

In addition to pregnancy, other factors that could lead to a missed period include:
1. Stress: Emotional or physical stress can significantly impact your menstrual cycle, leading to delays or missed periods.

2. Weight Changes: Significant weight loss or gain can affect hormone levels and disrupt your cycle.

3. Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) or thyroid issues can lead to irregular periods.

4. Lifestyle Factors: Changes in exercise routines, diet, or sleep patterns can also influence your menstrual cycle.

5. Health Conditions: Certain medical conditions can affect your menstrual cycle, so it’s important to discuss any ongoing health issues with your doctor.

If you find that your symptoms persist or worsen, or if you experience severe discomfort, it is crucial to seek medical advice. A healthcare professional can provide a thorough evaluation and help determine the underlying cause of your symptoms.

In summary, while the likelihood of pregnancy seems low given your recent menstrual history, taking a home pregnancy test can help clarify your situation. Regardless of the outcome, if your period does not arrive soon or if you continue to experience discomfort, please reach out to a healthcare provider for further evaluation and support. Taking care of your mental and physical health during this time is essential, and seeking help is a positive step forward.

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