Could You Be Pregnant? Delayed Periods and Symptoms - Obstetrics and Gynecology

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Are you pregnant?


Having had intercourse with my boyfriend (with a condom), my period is 13 days late.
When I go to the bathroom, the discharge is brown, and I have been feeling a persistent dull ache near my ovaries today.
I would like to know if this could possibly indicate pregnancy.

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

Dr. Cai Yonglong reply Obstetrics and Gynecology


It could be ovulatory bleeding and ovulation period, but pregnancy cannot be ruled out.
It is advisable to take a pregnancy test or visit an obstetrics and gynecology clinic immediately.

Reply Date: 2020/05/19

More Info


When it comes to understanding the possibility of pregnancy, especially in the context of a delayed period, it’s essential to consider various factors that can influence menstrual cycles and the symptoms you are experiencing. Based on your description, you are currently 13 days late for your period, and you have noted some unusual symptoms, including brown discharge and discomfort around your ovaries.
First and foremost, it’s important to recognize that a delayed period can be caused by several factors beyond pregnancy. Stress, hormonal imbalances, changes in weight, illness, and even lifestyle factors such as diet and exercise can all contribute to irregular menstrual cycles. In your case, since you mentioned having unprotected intercourse, albeit with a condom, there is still a possibility of pregnancy, albeit a lower risk if the condom was used correctly throughout the act.

The brown discharge you are experiencing could be a sign of several things. It might be old blood that is being expelled from your body, which can occur at the beginning or end of a menstrual period. However, it can also be an early sign of pregnancy, known as implantation bleeding, which occurs when a fertilized egg attaches itself to the lining of the uterus. This typically happens about 6 to 12 days after conception, which aligns with your timeline if you were to have conceived during your last sexual encounter.

The discomfort you feel in your lower abdomen could also be related to ovulation or other menstrual cycle-related symptoms. Some women experience ovulation pain, known as mittelschmerz, which can occur around the time of ovulation. However, if this discomfort is new or significantly different from what you usually experience, it might warrant further investigation.

Given that you are 13 days late, the most straightforward way to determine if you are pregnant is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterus. For the most accurate results, it is recommended to take the test first thing in the morning when your urine is most concentrated. If the test is negative and your period still does not arrive, it would be advisable to consult a healthcare provider for further evaluation.

In summary, while there is a possibility of pregnancy given your circumstances, there are also many other factors that could explain your delayed period and symptoms. Taking a home pregnancy test will provide clarity, and if you continue to experience unusual symptoms or if your period does not arrive, seeking medical advice is the best course of action. Remember, your health and peace of mind are paramount, so don’t hesitate to reach out to a healthcare professional for personalized guidance.

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