Pregnant or Just Menstruating? Your Symptoms

Am I pregnant or is it just my menstrual period?

Hello, doctor.
I had my period on June 6th, and it hasn't come back as of yesterday, July 15th.
I gave birth on March 11th of this year.
My menstrual cycle was normal for the past months, with my periods starting on April 6th, May 6th, and June 6th.
This month, my period was late, so after three days, I took a pregnancy test and saw two lines.
Five days later, I tested again and still saw two lines.
On the seventh day, I went to the hospital, but they couldn't detect an embryo, and the urine test showed I was not pregnant.
However, the obstetrician suggested I wait another seven days for an ultrasound.
Yesterday (four days after the ultrasound), I noticed a little bit of pink spotting when I wiped, and today there is some bright red blood along with a few blood clots.
Should I seek medical attention immediately? Am I pregnant, or is this just my period?

Xiao Wen, 20~29 year old female. Ask Date: 2020/07/15

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, the bleeding could be due to hormonal imbalance or menstruation.
However, bleeding can also occur in early pregnancy or around implantation.
Therefore, if the bleeding is not heavy, it is recommended to return for a follow-up appointment in a week.
If the bleeding is significant, please seek an earlier evaluation.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2020/07/15

More Info

It sounds like you are experiencing a very confusing and concerning situation regarding your menstrual cycle and potential pregnancy. Based on the information you've provided, it appears that you have had a regular menstrual cycle in the past few months, but now you are facing a delay and some unusual bleeding. Let's break down your symptoms and the steps you should consider taking.

Firstly, the fact that you had two positive pregnancy tests indicates that there was a possibility of pregnancy. However, the subsequent urine test at the hospital showing negative results, along with the absence of an embryo on ultrasound, suggests that you may not be pregnant. The recommendation from your obstetrician to wait another week for a follow-up ultrasound is standard practice, as it allows for further observation of your hormone levels and any potential changes in your body.

The presence of light pink and then bright red blood, especially if accompanied by blood clots, could indicate several things. It might be a sign of an early miscarriage, which can occur even before a woman realizes she is pregnant. Alternatively, it could simply be the onset of your menstrual period, especially since you mentioned that your cycles have been regular prior to this month.
Given your history of a recent pregnancy and the current symptoms, it is essential to monitor your situation closely. Here are some steps you should consider:
1. Keep Track of Your Symptoms: Document any changes in your bleeding, including the color, consistency, and any accompanying symptoms such as cramping or pain. This information will be helpful for your healthcare provider.

2. Consult Your Doctor: Since you are experiencing unusual bleeding, it is advisable to contact your healthcare provider. They may recommend an earlier ultrasound or additional blood tests to check your hormone levels (such as hCG) to determine if you are experiencing a miscarriage or if your body is simply adjusting back to its normal cycle.

3. Rest and Self-Care: Regardless of the outcome, it is essential to take care of yourself. Ensure you are getting enough rest, staying hydrated, and eating a balanced diet. Stress can also affect your menstrual cycle, so try to engage in relaxing activities.

4. Follow-Up: If your bleeding becomes heavier, or if you experience severe pain or other concerning symptoms, seek medical attention immediately.
5. Understand Your Cycle: If it turns out that you are not pregnant, it might take some time for your menstrual cycle to regulate after childbirth. Hormonal changes can affect the timing and flow of your periods, especially in the months following delivery.

In conclusion, while it is possible that you may not be pregnant and are simply experiencing a late period, the positive pregnancy tests and current bleeding warrant further investigation. It is always best to err on the side of caution and consult with your healthcare provider for personalized advice and care. They can provide you with the most accurate information based on your specific situation and medical history.

Similar Q&A

Pregnant or Just Menstruating? Understanding Your Symptoms

I originally had my period on June 13, but then I got it again two weeks later on June 28, and it started with some spotting for 2-3 days before the actual flow began. Now, on July 23, I am experiencing some breast tenderness, and two days ago I had issues with shortness of breat...

Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. Yu: Your period is overdue, and the most likely reasons are menstrual irregularity or early pregnancy. I suggest you not to worry too much and first take a urine test to check for pregnancy. If you are still concerned, consult a doctor for further evaluation.

Pregnant or Just Menstruating? Understanding Your Symptoms

Hello doctor, a few days ago I had intercourse with my boyfriend, and my period is now 4 days late. I've been feeling down lately, and I currently have lower back pain, a lack of appetite, occasional nausea, and mild abdominal pain. There is no vaginal discharge. What could ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors affecting the menstrual cycle are numerous, and there are not necessarily specific symptoms in the early stages of pregnancy, making it difficult to determine based on subjective symptoms. It is recommended that if your period does not arrive, you should consul...

Could Your Symptoms Indicate Pregnancy? Understanding Early Signs

Hello~~ This month, I had intercourse during my ovulation period, which started on December 17. Since then, I have been experiencing cramping pain on both sides of my abdomen, and now I also feel cramping and dull pain in my uterus. For the past two days, my breasts have started ...

Dr. Lin Wenbin reply Obstetrics and Gynecology
Your description could occur even without pregnancy. It cannot be used to determine whether or not you are pregnant. You can take a pregnancy test once your expected period is missed.

Signs of Menstruation or Early Pregnancy: What's the Difference?

Doctor, my period usually comes in about three days. The day before yesterday, my boyfriend and I suddenly wanted to be intimate, and he penetrated just a little bit for less than five seconds without a condom and did not ejaculate. My hymen did not break either. However, the nex...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of getting pregnant are low, but it is best to take preventive measures beforehand. Do not rely on the safe period. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.