Pregnancy Chances: Key Questions and Answers

Q: Pregnancy Chances: Key Questions and Answers

Hello, in response to your inquiry： There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm. <br>If menstrual cycles are irregular, ovulation may not be predictable. <br>Early pregnancy may not present specific symptoms

Hello, regarding the probability of pregnancy in this situation?

Dear Dr.
Zhang,
Hello, my menstrual period started on July 5 and ended around July 9-10.
I had sexual intercourse with my boyfriend on July 16 and 17; on those days, he entered my vagina without a condom for less than 5 minutes, and later used a condom for ejaculation.
I took a pregnancy test around July 23-24, which showed negative results.
On July 25 and 26, we had sexual intercourse again in the same manner as on July 16 and 17.
The day after the sexual activity on July 25, I noticed a small amount of blood in my discharge, but it was not significant, and I did not see any more blood afterward.
Since July 16, I have experienced noticeable dry heaving and poor appetite.
I expect my next menstrual period around August 5, with my usual cycle being 31-35 days, occasionally as short as 27 days.
I would like to know if there is a chance of pregnancy.
Is it possible to have symptoms during the conception period? If I take another pregnancy test now, is there a possibility it will show positive results, or would it be more prudent to wait until after my period is overdue to test? Also, I would like to know if there is a chance of pregnancy from the sexual activity on July 25 and 26, even though there was no condom used initially.
The app indicates that my ovulation date was July 23, and I would like to understand more about this aspect.
Finally, thank you, Dr.
Zhang! I hope you can answer my questions when you have the time!

Amy Wu, 20~29 year old female. Ask Date: 2020/07/30

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, in response to your inquiry: There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm.
If menstrual cycles are irregular, ovulation may not be predictable.
Early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to determine pregnancy.
It is advisable to check for pregnancy if your period is more than a week late.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2020/07/30

More Info

Dear Patient,
Thank you for your detailed inquiry regarding your potential pregnancy and the associated symptoms you are experiencing. Understanding the chances of conception and the timing of pregnancy tests can be quite complex, so I appreciate your patience as we navigate through this together.

Based on the timeline you provided, your menstrual cycle began on July 5, and you had unprotected intercourse on July 16 and 17, followed by protected intercourse. The fact that you had unprotected intercourse during your fertile window (which, according to your cycle, could be around July 23) does increase the likelihood of conception. Sperm can survive in the female reproductive tract for up to five days, which means that intercourse just before ovulation can lead to pregnancy.

Regarding your symptoms, such as dry heaving and decreased appetite, these can be early signs of pregnancy, but they are also common symptoms of premenstrual syndrome (PMS). It is important to note that not all women experience noticeable symptoms in the early stages of pregnancy, and some may mistake them for PMS.

You mentioned that you took a pregnancy test around July 23-24, which showed a negative result. This could be due to testing too early. Most home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin) in urine, which typically becomes detectable about one week after conception. Given your expected period on August 5, it would be advisable to wait until after your missed period to take another test for a more accurate result.

As for the bleeding you noticed after intercourse on July 25-26, it could be attributed to several factors, including cervical irritation or implantation bleeding, which can occur when a fertilized egg attaches to the uterine lining. However, since it was not significant and did not continue, it may not be a cause for concern. If you experience heavy bleeding or severe pain, you should seek medical attention.

To summarize, there is a possibility of pregnancy given the timing of your intercourse relative to your ovulation. If you are still experiencing symptoms and your period does not arrive by August 5, I recommend taking another pregnancy test at that time. This will provide a clearer indication of whether you are pregnant.
In conclusion, while there is a chance of pregnancy based on your activities during your fertile window, the best course of action is to wait until after your expected period to take another test. If you have any further questions or concerns, please do not hesitate to reach out.

Wishing you the best of health,
Dr. Zhang

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