Pregnancy Chances and Discharge: Your Concerns Addressed - Obstetrics and Gynecology

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Pregnancy probability, secretions?


Hello doctor, the last time I had intimate contact with my boyfriend was on July 25th, but he did not penetrate.
He ejaculated on the external genitalia but immediately wiped it off with tissue and took a shower.
What is the likelihood of pregnancy? My menstrual cycle is about 45 days, and I had my period from August 10 to August 15.
However, there wasn't much discharge before my period.
I tested for pregnancy on September 5 and 6, but the results were negative.
During this period, I have been experiencing lower abdominal pain and bloating.
My period was expected on September 24, but it is now a week late.
Could it be due to stress or a psychological effect? Recently, I have noticed an increase in discharge and I am very worried about the possibility of being pregnant.

Ms. Chen, 20~29 year old female. Ask Date: 2020/10/02

Dr. Wu Xianghui reply Obstetrics and Gynecology


For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse.

Reply Date: 2020/10/02

More Info


Understanding your concerns about pregnancy chances and discharge is crucial, especially when navigating the complexities of reproductive health. Based on the information you've provided, let's break down your situation and address your worries.

Firstly, regarding the likelihood of pregnancy from the encounter you described on July 25, it is important to note that while the risk of pregnancy is generally low when there is no penetration, it is not entirely absent. Sperm can potentially be present on the external genitalia, and if it comes into contact with the vaginal canal, there is a small chance of conception. However, since you mentioned that your boyfriend did not penetrate and you took precautions by wiping and showering afterward, the risk of pregnancy is significantly reduced.

You indicated that your menstrual cycle is approximately 45 days, which is longer than the average cycle. You experienced menstruation from August 10 to August 15, which suggests that you likely were not pregnant at that time, as a menstrual period typically indicates that ovulation and fertilization did not occur. The negative pregnancy tests you took on September 5 and 6 further support this, as they would likely show a positive result if you were pregnant at that time.

However, you mentioned experiencing lower abdominal pain and bloating, which can be common symptoms of premenstrual syndrome (PMS) or stress-related anxiety. Stress can indeed have a significant impact on your menstrual cycle and overall reproductive health. It can lead to delayed periods, changes in discharge, and various physical symptoms, including abdominal discomfort. The fact that your period was late by a week could be attributed to stress or anxiety, especially if you have been preoccupied with the possibility of pregnancy.

Regarding your increased discharge, it is not uncommon for women to notice changes in vaginal discharge due to hormonal fluctuations throughout their cycle. Increased discharge can occur in the lead-up to menstruation or as a response to stress. If the discharge is clear or white and does not have a foul odor, it is generally considered normal. However, if you notice any unusual changes, such as a strong odor, color changes, or accompanying symptoms like itching or irritation, it would be wise to consult a healthcare provider.

In summary, while the risk of pregnancy from your described encounter is low, your symptoms of abdominal pain and changes in discharge may be related to stress or hormonal fluctuations rather than pregnancy. If your period does not arrive soon, or if you continue to feel anxious about the situation, consider taking another pregnancy test or consulting with a healthcare professional for peace of mind. They can provide further evaluation and support, helping you to address any underlying concerns and manage stress effectively.

Lastly, it’s essential to practice self-care during this time. Engaging in relaxation techniques, such as deep breathing exercises, yoga, or mindfulness meditation, can help alleviate stress and improve your overall well-being. Remember, it’s always okay to reach out for support from friends, family, or a healthcare provider when you’re feeling overwhelmed.

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