Urgent Gynecological Inquiry: Am I Pregnant and What Are My Options? - Obstetrics and Gynecology

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Hello, doctor. I'm a bit anxious?


My last menstrual period started on February 2nd.
I don't have a habit of tracking, so I'm not sure about the cycle length or when it ended, but it should have ended around the 7th.
On February 27th, my boyfriend had unprotected intercourse for a short moment, approximately five centimeters, and after a few thrusts, he pulled out.
He mentioned that he felt a little urge to ejaculate, so he withdrew.
After a while, the same situation occurred again.
According to an app, my next period is due on March 1st (based on a 28-day cycle), but as of March 5th, it still hasn't arrived.
I would like to know what the chances of pregnancy are.
I have researched the differences between premenstrual symptoms and pregnancy symptoms online.
My breasts feel swollen but only hurt when pressed; there is no swelling, and my appetite has decreased compared to before.
Could this be due to psychological factors affecting my appetite and the delay in my period? If I am indeed pregnant, are there any methods for abortion that do not require parental consent? Thank you, doctor!

Nìngmíng, 10~19 year old female. Ask Date: 2021/03/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm.
Additionally, early pregnancy does not always present specific symptoms, and subjective symptoms cannot be used to determine pregnancy.
It is recommended to take a pregnancy test if your period is more than a week late.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2021/03/05

More Info


It sounds like you are in a very stressful situation, and I want to provide you with the best information possible regarding your concerns about pregnancy and your options moving forward.

Based on the timeline you provided, your last menstrual period (LMP) started on February 2nd, and you had unprotected intercourse on February 27th. If you have a typical 28-day cycle, you would expect your next period around March 1st. Since you mentioned that your period has not arrived as of March 5th, it is understandable that you are concerned about the possibility of being pregnant.

The chances of pregnancy from the scenario you described depend on several factors, including the timing of ovulation. Ovulation typically occurs about 14 days before the start of your next period. If you have a 28-day cycle, ovulation would likely have occurred around February 14th. Sperm can survive in the female reproductive tract for up to five days, so if you ovulated around that time, there is a possibility that the intercourse on February 27th could result in pregnancy.

Regarding the symptoms you are experiencing, breast tenderness and changes in appetite can be early signs of pregnancy, but they can also be influenced by stress or hormonal fluctuations related to your menstrual cycle. It is not uncommon for anxiety about a potential pregnancy to affect your physical symptoms, including appetite and breast sensitivity.

To determine if you are pregnant, the most reliable method is to take a home pregnancy test. These tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. For the most accurate results, it is best to wait until at least the first day of your missed period to take the test.

If you find out that you are pregnant and are considering your options, it is crucial to understand the laws and regulations regarding abortion in your area. In many places, minors may require parental consent for an abortion, but there are also provisions for judicial bypass in some jurisdictions, allowing a minor to seek permission from a court instead of a parent. It is essential to consult with a healthcare provider or a reproductive health clinic to understand your options and the legal requirements in your state.

If you are not pregnant, it is still important to monitor your menstrual cycle and consult with a healthcare provider if your period does not arrive soon. Irregularities in your cycle can be caused by various factors, including stress, hormonal imbalances, or underlying health conditions.

In summary, I recommend taking a home pregnancy test to confirm your status. Regardless of the outcome, seeking guidance from a healthcare professional can provide you with the support and information you need to make informed decisions about your reproductive health. Remember, you are not alone in this situation, and there are resources available to help you navigate your options.

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