Delayed Periods: Signs of Pregnancy and What to Do

Girlfriend's menstrual period is delayed?

Hello doctor, I would like to ask about my girlfriend.
Her period started on the 14th of last month and ended around the 19th, but this month it is already five days late.
On the morning of the 17th, she took a pregnancy test with her first morning urine, and a very dark line appeared immediately.
However, today is the 19th and her period still hasn't come.
My girlfriend is experiencing breast tenderness and other premenstrual symptoms.
Due to the current pandemic, we are hesitant to visit a gynecologist for a check-up.

Mr. Lin, 20~29 year old female. Ask Date: 2021/05/19

Dr. Chen Zhiyu reply Obstetrics and Gynecology

Regarding your concerns, I suggest that you take a pregnancy test for further confirmation.
If you are still uncertain and your menstruation has not yet occurred, it would be advisable to seek medical attention.
Currently, even though the pandemic is severe, as long as appropriate protective measures are taken and you follow the guidelines of the healthcare facility, it is relatively safe.
Thank you for your question, and I wish you health and happiness.

Reply Date: 2021/05/19

More Info

When it comes to understanding delayed periods and the signs of pregnancy, it's essential to consider several factors, including the timing of the menstrual cycle, the results of pregnancy tests, and any accompanying symptoms. In your case, your girlfriend's last menstrual period started on the 14th of last month and ended around the 19th. Now, with a delay of five days, it is understandable to be concerned, especially since a pregnancy test taken on the 17th showed a strong positive result.

Firstly, it's important to note that a missed period is one of the most common early signs of pregnancy. However, there can be other reasons for a delayed period, such as stress, hormonal imbalances, changes in weight, or underlying health conditions. Given that your girlfriend has experienced breast tenderness, which is a common premenstrual symptom, it could indicate that her body is undergoing hormonal changes, possibly related to pregnancy.

The positive pregnancy test result is a strong indicator that she is likely pregnant. Home pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. A strong line on the test suggests a significant level of hCG, which typically correlates with a developing pregnancy. However, if her period does not arrive soon, it may be beneficial to take another pregnancy test a few days later to confirm the result, as hCG levels continue to rise in early pregnancy.

Given the current pandemic situation, it is understandable that you may be hesitant to visit a healthcare provider. However, it is crucial to prioritize health and safety. If your girlfriend continues to experience symptoms of pregnancy or if her period does not arrive soon, it would be advisable to seek medical advice. Many healthcare providers offer telehealth services, which can be a convenient way to discuss concerns without needing to visit in person.

In terms of what to do next, here are some recommendations:
1. Take Another Pregnancy Test: If her period does not start soon, consider taking another pregnancy test. This can help confirm the initial result.

2. Monitor Symptoms: Keep track of any additional symptoms she may experience, such as nausea, fatigue, or changes in appetite. These can provide further insight into her pregnancy status.

3. Consider a Telehealth Appointment: If you have concerns or questions, consider scheduling a telehealth appointment with a healthcare provider. They can provide guidance based on her symptoms and test results.

4. Stay Relaxed: Stress can impact menstrual cycles, so encourage her to take care of her mental and emotional well-being during this time.

5. Prepare for Next Steps: If the pregnancy is confirmed, discuss the next steps for prenatal care. Early prenatal visits are essential for monitoring the health of both the mother and the developing fetus.

In summary, while a delayed period and positive pregnancy test can indicate pregnancy, it's essential to consider other factors and symptoms. If there are any uncertainties or if symptoms persist, seeking medical advice is crucial. Your girlfriend's health and well-being should always come first, and taking proactive steps will help ensure a healthy pregnancy journey.

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