Delayed Periods and Pregnancy Testing Concerns - Obstetrics and Gynecology

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Issues Related to Missed Menstruation and Pregnancy Testing


I would like to ask the doctor, I had sexual intercourse with my girlfriend before, and we always used condoms.
However, there was one occasion when it seemed like the condom didn't go in fully, and another time after intercourse, I noticed that the base of my penis was wet, but the condom did not break.
Additionally, my girlfriend's period is a few days late.
She usually gets pimples before her period, which she has, but she only felt a slight discomfort in her abdomen that went away quickly.
I used a pregnancy test on the 11th and 13th mornings after our last sexual encounter, and both tests showed one line.
I would like to know what could be the reason for this, as this is our first sexual experience, and we are a bit worried about pregnancy.

123, 20~29 year old female. Ask Date: 2021/05/31

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse.
2.
The menstrual cycle can be affected by various physical and mental conditions.

Reply Date: 2021/05/31

More Info


When it comes to concerns about delayed periods and the possibility of pregnancy, it's important to understand the various factors that can influence menstrual cycles and the reliability of pregnancy tests. Based on your description, you and your girlfriend have engaged in sexual activity with condom use, which significantly reduces the risk of pregnancy. However, you mentioned a few instances where the condom may not have been fully effective, which understandably raises concerns.

Firstly, let's address the delayed period. A woman's menstrual cycle can be affected by numerous factors including stress, hormonal imbalances, changes in weight, illness, and lifestyle changes. You mentioned that your girlfriend typically experiences acne before her period, which she has, but she is also feeling some abdominal discomfort. These symptoms can sometimes be indicative of an approaching period, but they can also be influenced by stress or other factors unrelated to pregnancy.

Regarding the pregnancy tests, it is crucial to note that the accuracy of home pregnancy tests is generally high when used correctly. Most tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. The best time to take a pregnancy test is after a missed period, as this allows for the most accurate results. Testing too early can lead to false negatives, especially if the hormone levels are not yet high enough to be detected.

In your case, since you tested on the 11th and 13th days after the last sexual encounter and received negative results, it is likely that your girlfriend is not pregnant, especially given the timing of the tests. However, if her period does not arrive soon, it may be worth retesting a few days later or consulting a healthcare provider for further evaluation.

Stress is another significant factor that can delay menstruation. If either of you is experiencing anxiety about the possibility of pregnancy or any other life stressors, this could potentially impact her cycle. It’s essential to maintain open communication and support each other during this time.

If your girlfriend continues to experience delayed periods or if there are any other concerning symptoms, it would be advisable for her to see a healthcare professional. They can provide a more comprehensive evaluation, including a blood test for pregnancy, which is more sensitive than home tests and can detect pregnancy earlier.

In summary, while the risk of pregnancy seems low given the circumstances you've described, the combination of stress and hormonal fluctuations can certainly affect menstrual regularity. If the negative pregnancy tests continue to show no signs of pregnancy and her period does not arrive, seeking medical advice would be the best course of action. This will help alleviate concerns and ensure that any underlying issues are addressed appropriately.

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