Uncertain Menstrual Cycle: Am I Pregnant or Just Overthinking?

Irregular menstruation, but unsure if pregnant?

I usually get my period around the middle of the month, and the last time it came was on March 14.
After that, my cycle became irregular.
On May 8, I had intercourse with my boyfriend without a condom for five thrusts, and he pulled out immediately.
I took a pregnancy test on May 11, and it showed only one line.
Later, I became very anxious and felt like I had signs of pregnancy, so I took another test on May 25, which also showed one line.
However, recently (from June 7 to June 15), I have been experiencing lower back pain, lower abdominal pain, and breast tenderness, which has made me worried.

1.
Is it possible that I am pregnant right now, or am I overthinking it?
2.
Do the symptoms of lower back pain and lower abdominal pain indicate that my period might be coming?

Yangyang, 10~19 year old female. Ask Date: 2021/06/15

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
For pregnancy concerns, please take a home pregnancy test or visit a gynecologist for evaluation four weeks after your most recent sexual intercourse.
2.
The menstrual cycle can be affected by various psychological and physiological factors.
If your period is more than two months late, it is advisable to consult a gynecologist for evaluation.

Reply Date: 2021/06/15

More Info

It sounds like you are experiencing a lot of anxiety and uncertainty regarding your menstrual cycle and the possibility of being pregnant. Let's break down your concerns and provide some clarity.

1. Possibility of Pregnancy: Based on the timeline you've provided, it seems that you had unprotected intercourse on May 8th, and you took a pregnancy test on May 11th, which showed a negative result (one line). This is a good indication that you were not pregnant at that time, especially since it was only a few days after the potential conception date. Pregnancy tests are generally most accurate when taken after a missed period, which would typically be about two weeks after ovulation. Since your menstrual cycle is usually around the middle of the month, if you have not had your period by mid-June, it would be advisable to take another test at that point.
2. Symptoms You Are Experiencing: The symptoms you mentioned—lower back pain, abdominal pain, and breast tenderness—can indeed be associated with premenstrual syndrome (PMS) or the onset of your menstrual period. Many women experience these symptoms as their body prepares for menstruation. However, they can also be signs of early pregnancy. The key here is to monitor your cycle and symptoms closely. If your period does not arrive by the expected time, it would be wise to take another pregnancy test for confirmation.

3. Overthinking and Anxiety: It’s completely normal to feel anxious about potential pregnancy, especially if you are not ready for that possibility. Anxiety can often amplify physical sensations, making you more aware of bodily changes that you might otherwise overlook. This heightened awareness can lead to a cycle of worry, where you may interpret normal bodily sensations as signs of pregnancy.
To manage your anxiety, consider the following strategies:
- Limit Information Overload: Sometimes, searching online for symptoms can lead to unnecessary worry. Try to limit your research to reputable sources and avoid forums that may amplify your fears.

- Focus on Self-Care: Engage in activities that help you relax, such as yoga, meditation, or deep-breathing exercises. Physical activity can also help reduce anxiety levels.

- Talk About It: Sharing your feelings with a trusted friend or partner can help alleviate some of the stress. Sometimes, just verbalizing your worries can provide relief.

- Consult a Healthcare Provider: If your anxiety continues or worsens, consider speaking with a healthcare professional. They can provide guidance, reassurance, and if necessary, further testing to address your concerns.

In summary, based on the information provided, it seems unlikely that you are pregnant at this time, especially given the negative pregnancy tests. However, if your period does not arrive soon, retesting would be a good next step. Managing your anxiety through self-care and open communication can also help you navigate this uncertain time more comfortably. Remember, it’s important to listen to your body and seek professional advice if you feel overwhelmed.

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