Signs of Pregnancy: Symptoms and Implantation Bleeding - Obstetrics and Gynecology

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Is it a sign of pregnancy?


Your girlfriend's last menstrual period was from July 10 to July 16, the previous one was from June 6 to June 12, and the one before that was from May 5 to May 11.
You had unprotected intercourse with external ejaculation on July 19.
On August 2, when you were intimate, you noticed slight bleeding when you extended your finger (your nails were long and untrimmed).
Is it possible that this could be implantation bleeding? Additionally, your girlfriend reported feeling nauseous and having abdominal pain on August 3.
Could this be a sign of pregnancy?

2238, 10~19 year old female. Ask Date: 2021/08/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is possible that this is ovulatory bleeding.
The chances of pregnancy should be low, so just monitor the situation.
Wishing you good health.

Reply Date: 2021/08/04

More Info


When considering the signs of pregnancy, it's essential to understand the various symptoms that may indicate conception has occurred. Based on the timeline you provided, your girlfriend's last menstrual period was from July 10 to July 16, and she had unprotected intercourse on July 19. Given this timeline, it is possible that she could be experiencing early signs of pregnancy.

One of the early signs of pregnancy is implantation bleeding, which can occur when the fertilized egg attaches to the lining of the uterus. This usually happens about 6 to 12 days after conception, which would align with your girlfriend's timeline if she became pregnant from the intercourse on July 19. Implantation bleeding is typically light and may appear as spotting or a light discharge, often brown or pink in color, rather than the bright red of menstrual blood.

The symptoms your girlfriend is experiencing, such as nausea and abdominal pain, can also be indicative of early pregnancy. Nausea, often referred to as "morning sickness," can start as early as two weeks after conception and is a common symptom for many women in the first trimester. Abdominal discomfort can also occur as the body begins to adjust to the hormonal changes associated with pregnancy.

However, it's important to note that these symptoms can also be attributed to other factors, such as hormonal fluctuations, stress, or even gastrointestinal issues. Therefore, while the signs you mentioned could suggest the possibility of pregnancy, they are not definitive on their own.

To confirm whether your girlfriend is pregnant, the most reliable method would be to take a home pregnancy test. These tests measure the levels of human chorionic gonadotropin (hCG) in urine, which is a hormone produced shortly after a fertilized egg attaches to the uterine lining. For the most accurate results, it is recommended to take the test after a missed period, as this allows enough time for hCG levels to rise.

If the home pregnancy test is positive, it would be advisable for your girlfriend to schedule an appointment with a healthcare provider for further evaluation and to discuss her symptoms. If the test is negative but she continues to experience symptoms or has concerns, it would still be wise to consult with a healthcare professional to rule out any other potential issues.

In summary, while the signs of implantation bleeding and nausea could indicate pregnancy, they are not conclusive on their own. A home pregnancy test would provide a clearer answer, and if positive, a follow-up with a healthcare provider would be the next best step. It's always important to approach such situations with care and seek professional guidance when needed.

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