Am I Pregnant? Symptoms and Testing After Unprotected Sex

Is there a possibility of pregnancy?

On September 12, I had sexual intercourse with my boyfriend.
There was no ejaculation inside, only some friction and a few insertions without a condom.
Since that day, I have been experiencing some light bleeding and brown discharge.
On September 17, I fell while skateboarding and landed on my butt, which caused the bleeding to increase.
I felt a bit anxious and took a pregnancy test, which showed a clear positive line.
However, I have continued to have brown discharge over the past few days.
Should I take another pregnancy test, or could this indicate an infection? (My expected menstrual period is between September 25 and October 9.)

Miss Hu, 10~19 year old female. Ask Date: 2021/09/22

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
For pregnancy concerns, please perform a home pregnancy test or visit a gynecologist for evaluation four weeks after your most recent sexual intercourse.

2.
The menstrual cycle can be influenced by various psychological and physiological factors.
If your period is more than two months late, it is advisable to consult a gynecologist for evaluation.

3.
There are many causes of "abnormal vaginal bleeding," including lifestyle habits, stress, age, vaginal infections, benign gynecological conditions, and malignant tumors, among others.
Therefore, it is recommended that you see a qualified gynecologist for examination and evaluation.

Reply Date: 2021/09/22

More Info

Based on your description, it seems you are experiencing some concerning symptoms following unprotected sexual activity. Let's break down your situation and address your concerns regarding pregnancy and potential infections.

Firstly, regarding the possibility of pregnancy: Since you had unprotected sex on September 12 and have since taken a pregnancy test that showed a single line (indicating a negative result), it is likely that you are not pregnant. However, it is important to note that pregnancy tests are most accurate when taken after a missed period. Since your expected period is between September 25 and October 9, it would be advisable to wait until after this date to take another test if your period does not arrive.
The bleeding and brown discharge you are experiencing can be attributed to several factors. It is not uncommon for women to experience light bleeding or spotting after sexual intercourse, especially if there was any friction or if the vaginal walls were irritated. The brown discharge often indicates old blood, which can occur due to various reasons, including hormonal fluctuations or minor trauma to the vaginal area.

The increase in bleeding after your fall while skateboarding could also be a result of trauma to the pelvic area, which may have caused some irritation or minor injury. If the bleeding is heavy or accompanied by severe pain, it would be prudent to seek medical attention.

Regarding the possibility of an infection, symptoms such as persistent discharge, especially if it has an unusual odor or is accompanied by itching or burning, could indicate a vaginal infection. Common infections include bacterial vaginosis or yeast infections, which can cause changes in discharge and discomfort. If you notice these symptoms, it is advisable to consult a healthcare provider for an evaluation.

In summary, while the initial pregnancy test suggests you are not pregnant, it is essential to monitor your symptoms. If the bleeding continues, becomes heavier, or if you develop additional symptoms such as fever, severe pain, or unusual discharge, you should seek medical attention promptly. Additionally, if your period does not arrive by the expected date, consider taking another pregnancy test for confirmation.
Lastly, for future sexual encounters, consider discussing contraceptive options with your partner to prevent unintended pregnancies and reduce the risk of sexually transmitted infections (STIs). Safe sex practices, including the use of condoms, are crucial for protecting your health.

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