Abdominal Swelling: Could It Indicate Pregnancy?

I would like to ask the doctor again?

Hello Doctor, I am referring to cases #175483 and #175453.
My girlfriend has a very slender build, and recently her lower abdomen has become noticeably enlarged, particularly around the area from the inverted triangle to the navel, which appears somewhat swollen.
She has been having regular menstrual periods, but could this abdominal swelling be a sign of pregnancy? I didn't clarify yesterday, but when I mentioned helping her, I meant that I had previously had contact with my prostate fluid through a former girlfriend, but it was all dried up before any contact with her.
However, my girlfriend's menstrual cycles have been normal.
So again, I ask, could her abdominal pain and swelling indicate a possibility of pregnancy? If so, what is the likelihood? Should she take a pregnancy test?
This is a follow-up to my previous inquiries, and I appreciate your assistance! Thank you very much, Doctor.

Additionally, on November 9, my girlfriend had an abdominal ultrasound at the obstetrics and gynecology department.
The doctor did not mention anything specific, only stating that her uterus and ovaries are normal (she did not specifically express concerns about pregnancy to the doctor).
My question is, does this mean we no longer need to worry about the possibility of pregnancy? Thank you, Doctor.

Huang, 10~19 year old female. Ask Date: 2021/11/09

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you have already seen a gynecologist and had an ultrasound, so it is likely that you are not pregnant.
There is no need to worry.
Wishing you good health.

Reply Date: 2021/11/09

More Info

Understanding abdominal swelling can be quite complex, especially when considering the possibility of pregnancy. In your case, the swelling in your girlfriend's lower abdomen, along with the fact that she has been experiencing normal menstrual cycles, raises several important points to consider.

Firstly, it is essential to understand that abdominal swelling can occur for various reasons, not just pregnancy. Common causes include bloating due to dietary choices, hormonal changes, or even gastrointestinal issues such as constipation or gas. Given that your girlfriend's menstrual cycle has remained regular, the likelihood of pregnancy is reduced, but it is not entirely ruled out.
Pregnancy typically causes abdominal swelling due to the growing uterus, but this is usually accompanied by other symptoms such as missed periods, nausea, breast tenderness, and fatigue. Since your girlfriend has not missed her period and has had normal menstrual cycles, the chances of her being pregnant are relatively low. However, it is still advisable to conduct a pregnancy test if there is any doubt, as some women can experience bleeding during early pregnancy that may be mistaken for a regular period.

Regarding the ultrasound results, if the doctor indicated that both the uterus and ovaries appear normal, this is a positive sign. It suggests that there are no immediate concerns regarding pregnancy or other reproductive health issues. However, if your girlfriend is still experiencing discomfort or swelling, it may be beneficial for her to follow up with her healthcare provider to discuss these symptoms further.
In terms of abdominal pain and swelling, it is crucial to differentiate between normal physiological changes and symptoms that may indicate a medical issue. If the swelling is accompanied by severe pain, changes in bowel habits, or other concerning symptoms, it would warrant further investigation.
In conclusion, while the regularity of your girlfriend's menstrual cycle and the ultrasound results are reassuring, if there are ongoing concerns about abdominal swelling or pain, it is always best to consult with a healthcare professional. They can provide a more thorough evaluation and determine if any additional tests or treatments are necessary. If pregnancy is still a concern, a home pregnancy test could provide clarity, as it is a simple and effective way to confirm or rule out pregnancy.
Overall, maintaining open communication with healthcare providers and addressing any symptoms promptly is key to ensuring both physical health and peace of mind during this time.

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