Could this lead to pregnancy?
Sexual intercourse occurred on November 20 and November 27.
Last month, due to the absence of menstruation, I went to the clinic for a blood test, which indicated that my hormone levels were too low.
The doctor prescribed Ideo for me, instructing me to take one pill daily for three weeks, and then take a medication to induce menstruation.
On November 24, I received progesterone to induce menstruation, but it did not come.
I returned for a follow-up on December 1, and after taking a second dose, I experienced a small amount of bleeding the next day.
The doctor advised me to complete the course, but the menstrual flow was minimal, requiring no more than a panty liner for four days.
On the third and fourth days, I only had a drop of blood in the morning upon waking.
On December 5, I visited another hospital where the doctor said my endometrium looked like it was at the end of a menstrual cycle and prescribed a premenstrual medication to help regulate my cycle.
On December 6, I returned to my original clinic and received Ideo, which the doctor said could be taken alongside the premenstrual medication.
During that time, I experienced mild nausea and dry heaving, possibly due to anxiety or the contraceptive pill.
On December 7 and 8, I had occasional dull pain and sharp pain in my lower abdomen.
On December 9, I consulted a doctor who mentioned inflammation in my uterus and prescribed medication for me to take.
On December 10, I continued to feel nauseous and called the doctor, who said that the medications should not cause nausea.
I had blood drawn that day, but results would not be available until the following week.
Feeling uncomfortable with the medication, I stopped taking it.
On December 11, fearing I might be pregnant, I sought a prescription for contraceptives at my hospital.
The doctor performed a vaginal ultrasound and noted that my endometrium was thin and that I had not ovulated.
He mentioned that the previous doctor had prescribed antibiotics, anti-inflammatory medication, pain relievers, and stomach medication, and explained that discomfort is a common side effect of contraceptives, then prescribed anti-nausea medication for me.
Today, December 12, I occasionally feel dull pain and mild sharp pain in my lower abdomen, along with intermittent nausea, though it is not as severe as in previous days.
My temperature feels elevated, ranging from 36.8 to 37.1°C.
I have taken pregnancy tests from December 6 to December 12, all showing a single line.
I apologize for the numerous questions:
1.
Is a blood test for pregnancy accurate 13 days after intercourse?
2.
What is the likelihood of being pregnant?
3.
Was the bleeding from December 1 to December 5 truly a menstrual period? Could it possibly be implantation bleeding?
4.
Can the side effects of the premenstrual medication include lower abdominal pain and frequent urination (not just dull pain)?
5.
Does a thin endometrium indicate that I am not pregnant?
Thank you for taking the time to answer my questions.
Jinkilop, 10~19 year old female. Ask Date: 2021/12/12
Dr. Wu Xianghui reply Obstetrics and Gynecology
1.
For pregnancy concerns, please perform a home pregnancy test or visit a gynecologist for examination and 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 examination and evaluation.
3.
Repeated use of hormonal medications can lead to menstrual irregularities.
Reply Date: 2021/12/12
More Info
When considering the possibility of pregnancy, especially in the context of hormonal issues and symptoms, it's essential to understand the various factors that can influence your situation. Based on your detailed account, let's address your questions and provide some insights into the hormonal dynamics and symptoms you are experiencing.
1. Is a blood pregnancy test accurate 13 days after intercourse?
A blood test for pregnancy is generally reliable and can detect pregnancy hormones (hCG) as early as 6-8 days after conception. However, testing 13 days post-intercourse is typically sufficient for accurate results, assuming ovulation occurred around the time of intercourse. If you received a negative result, it may indicate that you are not pregnant, but it’s important to consider the timing of ovulation and implantation, which can vary.
2. What is the likelihood of pregnancy in this scenario?
Given your hormonal issues and the thin endometrial lining, the likelihood of pregnancy may be lower. A thin endometrial lining can hinder implantation, making it more challenging for a fertilized egg to establish itself. However, if you have had unprotected intercourse during your fertile window, there is still a possibility of pregnancy, albeit reduced.
3. Was the bleeding from December 1-5 a true menstrual period?
The bleeding you experienced could be classified as a light period, especially if it was significantly lighter than your usual menstrual flow. It’s also possible that this could have been breakthrough bleeding due to hormonal fluctuations or the effects of the medications you were taking. Implantation bleeding typically occurs around the time of expected menstruation and is usually lighter and shorter than a regular period, but given your hormonal context, it’s less likely.
4. Can the premedication cause lower abdominal pain and frequent urination?
Yes, the medications you are taking can have side effects, including abdominal discomfort and changes in urinary frequency. Hormonal medications can affect your body in various ways, and it’s not uncommon to experience symptoms like nausea, abdominal pain, and changes in urination patterns. If these symptoms persist or worsen, it’s crucial to consult your healthcare provider.
5. Does a thin endometrial lining mean you cannot be pregnant?
A thin endometrial lining does not definitively mean that pregnancy is impossible, but it does suggest that the conditions may not be optimal for implantation. The endometrium needs to be sufficiently thick to support a fertilized egg. If you are experiencing hormonal imbalances, it may be beneficial to work with your healthcare provider to address these issues, as they can impact your menstrual cycle and fertility.
In summary, it’s essential to continue monitoring your symptoms and maintain open communication with your healthcare provider. If you suspect pregnancy or continue to experience unusual symptoms, further evaluation may be warranted. Hormonal imbalances can significantly affect your menstrual cycle and overall health, so addressing these issues with your doctor can help you achieve a better understanding of your reproductive health. Additionally, if you are feeling anxious or overwhelmed, consider seeking support from a mental health professional, as managing stress is crucial during this time.
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