Your Pregnancy Chances: Key Signs and Symptoms - Obstetrics and Gynecology

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Pregnancy probability


Hello Doctor, my last menstrual period was from February 26 to March 2.
I had sexual intercourse with ejaculation on March 7, 8, 9, 10, 12, and 13.
During these days, I started experiencing sharp or bloating pain in my lower abdomen, and my body temperature has been consistently between 36.7 and 37 degrees Celsius.
I would like to know what the chances of pregnancy are in this situation.
However, people say that pregnancy can cause constipation, but I have been going to the bathroom frequently.
Does this mean that the likelihood of pregnancy is low?

Ni, 20~29 year old female. Ask Date: 2022/03/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, whether or not you are pregnant requires observation, and the symptoms mentioned are not definitive.
Wishing you good health.

Reply Date: 2022/03/15

More Info


Understanding your chances of pregnancy involves recognizing various signs and symptoms that may indicate conception. Based on your menstrual cycle, which started on February 26 and ended on March 2, and the sexual activity you engaged in from March 7 to March 13, it is essential to consider a few key factors.

Firstly, ovulation typically occurs about 14 days before the start of your next menstrual period. Given your cycle length, if it is regular, ovulation would likely occur around March 12. Engaging in sexual intercourse during this time, especially with ejaculation, increases the likelihood of sperm meeting an egg, thereby increasing your chances of conception. The symptoms you describe, such as lower abdominal pain or discomfort, could be related to ovulation or early signs of pregnancy. Some women experience what is known as "mittelschmerz," which is pain associated with ovulation.

Regarding your body temperature, a sustained temperature of 36.7 to 37 degrees Celsius can indicate that you are in the luteal phase of your cycle, which follows ovulation. After ovulation, progesterone levels rise, often causing a slight increase in basal body temperature. If your temperature remains elevated for more than 14 days, it could be a sign of pregnancy, but this is not definitive.

As for the symptom of frequent urination, it is true that many women experience changes in bowel habits during early pregnancy, including constipation. However, frequent urination can also be influenced by other factors such as increased fluid intake, anxiety, or even a urinary tract infection. Therefore, while it is a common belief that pregnancy leads to constipation, the absence of this symptom does not necessarily mean you are not pregnant.

To assess your pregnancy chances more accurately, consider taking a home pregnancy test about a week after your expected period. Home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If you test too early, the levels of hCG may not be high enough to detect, leading to a false negative result.

In summary, based on your menstrual cycle and the timing of your sexual activity, there is a possibility of pregnancy. The symptoms you are experiencing could be related to ovulation or early pregnancy, but they are not definitive indicators. It is advisable to wait until after your expected period to take a pregnancy test for a more accurate result. If you have further concerns or experience unusual symptoms, consulting with a healthcare provider is recommended for personalized advice and support.

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