Two Weeks Late: Abdominal Pain and Pregnancy Concerns

Menstruation is delayed by two weeks with lower abdominal pain?

Hello, I had intercourse with my boyfriend a while ago, and he did not ejaculate inside me.
Later, I noticed that my period was late by a few days.
At first, I didn't think much of it, but as time went on, it has now been about two weeks late.
On the 14th day, I took a pregnancy test and it showed one line.
That afternoon, I started experiencing lower abdominal pain (similar to menstrual cramps).
I'm not sure if it's related to the pressure I've been applying.
The next day, I took another type of pregnancy test, and it also showed one line.
My sleep schedule has been irregular, and I often go to bed late.
Besides the lower abdominal pain and the missed period, I don't have any other symptoms.
I'm unsure if I might be pregnant.

I'm sorry, 10~19 year old female. Ask Date: 2022/06/04

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 influenced by various psychological and physiological factors.
If your period is more than two months late, it is recommended to consult a gynecologist for examination and evaluation.

Reply Date: 2022/06/04

More Info

When faced with the situation of a missed period and abdominal pain, it's essential to approach the matter with a clear understanding of the potential implications and the necessary steps to take. Based on your description, you are currently two weeks late for your period, and you have experienced abdominal pain similar to menstrual cramps. You have also taken two pregnancy tests, both of which returned negative results.
Firstly, it's important to note that a missed period can be caused by various factors, including stress, hormonal imbalances, changes in weight, and lifestyle factors such as irregular sleep patterns, which you mentioned. The abdominal pain you are experiencing could be related to these factors as well. Stress and anxiety can lead to muscle tension and discomfort in the abdominal area, mimicking menstrual cramps.
However, the possibility of pregnancy cannot be entirely ruled out, especially since you mentioned having unprotected intercourse. While your boyfriend did not ejaculate inside you, it is still possible for pre-ejaculate fluid to contain sperm, which could lead to pregnancy. The timing of your tests is also crucial; if you tested too early, it might not have detected the pregnancy hormone (hCG) in your urine. Generally, it is recommended to wait at least a week after a missed period to take a home pregnancy test for more accurate results.
Given that you are experiencing abdominal pain, it is advisable to monitor the situation closely. If the pain worsens, becomes severe, or is accompanied by other symptoms such as heavy bleeding, fever, or dizziness, you should seek medical attention immediately. These could be signs of a more serious condition, such as an ectopic pregnancy or other gynecological issues.

In the meantime, consider the following steps:
1. Reassess Your Testing: If your period does not arrive soon, consider taking another pregnancy test, preferably with the first morning urine, which is more concentrated and may yield a more accurate result.

2. Consult a Healthcare Provider: If you continue to experience abdominal pain or if your period does not arrive, it would be wise to consult a healthcare provider. They can perform a blood test to check for pregnancy and evaluate your abdominal pain more thoroughly.

3. Lifestyle Adjustments: Since you mentioned irregular sleep patterns, try to establish a more regular sleep schedule. Adequate rest can help regulate your menstrual cycle and reduce stress, which may alleviate some of the abdominal discomfort.

4. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in appetite, mood swings, or any unusual discharge. This information can be helpful for your healthcare provider.

In conclusion, while the negative pregnancy tests are reassuring, the missed period and abdominal pain warrant further investigation. It's essential to listen to your body and seek medical advice if you have concerns. Your health and well-being are paramount, and a healthcare professional can provide the guidance and support you need during this time.

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