Pregnancy Chances and Menstrual Irregularities: Your Questions Answered - Obstetrics and Gynecology

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Pregnancy probability


Hello Doctor: On August 8, I asked you about the likelihood of pregnancy from rubbing against each other while wearing underwear, and you responded that it should not result in pregnancy.
Since I mentioned that I have irregular menstrual cycles, you advised me to get checked if my period does not arrive after a week.
Today (August 11), I am experiencing abdominal discomfort; aside from this, there are no other signs of menstruation (previously, I would have swelling and breast tenderness a few days before my period, but abdominal discomfort usually appears only on the first or second day of menstruation).
This time, I have abdominal discomfort without my period arriving.

I have a few questions:
1.
What do you estimate the likelihood of pregnancy to be?
2.
Is the check-up you mentioned last time to confirm pregnancy or to conduct a gynecological examination regarding my missed period?
3.
Am I overthinking this?
4.
Could this be a sign that my period is about to start?
Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2022/08/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, theoretically, you should not be pregnant since there was no vaginal penetration.
If you are still concerned, you can take a pregnancy test 12 days after the sexual activity to find out.
Wishing you good health.

Reply Date: 2022/08/11

More Info


Understanding the complexities of pregnancy, especially in the context of irregular menstrual cycles, can be quite challenging. Based on your inquiry, it seems you are experiencing some abdominal discomfort and are concerned about the possibility of pregnancy, given your irregular menstrual history. Let's break down your questions and provide some clarity.


1. Probability of Pregnancy
Given that you mentioned the method of potential conception involved friction without penetration, the likelihood of pregnancy is generally low. However, it is not entirely impossible, especially if there was any transfer of sperm. Since you have irregular menstrual cycles, predicting ovulation can be difficult, which complicates the assessment of pregnancy risk. If your last menstrual period was irregular, it may be beneficial to take a home pregnancy test if your period does not arrive within a week of the expected date.

2. Recommended Checks
The checks you should consider depend on your symptoms and menstrual irregularities. If you suspect pregnancy, a home pregnancy test is a good first step. If the test is negative and your period still does not arrive, it would be wise to consult a healthcare provider for a comprehensive evaluation. This could include a pelvic exam, blood tests to check hormone levels, and possibly an ultrasound to assess your reproductive health. These tests can help determine whether you are pregnant or if there are other underlying issues contributing to your irregular cycle.


3. Overthinking and Symptoms
It is entirely normal to feel anxious about potential pregnancy, especially when experiencing unusual symptoms. The abdominal discomfort you are feeling could be related to various factors, including hormonal changes, ovulation, or even premenstrual syndrome (PMS). While it is possible that this discomfort could be a precursor to your menstrual cycle, it is also important to listen to your body. If the pain persists or worsens, or if you experience any other concerning symptoms (such as heavy bleeding or severe pain), you should seek medical attention.


4. Menstrual Symptoms
The absence of typical premenstrual symptoms, such as bloating or breast tenderness, does not rule out the possibility of your period arriving. Every cycle can be different, and hormonal fluctuations can lead to variations in how your body responds before menstruation. The abdominal discomfort you are experiencing could be a sign that your period is approaching, but it is not definitive.


Conclusion
In summary, while the chances of pregnancy from the described scenario are low, it is essential to monitor your symptoms and take a pregnancy test if your period does not arrive as expected. If you continue to have irregular cycles or experience discomfort, consulting with a healthcare provider is advisable. They can provide a thorough evaluation and help you understand your reproductive health better. Remember, it is always best to seek professional advice when in doubt about your health.

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