Is It Menstruation? Symptoms and Pregnancy Concerns

Is it menstruation?

A few days ago, I consulted doctors about some issues.
On September 1, 2, and 5, there was some intimate touching.
I was supposed to get my period on September 10, but it didn't come.
On September 12, I took a pregnancy test (using morning urine) and it showed one line.
I tested again on the morning of September 13, and it also showed one line with morning urine.
In the afternoon, I visited a gynecologist, who performed a urine test and an ultrasound, and everything appeared normal.
The doctor prescribed medication to induce my period.
I took the medication at 6 PM that evening.
Later, when I went to the bathroom, I noticed some light brown and pink discharge on my pad.
After wiping, it turned pink, and by the morning, the color became increasingly red.

On September 14, I used two pads (17.5 cm), and the second one was filled with bright red blood.
I even stained my underwear.
Up until today, I have used 26 cm of pads, and it is still red like menstrual blood.
Is this my period? If I count the first day as the day it started, today would be the third day.
Does this mean I am not pregnant? My abdomen is quite painful, and pressing on specific areas around my breasts causes pain, but my nipples are not uncomfortable and there is no discharge.
There are small blood clots in my menstrual flow, and the color is not brown but rather bright red.
I feel like I am experiencing a normal menstrual flow.
Is this indeed my period? It shouldn’t be implantation bleeding, right? I also took a pregnancy test on the day I noticed menstrual signs, and it was negative.

I am 16 years old, and is it normal for my breasts to still be a bit painful? It’s not extremely uncomfortable, and I don’t need to press on them excessively.
I hope the doctor can respond.
If my period has started, can I stop worrying about pregnancy? Since there has been no intimate contact since September 5, what are the normal symptoms I might expect during my menstrual period?

Xiao Yu, 10~19 year old female. Ask Date: 2022/09/15

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be your menstrual period, and you are not pregnant since the pregnancy test is negative.
Don't worry.
If you still have discomfort in your breasts, it is advisable to see a breast surgeon.
Wishing you good health.

Reply Date: 2022/09/15

More Info

It sounds like you are experiencing a lot of confusion and concern regarding your menstrual cycle and potential pregnancy. Based on the timeline you've provided, it seems that you initially suspected you might be pregnant due to a missed period, but subsequent tests have indicated otherwise. Let’s break down your situation and address your concerns.

From what you've described, it appears that you were expecting your period around September 10th, but it did not arrive. After engaging in intimate activities on September 1st, 2nd, and 5th, you took a pregnancy test on September 12th, which came back negative. Following that, you visited a gynecologist who performed a urine test and an ultrasound, both of which did not indicate pregnancy. The doctor prescribed medication to induce your period, and shortly after taking it, you noticed bleeding that has progressed to a more typical menstrual flow.

Given this context, it is likely that what you are experiencing now is indeed your menstrual period. The presence of bright red blood, along with the symptoms you described (such as cramping and breast tenderness), aligns with typical menstrual symptoms. Menstrual bleeding can vary in color and consistency, and it is not uncommon for the first few days of a period to include lighter or darker shades of blood, including brown or pink hues, before transitioning to a brighter red.

Regarding your concerns about pregnancy, since you have had a negative pregnancy test and are now experiencing what appears to be a normal menstrual cycle, it is unlikely that you are pregnant. The fact that you have not engaged in any intimate activities since September 5th further reduces the likelihood of conception.
As for the symptoms you are experiencing, such as breast tenderness and cramping, these are common premenstrual symptoms and can continue into the early days of menstruation. It’s normal for young women, especially those who are still adjusting to their menstrual cycles, to experience varying degrees of discomfort.
If you continue to have concerns about your menstrual cycle, or if you experience any unusual symptoms such as excessively heavy bleeding, severe pain, or any other significant changes, it would be wise to consult with your healthcare provider. They can provide further evaluation and reassurance.

In summary, based on the information you've provided, it seems that you are experiencing your menstrual period rather than any signs of pregnancy. It’s important to monitor your symptoms and maintain open communication with your healthcare provider for any ongoing concerns. Remember, it’s completely normal to have questions and uncertainties about your body, especially during your teenage years as your menstrual cycle becomes more regular.

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Hello, I have already responded to your inquiry. Wishing you good health.