Am I Pregnant? Your Symptoms and Concerns - Obstetrics and Gynecology

Can I get pregnant?

Hello Doctor, here is my situation: On January 12, I had unprotected intercourse with withdrawal method (the male partner pulled out before ejaculation and did not reinsert).
On January 13, I took emergency contraception.
From January 16 to January 22, I experienced heavy bleeding, and I did not have any sexual intercourse after January 12.
On February 5, I visited a gynecologist for a pregnancy test, and the doctor confirmed that I was not pregnant.
From February 19 to February 25, I had bleeding (approximately normal menstrual flow but slightly less).
From March 8 to March 12, I felt very hungry but couldn't eat much, occasionally feeling nauseous.
Sometimes I felt a sensation of movement in my abdomen, and I occasionally experienced some pain and lower back discomfort.
My underwear was slightly stained (sometimes white, sometimes light brown).
On March 14, I bought two pregnancy tests, and both showed one line (I used the first morning urine for the test).

I would like to ask the doctor if these two instances of bleeding were my menstrual periods? Is there a possibility that the bleeding could be implantation bleeding? Do I need to take another pregnancy test? Is there a chance that I could be pregnant? Should I be concerned about pregnancy? Additionally, I would like to ask if my boyfriend's hands came into contact with semen and he washed his hands with soap, dried them, and then inserted his fingers into my vagina, could that lead to pregnancy? Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2023/03/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it seems that you are not pregnant.
Your menstrual period started on February 19.
Please observe for another 1-2 weeks, and if your period still does not arrive, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2023/03/20

More Info

It sounds like you are experiencing a lot of uncertainty and anxiety regarding your potential pregnancy and the symptoms you are experiencing. Let's break down your situation and address your concerns step by step.

Firstly, based on the timeline you provided, you had unprotected intercourse on January 12, followed by taking emergency contraception the next day. The bleeding you experienced from January 16 to January 22 could be a side effect of the emergency contraceptive pill, which can cause changes in your menstrual cycle, including bleeding that may resemble a period. The fact that you had a negative pregnancy test on February 5 further supports the idea that you are not pregnant at that time.

The bleeding you experienced from February 19 to February 25 could also be your menstrual period, albeit lighter than usual. It is not uncommon for menstrual cycles to be irregular or altered after taking emergency contraception.
Regarding the symptoms you described from March 8 to March 12, such as feeling hungry but unable to eat, nausea, and abdominal sensations, these can be attributed to various factors, including stress, hormonal changes, or even gastrointestinal issues. The feeling of your stomach "jumping" could be related to digestive processes or muscle contractions, which are not uncommon in times of anxiety or stress.

You mentioned that you took two pregnancy tests on March 14, both of which were negative. Given the timeline and the negative tests, it is unlikely that you are pregnant. However, if you continue to experience symptoms that concern you, it may be worth consulting with a healthcare provider for further evaluation.

As for your question about the possibility of pregnancy if your boyfriend's hands came into contact with semen and then he washed his hands before touching you, the risk of pregnancy in this scenario is extremely low. Sperm typically requires a direct route to the vagina to result in pregnancy, and washing hands with soap and water significantly reduces any viable sperm that may have been present.

In summary, based on the information you've provided, it seems that you are not pregnant, but your symptoms may be related to hormonal fluctuations or stress. If your symptoms persist or worsen, or if you have any further concerns about your reproductive health, I recommend reaching out to a healthcare professional who can provide personalized advice and support.

It's also important to address the emotional aspect of your situation. Anxiety and stress can significantly impact your overall well-being, especially when it comes to reproductive health. Consider talking to someone you trust about your feelings or seeking support from a mental health professional if you find that your anxiety is overwhelming. Remember, taking care of your mental health is just as important as your physical health during this time.

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