Pregnancy Concerns After Diagnosis: Irregularities and Symptoms

Possible issues related to pregnancy after a confirmed diagnosis?

Hello Doctor, I have always had a regular menstrual cycle, approximately 28 days: 4/26-4/30, 5/25-5/30, 6/24-6/29.
After being diagnosed last month (around 7/7), I just finished my period, which lasted about 9 days, and then I experienced bleeding again for about three days (7/9-7/11).
I had sexual intercourse on 7/2 and 7/5 before the bleeding, and again on 7/15 after the bleeding.
My period, which was supposed to occur in July (according to my regular cycle, it should have been 7/24-7/30), did not come.
During this time until August, I felt very fatigued, experienced unusual breast swelling and sensitivity, and had occasional unilateral abdominal cramping.
I suspected I might be pregnant, so I took a pregnancy test on 8/5 when my period was late, but it showed negative.
By August, before my expected period (which should have been 8/23-8/29), I had light pink discharge on 8/7-8/8, and then bleeding started on 8/9.
I would like to consult with a doctor regarding whether the above circumstances rule out the possibility of pregnancy, if there is still a chance of being pregnant, and whether these issues indicate a problem with my body or are a result of the recovery after my diagnosis.

W, 30~39 year old female. Ask Date: 2023/08/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it seems that you are not pregnant.
If you still experience discomfort, it is advisable to see a doctor.
Wishing you good health.

Reply Date: 2023/08/10

More Info

It sounds like you have a lot of concerns regarding your menstrual cycle, potential pregnancy, and various symptoms you are experiencing. Let’s break down your situation and address your questions systematically.

Firstly, it’s important to understand that irregularities in your menstrual cycle can occur for a variety of reasons, especially after a recent diagnosis or health issue. Stress, hormonal changes, and even certain medications can all impact your cycle. Given that you have a history of regular cycles, the changes you are experiencing could be related to these factors.

From your description, it seems that you experienced some bleeding after your last menstrual period, which could be implantation bleeding if you were pregnant. However, since you took a pregnancy test on August 5 that came back negative, it is less likely that you are pregnant at this time. Pregnancy tests are generally quite reliable, especially if taken after a missed period. However, if you are still experiencing symptoms like breast tenderness, fatigue, and abdominal pain, it may be worth consulting with a healthcare provider for further evaluation.

Regarding the bleeding you experienced from July 9 to July 11, it’s not uncommon for women to experience some spotting or light bleeding during their cycle, especially if they are under stress or have recently had a change in their health status. The fact that you had sexual intercourse around the time of your expected ovulation could also contribute to changes in your cycle, but it does not necessarily indicate pregnancy, especially since your test was negative.

As for the symptoms you mentioned—such as breast swelling and sensitivity, and abdominal pain—these can be associated with hormonal fluctuations that occur during your menstrual cycle. If these symptoms persist or worsen, it would be advisable to seek medical advice. A healthcare provider can perform a physical examination and possibly order blood tests or imaging studies to rule out any underlying conditions.

In terms of your concerns about whether you might still be pregnant, if your menstrual cycle does not resume as expected and you continue to experience symptoms, it may be beneficial to take another pregnancy test or consult with a healthcare provider. Sometimes, very early pregnancies can result in negative tests, especially if the test is taken too soon.

Lastly, if you are in a state of preparing for pregnancy (trying to conceive), it’s important to maintain a healthy lifestyle, manage stress, and ensure that you are taking prenatal vitamins, particularly folic acid, to support a healthy pregnancy when the time comes.
In summary, while your symptoms and irregularities in your menstrual cycle can be concerning, they may not necessarily indicate a serious issue. However, if you continue to have concerns or if your symptoms change, it is always best to consult with a healthcare provider who can provide personalized advice and care based on your specific situation.

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