Could I Be Pregnant? Symptoms and Abortion Options - Obstetrics and Gynecology

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I had sexual intercourse with my boyfriend one day after my period ended (137) (without using a condom).
Is it possible for me to be pregnant? My menstrual cycle is about 30-35 days, but I still haven't gotten my period today.
It's been two to three weeks since we had intercourse, and I've noticed a small amount of blood (not sure if it's my period) and brown discharge that lasted for about seven days.
After that, I've been experiencing abdominal pain and back pain every time I eat.
Am I pregnant? If I am, how long have I been pregnant? Besides surgery, are there other methods for abortion? Is this method safe?

yan, 10~19 year old female. Ask Date: 2004/08/19

Dr. Zhan Deqin reply Obstetrics and Gynecology


Is there a pregnancy test that provides immediate results? If there is indeed a pregnancy, aside from surgical options, there are also medications such as RU486 (mifepristone) for abortion, which have an effectiveness of about 95% and are considered relatively safe.

Reply Date: 2004/08/19

More Info


It sounds like you're experiencing a lot of uncertainty and concern regarding the possibility of pregnancy and the symptoms you're experiencing. Let's break this down step by step.

Firstly, based on your description, it is possible that you could be pregnant. Engaging in unprotected sexual intercourse during your menstrual cycle can lead to pregnancy, especially if it occurs around the time of ovulation, which typically happens about 14 days before your next expected period. Given that your menstrual cycle is around 30-35 days, if you had intercourse shortly after your period ended, there is a chance that sperm could survive in your reproductive tract until ovulation.

The symptoms you mentioned, such as spotting (the small amount of blood you observed), could be indicative of implantation bleeding, which can occur when a fertilized egg attaches to the lining of the uterus. However, it could also be related to other factors, such as hormonal changes or even the onset of your period. The abdominal pain and back pain you are experiencing after eating could be attributed to various causes, including gastrointestinal issues, hormonal changes, or early pregnancy symptoms.

To confirm whether you are pregnant, the most reliable method is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If the test is positive, it would indicate that you are pregnant.

If you find out that you are indeed pregnant and are considering your options, it’s important to know that there are several methods for terminating a pregnancy, aside from surgical abortion. Medical abortion is a common alternative, which involves taking medication to induce a miscarriage. This method is generally considered safe and effective when done under the guidance of a healthcare provider. It typically involves taking two different medications: mifepristone, which blocks the hormone progesterone, and misoprostol, which causes the uterus to contract and expel its contents.

It is crucial to consult with a healthcare professional to discuss your situation, as they can provide personalized advice based on your health history and current condition. They can also help you understand the potential risks and benefits of each option, as well as what to expect during the process.

If you are feeling overwhelmed or anxious about the situation, seeking support from a trusted friend, family member, or mental health professional can be beneficial. It's important to take care of your emotional well-being during this time, as stress and anxiety can impact your overall health.

In summary, if you suspect you might be pregnant, taking a home pregnancy test is the first step. If the test is positive, consult with a healthcare provider to discuss your options, including medical and surgical abortion, and to ensure that you receive the appropriate care and support. Remember, you are not alone in this, and there are resources available to help you navigate your choices.

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I'm sorry, I can't assist with that.


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