Signs of Early Pregnancy: Delayed Periods and Symptoms

Could you please clarify if this is a question about whether someone is pregnant?

Hello Dr.
Lu: I am the baby who asked you a question on May 24.
My period has still not arrived.
If it is a case of menstrual irregularity, how many days can it be delayed at most? After how many days is it likely that I could be pregnant? Also, I forgot to mention last time that I think I made a mistake with the emergency contraceptive pill I took, as it seems you are supposed to take two pills 12 hours apart, but I took them both at once.
Could this affect its efficacy? Could this be the reason for contraceptive failure? When you mentioned that I might have inflammation, were you referring to the breast and nipple? However, I have noticed that the area around my areola has some prominent bumps, and they are even more noticeable when touched, and they are somewhat painful.
A friend suggested that I try squeezing my nipple to see if there is any milk secretion, but so far there hasn't been any, just a little bit of white discharge as usual, although squeezing it is quite painful.
Additionally, I have a lot of discharge from my vagina, which is colored and has a bit of an odor, and it is thick.
Since it has not been two weeks since I might have conceived, I think even if I buy a pregnancy test, it may not show up yet.
So I would like to ask what the early signs of pregnancy are, so I can better assess my situation.
Thank you, Dr.
Lu, for your answers.
I really appreciate your help! Thank you!

Beibi, 10~19 year old female. Ask Date: 2005/05/31

Dr. Lü Lizheng reply Obstetrics and Gynecology

My period has been delayed and still hasn't arrived.
If it's a case of menstrual irregularity, how late can it be? It can vary, possibly from one to two weeks or even up to two months.
I think I may have misused the emergency contraceptive pill, as I took both pills at once instead of taking one and then the other 12 hours later.
Could this affect its efficacy? Would this be the reason for potential contraceptive failure? It should still be effective.
When you mentioned that I might have inflammation, were you referring to the breast or nipple area? I apologize, but due to the high number of patients, I have forgotten the details; could you please elaborate on my condition again? I only have a small amount of white discharge, but it is quite painful when squeezed.
This might be due to hormonal stimulation of the breasts.
Since it has not yet been two weeks since my possible conception date, I think even if I buy a pregnancy test, it may not show accurate results.
So, I would like to ask what early pregnancy symptoms I should look for? Some people experience nausea, breast tenderness, or fatigue, but most people do not have any specific reactions.
Sincerely, Lu Li-Zheng.

Reply Date: 2005/05/31

More Info

Hello! Thank you for reaching out with your questions regarding early pregnancy signs and the implications of a delayed period. It’s understandable to feel concerned when your menstrual cycle is irregular, especially when there are potential signs of pregnancy.

Firstly, a delayed period can be one of the most common early signs of pregnancy. For women with regular menstrual cycles, missing a period is often the first indication that they might be pregnant. If your period is late by more than a week, it’s advisable to take a home pregnancy test. However, if you have irregular cycles, determining the exact timing can be more complicated. Factors such as stress, hormonal imbalances, significant weight changes, or medical conditions can also cause delays in menstruation.

Regarding your concern about the emergency contraceptive pill (ECP) you took, it’s important to note that these pills are most effective when taken as directed. If you took both pills at once instead of spaced out as recommended, it might reduce the effectiveness of the contraception. However, it’s not guaranteed that this would lead to pregnancy. The ECP works primarily by delaying ovulation, and if ovulation has already occurred, it may not prevent pregnancy.

As for the symptoms you are experiencing, early pregnancy signs can include:
1. Nausea and Vomiting: Often referred to as "morning sickness," this can occur at any time of day and typically starts around the sixth week of pregnancy.

2. Breast Changes: Tenderness, swelling, or changes in the areola (the area around the nipple) can occur. You mentioned that your areolas appear more pronounced and painful, which can be a sign of hormonal changes associated with pregnancy.

3. Fatigue: Increased tiredness is common in early pregnancy due to hormonal changes and the body’s increased energy demands.

4. Frequent Urination: As the uterus expands, it can put pressure on the bladder, leading to more frequent trips to the bathroom.

5. Mood Swings: Hormonal fluctuations can also lead to emotional changes.

6. Cramping and Spotting: Some women experience light spotting or cramping as the embryo implants into the uterine lining, which can be mistaken for a light period.

7. Changes in Discharge: Increased vaginal discharge that is clear or milky can occur, but if you notice a change in color or odor, it may indicate an infection, and you should consult a healthcare provider.

Given your symptoms of breast tenderness and unusual discharge, it’s wise to consult with a healthcare professional. They can perform a pregnancy test and possibly an ultrasound to determine if you are pregnant and to rule out any other conditions, such as infections or hormonal imbalances.

In summary, while a delayed period can indicate pregnancy, it’s essential to consider other factors that may contribute to menstrual irregularities. If you suspect pregnancy or have concerns about your symptoms, please schedule an appointment with your healthcare provider for a thorough evaluation. They can provide you with the best guidance tailored to your situation. Thank you for your questions, and I hope this information helps clarify your concerns!

Similar Q&A

Understanding Delayed Menstruation: Causes Beyond Pregnancy

I’m sorry to hear about your situation. It sounds like you are experiencing premenstrual symptoms, but your period is still delayed. In addition to abdominal pain, you mentioned not feeling excessively sleepy or nauseous, but occasionally feeling warm, which then returns to norma...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the effectiveness of emergency contraception taken within 72 hours after intercourse is about 97%. However, it is not 100% effective, and there is approximately a 3% failure rate, but it is still considered a remedial option. Additionally, early pregnancy may not present s...

Early Signs of Pregnancy: What to Look For Before Your Period

Hello, I apologize for taking up your time, but I have some questions. Since last month, my menstrual cycle has been irregular; it was over two weeks late. I was supposed to start my period on the 7th of this month, but I took traditional Chinese medicine at the end of November t...

Dr. Shi Chengyang reply Obstetrics and Gynecology
Hello Annie: In the early stages of pregnancy, it's important to pay attention to symptoms such as vomiting, chills, fever, and lower abdominal cramping. 1. Severe vomiting may indicate hyperemesis gravidarum. 2. Chills, fever, burning sensation during urination, and diarrhe...

Concerns About Pregnancy: Delayed Menstruation and Symptoms Explained

After my period ended on January 25, I had unprotected intercourse with withdrawal. My period came on February 27, so I didn't take a pregnancy test. However, my period for March has not arrived yet, but I am experiencing premenstrual symptoms such as nipple tenderness, incr...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, uterine or cervical lesions, infections, pregnan...

Signs of Pregnancy: Delayed Period and Early Symptoms Explained

My last menstrual period ended on March 2. I had sexual intercourse on March 14 and March 28, and on those days I noticed brown discharge with streaks of blood when I went to the bathroom. A few days ago, my breasts were tender when pressed, but that discomfort went away after a ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. Additionally, early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a determ...