Ectopic Pregnancy and Menstrual Cycle Concerns - Obstetrics and Gynecology

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Very urgent?


I would like to ask if I can still have my period two days before it starts, considering I have had sexual intercourse.
I have been experiencing some feelings of nausea these past few days.
Can you still have a period with an ectopic pregnancy? Additionally, I would like to know if having intercourse one day after my period ends could lead to pregnancy.
Thanks a lot.

youva, 20~29 year old female. Ask Date: 2001/10/04

Dr. Wang Hanzhou reply Obstetrics and Gynecology


The two main symptoms of an ectopic pregnancy are abdominal pain and bleeding, which some patients may mistakenly interpret as menstruation.
It is not possible to become pregnant on the first day after menstruation.

Reply Date: 2001/10/04

More Info


Ectopic pregnancy, a condition where a fertilized egg implants outside the uterus, typically in a fallopian tube, can present with various symptoms, including abdominal pain, vaginal bleeding, and sometimes nausea or vomiting. It is crucial to understand that while some women may experience light bleeding or spotting, a true menstrual period does not occur in the case of an ectopic pregnancy. Instead, the bleeding may be different in nature and could be a sign of complications.
In your case, since you mentioned having sexual intercourse and experiencing nausea, it is essential to consider the possibility of pregnancy. If you are experiencing symptoms like vomiting, it could indicate hormonal changes associated with pregnancy, but it is not definitive proof of an ectopic pregnancy. The timing of your menstrual cycle is also significant; if your period is late and you have had unprotected intercourse, you may want to take a home pregnancy test to confirm whether you are pregnant.

Regarding your question about having intercourse one day after your period ends, it is indeed possible to conceive, although the likelihood varies depending on your menstrual cycle. Sperm can survive in the female reproductive tract for up to five days, and if you have a shorter menstrual cycle, ovulation may occur soon after your period ends. Therefore, engaging in sexual activity shortly after menstruation could potentially lead to pregnancy if you ovulate soon after.

If you suspect you might be experiencing an ectopic pregnancy or if you have any unusual symptoms, it is crucial to seek medical attention promptly. A healthcare provider can perform an ultrasound and blood tests to determine the location of the pregnancy and ensure your health and safety.

In summary, while some women may experience light bleeding during an ectopic pregnancy, it is not the same as a regular menstrual period. If you are experiencing nausea and have had unprotected intercourse, consider taking a pregnancy test and consulting with a healthcare professional for further evaluation. Additionally, be aware that engaging in sexual activity shortly after your period can result in pregnancy, especially if you have a shorter cycle. Always prioritize your health and seek medical advice when in doubt.

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