Am I Pregnant? Birth Control and Symptoms - Obstetrics and Gynecology

Can I get pregnant?

Hello, doctor: I have a habit of taking birth control pills because I have endometriosis.
However, I will finish my pills in 4 days.
During the time I was taking the pills, I had sexual intercourse with my boyfriend, but he did not ejaculate inside me.
We also sometimes use condoms.
I was supposed to get my period on the 5th, but now it's the 7th and it still hasn't arrived.
What should I do? Are pregnancy tests accurate? I really want to know quickly.
Thank you.
Additionally, my vagina is swollen and itchy.
I have seen a doctor, but he said it was nothing to worry about and prescribed me a vaginal tablet called "Dai Shuo Ding." I have been inserting one tablet every night before bed, but when I wake up the next day, I find that it hasn't dissolved.
Why is that? Previous suppositories have always dissolved.
Is this normal? I really want to know quickly.
P.S.
The doctor mentioned that I have a slight uterine inflammation; is that medication effective?

Wú wěi xióng, 20~29 year old female. Ask Date: 2002/03/07

Dr. Wu Zongcheng reply Obstetrics and Gynecology

1.
Oral contraceptives should be taken on time, and their contraceptive effectiveness is very high (over 95%).
After finishing the pills, menstruation will typically occur within 3 to 5 days.
You can test for pregnancy at home, but it is best to consult a gynecologist for a pregnancy test to confirm whether you are pregnant.

2.
Some vaginal tablets may not dissolve easily; it is better to use them after vaginal washing or bathing (when the vagina still has some moisture) to facilitate better dissolution.

3.
Vaginal tablets are primarily used for bacterial vaginosis, have moderate effectiveness for trichomoniasis, and are ineffective against yeast infections.

Reply Date: 2002/03/07

More Info

It sounds like you have a lot on your mind regarding your reproductive health, and it's completely understandable to feel anxious about the possibility of pregnancy, especially when you have been using birth control and have underlying health conditions like endometriosis. Let's break down your concerns step by step.

First, regarding your question about whether you might be pregnant: While you have been taking birth control pills regularly, which is a highly effective method of contraception, no method is 100% foolproof. The fact that you have had unprotected intercourse, even if your boyfriend did not ejaculate inside you, does carry a small risk of pregnancy. Sperm can sometimes be present in pre-ejaculate fluid, which could lead to pregnancy. Since your period is late by a couple of days, it would be wise to take a home pregnancy test. These tests are generally accurate if taken after a missed period, but for the most reliable results, follow the instructions carefully and consider testing in the morning when your urine is most concentrated.

If you do test positive, it’s important to consult with your healthcare provider to discuss your options and any implications for your endometriosis. If the test is negative and your period still does not arrive, it might be worth discussing with your doctor, as there could be other factors at play, such as hormonal imbalances or stress.

Now, regarding the vaginal swelling and itching you mentioned, it’s good that you have already seen a doctor about this. The medication you were prescribed, likely a vaginal suppository, is intended to treat any underlying infections or inflammation. If the suppository is not dissolving, it could be due to several reasons, including the formulation of the medication, the pH of your vagina, or even the way it was inserted. It’s important to follow up with your healthcare provider if you notice that the medication is not working or if your symptoms persist or worsen. They may need to reassess your condition or consider alternative treatments.

As for the inflammation of the uterus that your doctor mentioned, it’s crucial to follow their advice and complete the prescribed treatment. Inflammation can be a sign of infection or other underlying issues, and addressing it promptly can help prevent further complications.

In summary, here are some steps you can take:
1. Take a Pregnancy Test: If your period is late, a home pregnancy test can provide clarity. Follow the instructions carefully for the best results.

2. Consult Your Doctor: If the test is positive or if your period does not come, reach out to your healthcare provider for further evaluation and guidance.

3. Follow Up on Vaginal Symptoms: If the suppository is not dissolving or if your symptoms do not improve, return to your doctor for further assessment.

4. Monitor Your Health: Keep track of any other symptoms you may experience, as they can provide important information to your healthcare provider.

Remember, it’s always best to communicate openly with your healthcare provider about your concerns and symptoms. They can provide personalized advice based on your medical history and current health status. Take care, and I hope you find the answers you need soon!

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