Pregnancy Concerns: Missed Period and Testing Results - Obstetrics and Gynecology

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My girlfriend and I have sex every Saturday, using condoms and sometimes ejaculating.
There have been a few instances where we used condoms but did not ejaculate.
Once, we had unprotected intercourse briefly, but I pulled out before ejaculation.
We have tested for pregnancy twice, and both tests showed a single line.
The last time we had intercourse was last Saturday, but she hasn't had her period for over two months.
We are hesitant to see a doctor.
What could be the situation?

Xiong Xiong, 10~19 year old female. Ask Date: 2015/09/21

Dr. Lü Lizheng reply Obstetrics and Gynecology


If your period has not arrived, the first step is to rule out the possibility of pregnancy.
It is recommended to take a pregnancy test at least 15 days after the last sexual intercourse for accurate results.
If the test is negative, the most likely cause is irregular menstruation, and you should visit a hospital for examination and treatment.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/09/21

More Info


It sounds like you and your girlfriend are experiencing a concerning situation regarding her missed period and the negative pregnancy tests. Let's break down the possible scenarios and provide some insights into what might be happening.

Firstly, it's important to understand that a missed period can be caused by various factors, not just pregnancy. Stress, hormonal imbalances, changes in weight, excessive exercise, or underlying medical conditions can all contribute to irregular menstrual cycles. Given that your girlfriend's period is over two months late, it would be prudent to consider these factors as well.

Regarding the pregnancy tests, it’s worth noting that home pregnancy tests are generally quite accurate when used correctly. They work by detecting the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. If both tests returned negative results, it suggests that she is likely not pregnant. However, it's essential to consider the timing of the tests. If they were taken too early, there might not have been enough hCG in her urine to detect a pregnancy.
In your case, since your girlfriend has missed her period for over two months, it would be advisable for her to see a healthcare provider. A doctor can perform a more sensitive blood test to check for pregnancy and also evaluate other potential causes for her missed period. Additionally, a healthcare professional can conduct a physical examination and possibly an ultrasound to assess her reproductive health.

It's understandable that you might feel hesitant to encourage her to see a doctor, but it's crucial for her health and peace of mind. A missed period can sometimes indicate underlying health issues that need to be addressed, such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances.

Moreover, if she has been experiencing any other symptoms, such as abdominal pain, unusual discharge, or significant changes in mood or weight, these could be additional reasons to seek medical advice.
In summary, while the negative pregnancy tests are reassuring, the missed period is concerning enough to warrant a visit to a healthcare provider. They can provide a comprehensive evaluation and help determine the underlying cause of her missed periods. It's always better to err on the side of caution when it comes to health matters. Encourage her to make an appointment, and offer your support throughout the process.

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