Pregnancy Concerns: Signs, Risks, and Next Steps

Pregnancy issues

Hello, doctor.
I would like to ask if there is a possibility of pregnancy and what the signs of pregnancy are.
The chance of getting pregnant was already very low because there was no penetration or ejaculation, but there was pre-ejaculate fluid that came into contact with the vaginal opening.
After that, I took emergency contraception within 120 hours.
I did not take it within 72 hours, but I tested for pregnancy twice half a month later, and both tests were negative.
My period has also come twice.
However, I might be feeling anxious, as I keep pressing my abdomen to check if it feels swollen, and I am very sensitive about my weight because I suddenly gained 2 kilograms.
Doctor, is there still a chance of pregnancy? If I were pregnant, it has already been past the 7 weeks where medication could be used for termination, and my family does not know about this situation.
What should I do?

Xi, 10~19 year old female. Ask Date: 2015/09/30

Dr. Lü Lizheng reply Obstetrics and Gynecology

Since both pregnancy tests have come back negative and you have had two menstrual periods, it can be confirmed that you are not pregnant.
Please do not worry.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/09/30

More Info

Understanding pregnancy concerns can be quite complex, especially when there are uncertainties about conception and the signs of pregnancy. Based on your situation, it seems you have taken several precautions to avoid pregnancy, including the use of emergency contraception (the morning-after pill) and have had negative pregnancy tests. Let's break down your concerns and provide some clarity.

First, the likelihood of becoming pregnant from pre-ejaculate fluid (pre-cum) is generally low, especially if there was no direct ejaculation inside the vagina. Pre-ejaculate can contain sperm, but the concentration is usually much lower than in ejaculate. Additionally, since you took the morning-after pill within 120 hours (5 days) after the potential exposure, this further reduces the chances of pregnancy. The morning-after pill is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but it can still be effective up to 5 days.

You mentioned that you have had two menstrual cycles since the incident, which is a strong indicator that you are not pregnant. Regular menstruation typically signifies that your body is functioning normally and that you are not experiencing a pregnancy. The fact that you have taken two pregnancy tests and both were negative supports this conclusion. Pregnancy tests are designed to detect the hormone hCG, which is produced during pregnancy, and a negative result usually means that you are not pregnant.

Regarding your concerns about weight gain and abdominal pressure, it is important to note that fluctuations in weight can occur for various reasons, including changes in diet, water retention, hormonal fluctuations, or stress. Pressing on your abdomen may not provide reliable information about pregnancy, as it is not a diagnostic method. If you are feeling anxious about your body or potential pregnancy, it might be helpful to speak with a healthcare professional who can provide reassurance and guidance.

If you are still concerned about the possibility of being pregnant, consider scheduling an appointment with your healthcare provider for further evaluation. They can perform a blood test, which is more sensitive than a home pregnancy test, and can provide you with more definitive answers.

In terms of your question about what to do if you were pregnant and past the point where medication for abortion is an option, it is crucial to seek medical advice as soon as possible. If you find yourself in a situation where you are pregnant and unsure of your options, a healthcare provider can discuss the various choices available to you, including continued pregnancy, adoption, or termination, depending on the gestational age and your personal circumstances.

Lastly, it’s essential to communicate with someone you trust about your feelings and concerns. Whether it’s a family member, friend, or a professional counselor, having support can help alleviate anxiety and provide you with the emotional backing you may need during this time.

In summary, based on the information provided, it seems unlikely that you are pregnant given the negative tests and regular menstrual cycles. However, if you have lingering concerns, consulting with a healthcare professional is the best course of action to ensure your health and peace of mind.

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