Concerns About Pregnancy: Risks and Options for Young Couples

Worried about pregnancy?

Hello doctor, I had my first sexual encounter with my girlfriend on September 19th, and we used a condom throughout.
She got her period on September 28th (she mentioned it was early this time).
We had our second sexual encounter on October 3rd, also with a condom.
On October 19th, she told me she was experiencing lower abdominal pain and nausea, and now her period still hasn't arrived.
She sometimes feels nauseous these days.
What is the likelihood of pregnancy? She hasn't experienced breast tenderness.
Additionally, if she needs to consider an abortion, we cannot let our families know, and we are both under 20 years old.
What options do we have?

W, 10~19 year old female. Ask Date: 2015/10/31

Dr. Lü Lizheng reply Obstetrics and Gynecology

If condoms were used consistently, the likelihood of pregnancy is very low.
You can take a home pregnancy test to check.
For further consultation, you can contact the Lihsin Foundation or the local social services bureau.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/10/31

More Info

When it comes to concerns about pregnancy, especially for young couples, it's essential to understand the risks involved and the options available. Based on your situation, it seems you and your girlfriend have been cautious by using condoms during intercourse, which significantly reduces the risk of pregnancy. However, no contraceptive method is 100% effective, and there is always a small chance of failure, particularly if the condom is not used correctly or if it breaks.

Given that your girlfriend experienced her period on September 28, it is likely that she was not pregnant at that time. However, the symptoms she is experiencing now, such as abdominal pain and nausea, could be indicative of several things, including premenstrual syndrome (PMS), stress, or even a potential early pregnancy. The absence of breast tenderness is a common symptom that varies from person to person and does not necessarily indicate pregnancy.

If there is a concern about pregnancy, the most straightforward step is to take a home pregnancy test. These tests are widely available, easy to use, and can provide results within minutes. If the test is positive, it is crucial to discuss the next steps with your girlfriend. If she is considering abortion, it is important to know the laws in your state regarding parental consent and the options available for minors. In many places, minors may need parental consent to undergo an abortion, but there are also provisions for judicial bypass, where a minor can seek permission from a judge instead.

In the United States, the laws surrounding abortion vary significantly by state, and it is essential to consult local resources or healthcare providers who can offer guidance based on your specific circumstances. Many clinics provide confidential services and can help navigate the process, including discussing options such as medication abortion or in-clinic procedures.

It is also important to consider the emotional and psychological aspects of this situation. Both you and your girlfriend should feel supported in whatever decision you make. Open communication is key, and it may be beneficial to seek counseling or talk to a trusted adult who can provide guidance without judgment.

In summary, while the risk of pregnancy exists even with condom use, the symptoms your girlfriend is experiencing could be due to various factors. Taking a pregnancy test is the best next step to clarify the situation. If pregnancy is confirmed and abortion is being considered, understanding the legal and emotional implications is crucial. Seeking professional medical advice and support can help you both navigate this challenging time.

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