Could Stress and Hormones Affect Pregnancy Chances? - Obstetrics and Gynecology

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Is it possible to get pregnant this way?


My girlfriend and I had sexual intercourse on December 8, December 9, and December 11, and we used condoms each time.
However, on December 15, she told me she was experiencing menstrual cramps but there was no bleeding (her menstrual cycle is irregular, sometimes lasting over ten days and can be absent for two months).
I took her to a gynecologist for an examination on December 15, where she underwent a urine test and an ultrasound.
The urine test showed a clear negative line, and the ultrasound did not reveal anything significant.
The doctor asked her where the pain was and eventually suggested it might be an intestinal issue.
Is there a possibility of pregnancy in this situation, or could it be a psychological issue? She has been feeling down lately, and could her mood affect her menstrual hormones? She is also taking other medications.
I am not ready to become a father just yet.
We used condoms throughout the entire sexual activity, and I ensured they were on before any contact with the vagina.

Mr. Lai, 10~19 year old female. Ask Date: 2015/12/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, since you are using contraception, the chances of pregnancy are low.
Additionally, you have undergone an examination at the gynecology clinic and there are no signs of pregnancy, so you should not worry.
Wishing you good health.

Reply Date: 2015/12/16

More Info


Stress and hormonal fluctuations can indeed have an impact on pregnancy chances, although the extent of this influence can vary from person to person. In your situation, it seems that you and your girlfriend have taken precautions during sexual intercourse by using condoms, which significantly reduces the likelihood of pregnancy. However, the symptoms your girlfriend is experiencing, such as abdominal pain and nausea, could be attributed to a variety of factors, including stress, hormonal imbalances, or gastrointestinal issues.

Firstly, it’s important to understand that stress can affect the menstrual cycle and overall hormonal balance. When a person is under significant stress, the body produces higher levels of cortisol, a hormone that can interfere with the normal functioning of the reproductive hormones. This disruption can lead to irregular menstrual cycles, which may explain why your girlfriend experiences unpredictable periods. Stress can also exacerbate pre-existing conditions, such as premenstrual syndrome (PMS), which can cause symptoms like abdominal pain and nausea.

Regarding the possibility of pregnancy, the fact that your girlfriend had a negative urine pregnancy test and no visible signs of pregnancy on the ultrasound is reassuring. It suggests that she is likely not pregnant, especially since you used condoms consistently. However, it’s essential to note that no contraceptive method is 100% effective, and there is always a small chance of failure, particularly if the condom is not used correctly.

The symptoms she is experiencing could also be related to her emotional state. Anxiety and depression can manifest physically, leading to symptoms such as nausea, abdominal discomfort, and changes in appetite. If she is feeling overwhelmed or anxious, it could contribute to her physical symptoms. It’s important for her to address these feelings, as mental health can significantly impact physical health.

Additionally, if your girlfriend is taking other medications, it’s crucial to consider how these might interact with her hormonal balance and overall well-being. Some medications can affect menstrual cycles or cause side effects that mimic pregnancy symptoms. If she is on any hormonal treatments or medications for mental health, it would be wise for her to consult with her healthcare provider to discuss any potential side effects or interactions.

In summary, while stress and hormonal changes can affect menstrual cycles and potentially influence pregnancy chances, the precautions you took significantly reduce the likelihood of pregnancy. The symptoms your girlfriend is experiencing may be more related to stress or other health issues rather than an indication of pregnancy. It would be beneficial for her to seek support for her emotional well-being and consult with a healthcare professional to address her physical symptoms and any concerns about her menstrual cycle. Open communication between you and your girlfriend about these issues can also help alleviate some of the stress she may be feeling.

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