Am I Pregnant? Symptoms and Concerns After Unprotected Sex

Could I be pregnant...?

Hello, I had sexual intercourse on November 29, and the male partner said he was sterilized.
However, I was not reassured, so I took the emergency contraceptive pill (Ella) within 3.4 hours.
My period started on December 6, lasting 1.2 days longer than usual; I typically have my period for about 4 days (my menstrual cycle is every 2 to 3 months, and I do not experience dysmenorrhea).
After that, I began to experience itching in the labial area, which turned into a stinging sensation after scratching, accompanied by an increase in discharge.
Although the itching has subsided, I still have discharge (not very foul-smelling but has an odor, yellowish in color), and I feel a sense of bloating in my abdomen, which feels a bit hard when pressed, as if there is something inside.
I suspect it might be gas or constipation; I have severe constipation, having bowel movements at most twice a week, so I have had a small belly for a while.
However, recently, due to the fear of being pregnant, I am not sure if this is due to constipation.
Around December 20, I visited a gastroenterologist and had an ultrasound, but the doctor did not mention any signs of pregnancy.
I have been anxious for over a month.
Since I had my period on December 6, does that mean I am not pregnant? Could you please help me determine if I am pregnant? I do not want to buy a pregnancy test.

123456, 10~19 year old female. Ask Date: 2016/01/11

Dr. Tian Yiwen reply Obstetrics and Gynecology

Typically, if menstruation occurs, it indicates that there is no pregnancy.
However, some early pregnancy bleeding may not be easily distinguishable from menstruation.
It is recommended to purchase a pregnancy test at a pharmacy or consult a gynecologist for evaluation.

Reply Date: 2016/01/11

More Info

Based on the information you've provided, it seems that you are experiencing a significant amount of anxiety regarding the possibility of being pregnant after having unprotected sex, despite the fact that you took emergency contraception (Plan B) shortly after the encounter. You mentioned that you had your period on December 6, which lasted longer than usual for you, and you have been experiencing some physical symptoms such as itching, pain, and changes in discharge.

First and foremost, it’s important to understand that the occurrence of your period is a strong indicator that you are not pregnant. Emergency contraception is designed to prevent pregnancy after unprotected intercourse, and it is most effective when taken as soon as possible. Since you took the emergency contraceptive pill within a few hours of the sexual encounter and subsequently had a period, it is highly unlikely that you are pregnant.

Regarding your symptoms, the itching and discomfort in the vaginal area, along with the changes in discharge, could be indicative of a vaginal infection or irritation rather than pregnancy. Conditions such as yeast infections or bacterial vaginosis can cause similar symptoms, including increased discharge that may have a different color or odor. It’s essential to consult a healthcare provider for a proper diagnosis and treatment if you suspect an infection.

Your concerns about abdominal bloating and constipation are also valid. Bloating can be caused by various factors, including dietary choices, stress, and hormonal changes. Since you mentioned that you have a history of constipation, it’s possible that this is contributing to your discomfort. Increasing your fiber intake, staying hydrated, and engaging in regular physical activity can help alleviate constipation and bloating.

It’s understandable that you are feeling anxious, especially given the circumstances surrounding your sexual encounter. Anxiety can manifest physically, leading to symptoms such as stomach discomfort, changes in appetite, and even alterations in your menstrual cycle. If you find that your anxiety is overwhelming and affecting your daily life, it may be beneficial to speak with a mental health professional. They can provide you with coping strategies and support to manage your anxiety effectively.

In summary, based on your description, it is unlikely that you are pregnant since you had your period after taking emergency contraception. However, the symptoms you are experiencing may warrant further investigation by a healthcare provider to rule out any infections or other underlying issues. It’s important to prioritize your mental health as well; consider reaching out for support if your anxiety continues to be a concern. Remember, taking care of both your physical and mental well-being is crucial during this time.

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