Missed Period for Two Months: Concerns About Pregnancy and Health

Missed menstrual period?

Hello Doctor, I would like to ask some questions.
My menstrual period has not come for two months.
During this time, I have experienced occasional abdominal pain and breast tenderness, similar to premenstrual symptoms.
I have not engaged in sexual intercourse, but sometimes I use a handheld showerhead to rinse my genital area while sitting on a small stool in the bathroom.
I read online about cases where someone got pregnant just from swimming in a pool, which has made me worried.
I live with family and share a bathroom; hypothetically, if a male family member were to masturbate on that same stool and then I used it to rinse myself, could that lead to pregnancy?
Several years ago, I had one of my ovaries removed due to a cyst, and my menstrual cycle was irregular over three years ago, for which I took medication to regulate my cycle for several months.
I am unsure if that has any impact.
A few days ago, I visited a gynecologist who prescribed medication to induce my period (which has not yet arrived).
An ultrasound was performed, and no abnormalities were detected.

I researched online and found that ectopic pregnancy can be difficult to detect initially, which has led me to wonder if I could be pregnant and have an ectopic pregnancy (just from rinsing my genital area).
I know this sounds absurd, but I still feel anxious.
I hope the doctor can help clarify my concerns.
Thank you very much.

Yu, 20~29 year old female. Ask Date: 2016/01/31

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of pregnancy are low.
If your period does not arrive after a week, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/01/31

More Info

It sounds like you are experiencing a lot of anxiety regarding your missed periods and potential pregnancy, especially considering your medical history and the recent symptoms you’ve been experiencing. Let’s break down your concerns and provide some clarity.

Firstly, a missed period for two months can be attributed to various factors, including hormonal imbalances, stress, changes in weight, or underlying health conditions. Given your history of ovarian surgery and previous menstrual irregularities, it’s possible that your body is still adjusting. Hormonal fluctuations can significantly affect your menstrual cycle, and it’s not uncommon for women who have had ovarian surgery to experience changes in their cycle.

Regarding your concerns about pregnancy, it’s important to clarify that pregnancy typically requires sperm to fertilize an egg. The scenarios you described, such as using a shared bathroom or a shower, do not pose a risk for pregnancy. Sperm cannot survive long outside the human body, and the likelihood of becoming pregnant from indirect contact, such as using a shared chair or shower, is virtually nonexistent.
You mentioned that you have not had sexual intercourse, which further reduces the likelihood of pregnancy. If you are experiencing symptoms like breast tenderness and abdominal pain, these could be related to hormonal changes rather than pregnancy. Stress and anxiety can also manifest physically, leading to symptoms that mimic premenstrual syndrome (PMS).

It’s good to hear that you have consulted with a gynecologist and that they have conducted an ultrasound without finding any abnormalities. If your doctor prescribed medication to induce your period, it’s a common approach to help regulate your cycle, especially if you have a history of irregular periods. It may take some time for your body to respond to the medication, so patience is key.

As for your worries about ectopic pregnancy, it’s understandable to feel anxious, especially with the symptoms you’re experiencing. However, ectopic pregnancies typically present with more severe symptoms, such as sharp abdominal pain, heavy bleeding, or dizziness. Since your ultrasound did not indicate any abnormalities, the risk of an ectopic pregnancy is low.

In summary, while it’s normal to feel anxious about missed periods and potential pregnancy, the scenarios you described do not pose a risk for pregnancy. Your symptoms may be related to hormonal fluctuations or stress. It’s crucial to follow up with your healthcare provider if your period does not return after the medication or if your symptoms worsen. They can provide further evaluation and reassurance.

In the meantime, try to manage your stress through relaxation techniques, such as deep breathing, meditation, or gentle exercise. Keeping a journal of your symptoms and any changes can also be helpful for your next appointment with your doctor. Remember, you are not alone in this, and many women experience similar concerns. Your health and peace of mind are important, so don’t hesitate to reach out to your healthcare provider with any further questions or concerns.

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