Missed Period and No Breast Tenderness: Is Pregnancy Likely? - Obstetrics and Gynecology

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Menstruation is delayed, and there is no breast tenderness?


I got my period on January 7th, and now it's February 16th, and I still don't feel like my period is coming.
Even when it was late before, I would experience breast tenderness and fatigue.
Even after a full night's sleep, I still feel somewhat tired.
Is there a high chance of being pregnant?

Weiwei, 20~29 year old female. Ask Date: 2016/02/16

Dr. Cao Guotao reply Obstetrics and Gynecology


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

Reply Date: 2016/02/16

More Info


When considering the possibility of pregnancy, missed periods and changes in breast tenderness are significant indicators. In your case, you mentioned that your last menstrual period was on January 7, and as of February 16, you have not experienced any signs of menstruation. This absence of menstruation, combined with your previous experiences of breast tenderness and fatigue, raises the question of whether you might be pregnant.

Firstly, it is important to understand that while missed periods are a common sign of pregnancy, they are not definitive proof. Other factors can contribute to a missed period, such as stress, hormonal imbalances, changes in weight, or medical conditions like polycystic ovary syndrome (PCOS). The absence of breast tenderness, which you noted is unusual for you, can also be attributed to various factors, including hormonal fluctuations that may not necessarily indicate pregnancy.

Given that you have missed your period for over six weeks, it is advisable to take a home pregnancy test. These tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced during pregnancy. If the test is positive, it is a strong indication that you are pregnant. If the test is negative and you still do not get your period, it would be wise to consult a healthcare provider for further evaluation. They may recommend a blood test, which is more sensitive than a urine test, or an ultrasound to assess your reproductive health.

In addition to the missed period and breast tenderness, you mentioned feeling unusually fatigued. Fatigue can be a symptom of early pregnancy due to the body undergoing significant changes to support the developing fetus. However, it can also be a sign of other conditions, such as anemia or thyroid issues, which should be evaluated by a healthcare professional.

It is also worth noting that some women experience what is known as a "cryptic pregnancy," where they do not realize they are pregnant until much later. This is rare but can occur, particularly if there are irregularities in menstrual cycles or if pregnancy symptoms are minimal. However, in your case, the missed period is a strong indicator that warrants further investigation.

In conclusion, while the missed period and changes in breast tenderness could suggest a likelihood of pregnancy, it is essential to take a home pregnancy test for confirmation. If the test is negative and your period does not return, seeking medical advice is crucial to rule out any underlying health issues. Remember, early prenatal care is vital for the health of both you and a potential pregnancy, so do not hesitate to reach out to a healthcare provider for guidance and support.

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