Am I Pregnant? Irregular Periods and Symptoms - Obstetrics and Gynecology

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Am I pregnant?


Hello doctor, my menstrual cycle is usually about 28 to 29 days.
Last month, it came four days early and the flow was light.
This month, I calculated it to be 28 days, expecting it on March 3rd, but I still haven't gotten it.
I had intercourse around February 14th, and the last time was last week.
For the past two weeks, I've been experiencing gastrointestinal discomfort, and I visited two clinics but the medication didn't improve my condition.
Now, my period is late again, and tonight I noticed two spots of blood and a blood stain about the size of a ten-dollar coin.
I'm now two days late; should I go to the obstetrics and gynecology department to take a pregnancy test?

TING, 20~29 year old female. Ask Date: 2016/03/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if your period does not arrive after waiting for another week, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/03/05

More Info


Based on your description, it seems you are experiencing some irregularities in your menstrual cycle, which can be concerning, especially if you suspect you might be pregnant. Let's break down your situation and address your concerns.

1. Irregular Periods: It is not uncommon for women to experience variations in their menstrual cycles. Factors such as stress, illness, changes in weight, and hormonal fluctuations can all contribute to irregular periods. You mentioned that your cycle is typically around 28-29 days, but this month it came early and is now delayed. This could be a sign of hormonal changes or other factors affecting your cycle.

2. Symptoms of Pregnancy: The symptoms you are experiencing, such as gastrointestinal discomfort and changes in your menstrual flow, could be indicative of pregnancy, but they are not definitive. The presence of light spotting (the two dots of blood and the small bloodstain you mentioned) could be implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus. However, it could also be related to other factors, such as hormonal changes or even stress.

3. When to Take a Pregnancy Test: Given that your period is late and you have experienced some unusual symptoms, it would be advisable to take a home pregnancy test. These tests are most accurate when taken after a missed period, so since you are already two days late, it would be a good time to test. If the test is positive, you should schedule an appointment with your healthcare provider for confirmation and to begin prenatal care.

4. Consulting a Healthcare Provider: If the pregnancy test is negative but your period does not arrive soon, or if your gastrointestinal symptoms persist, it would be wise to consult a healthcare provider. They can perform further evaluations to determine the cause of your symptoms and any underlying issues that may need to be addressed.

5. Understanding Your Symptoms: It's important to note that many women experience gastrointestinal discomfort during early pregnancy due to hormonal changes. Additionally, stress and anxiety can exacerbate these symptoms. If you are feeling overwhelmed, consider discussing your feelings with someone you trust or a healthcare professional.

6. Monitoring Your Health: Keep track of your symptoms, menstrual cycle, and any other changes in your body. This information can be helpful for your healthcare provider in diagnosing any issues.

In conclusion, while your symptoms may suggest the possibility of pregnancy, they are not conclusive on their own. Taking a pregnancy test is the next logical step. Regardless of the outcome, if you continue to experience irregularities or discomfort, seeking medical advice is essential for your health and peace of mind. Remember, early prenatal care is crucial for a healthy pregnancy, so if you are pregnant, make sure to follow up with your healthcare provider promptly.

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