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Delayed periods after unprotected intercourse - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3479 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hey doc
Doctor :  
please proceed with your health query
Doctor :  
ok
User :   new to this place.... i need to meet a gynacologist.. for my girlfriend
Doctor :  
ok
User :   the issue is that .. last week we had unprotected intercourse.....although i took precautions..
Doctor :  
do you want to discuss the problem with me here? or do you want to discuss directly with our panel gynecologist?
User :   her periods were due 17th or 19th this month... but hasnt yet happened....
User :   whatever u prefer...
Doctor :  
if you want to discuss with me, I can answer your issue. I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   that would be great
Doctor :   and if you want to directly go in for specialist opinion, i can give you the link of that
Doctor :  
WWW.WWWW.WW User :   thats fine.... lets proceed with our chat... as long as it is confidential and to my satisfaction..... :-)
Doctor :   this is the link for the specialist opinion, if you want to directly discuss with her
Doctor :  
ok, then please continue with your query
User :   see... let me tell u everything....
Doctor :  
ok. please proceed
User :   last week we had this, i made sure that i dont ejaculate inside her, also it was more of a foreplay, u understand what i mean.. didnt really pull my foreskin back... i realised that i was gonna cum... and i did it outside.....
Doctor :  
ok
Doctor :  
when was her last menstrual period?
User :   19th dec
Doctor :  
ok
User :   or 17th dec...
Doctor :  
how are her cycles? how many days menstrual cycle does she have? 28 days? 30 days? or more?
User :   one sec.. lemme check
Doctor :  
ok
User :   30 days
Doctor :  
when did you have the unprotected sexual contact?
User :   last week
Doctor :   could specify the date please?
User :   doc.... u there
Doctor :  
if her cycles are of 30 days and she had her last periods on 17th dec, then her fertile period or the ovulation time would be somewhere between 24th dec-30th dec
User :   ok......
Doctor :  
if it was on 19th dec, then the fertile period would be about 26th dec-1st Jan
User :   ok......
Doctor :  
so in case you have had unprotected sexual contact during this time, then she might be pregnant
User :   no.. we had sex on 10th jan 2010
Doctor :  
in case you have had previous unprotected intercourse before this, then too she might be pregnant even though she had her periods during the previous months
Doctor :  
ok
User :   never...... 10th jan was the first time we had sex
Doctor :  
some women tend to have their periods for 1st 3 months of pregnancy almost like the normal periods
Doctor :  
did she have any stress factors during the ovulation time?
User :   naa...... she is a joll kind of person.....
Doctor :  
as stress during ovulation time can delay the ovulation more than the specified time.
Doctor :   ok
User :   oh....yeah we fight some times.... petty quarrels u see
Doctor :  
then i suggest that you wait next 5-10 days more and see if she gets her periods
Doctor :  
sometimes stress can delay periods to upto 10 days late
Doctor :  
in case she has not got her periods in next 10 days, then you need to test for pregnancy
Doctor :  
you had the contact on 10th Jan 2010, did she take any emergency contraception after that?
Doctor :  
even though you did not ejaculate inside her, she might stil be at risk of pregnancy if the ovulation was delayed.
Doctor :  
since the 'pre-cum' is known to contain sperms
Doctor :  
and if the ovum was present inside her at that time, she will be pregnant.
Doctor :  
have you followed what i have said?
Doctor :  
please get back to me in case of having doubts
Doctor :  
are you there?
Doctor :  
are you there?
Doctor :  
I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
User :   hold on
Doctor :   hi
User :   m back
Doctor :  
are you back?
User :   teh net went down
User :   yeah
Doctor :  
ok
Doctor :  
have you followed what i have said?
User :   yeah.. i did
User :   i also would like to tell u.. that ( seems silly).... i wiped the private parts well ( of both) before intercourse
Doctor :  
ok
User :   m myself a Biotech graduate.....
Doctor :  
ok
Doctor :  
so you will know very well , that to fertilize the ovum, only 1 sperm is necessary
User :   so..... i was asking if she gets her periods in 5-10 days..is that ok... is she not pregnent
User :   yeah....
Doctor :  
so even if the precum does not contain many sperms, it still has potential to result in pregnancy if ovum is present
Doctor :   if she gets her periods in this time, then she is not
User :   fine....... now what shall we do
User :   today being 19th..... u want us to wait for 5-10 days....
Doctor :  
but if she does not, then she will need to get test done for confirmation or ruling out pregnancy
Doctor :  
yes, i suggest you to wait and then take next step
User :   now how that can be done..... which hospital we shud go to... and whom to refer.. this has to be confidential....
User :   i mean i dont know anything here in hyderabad... and dont know how much wud it cost
Doctor :   you can go to any nursing home, or a hospital nearby, your details and procedures will be kept confidential
User :   can u suggest one
Doctor :  
do you want me to help you in fixing an appointment with any gynecologist in hyderabad?
User :   ya.......
Doctor :  
or do you want to wait and then go ahead with this?
User :   whatever u suggest..... will abortion be a problem if found pregnent
User :   as i said i dont know anything..... so u are the one to suggest the best.
Doctor :  
abortion in first 1-2 months time is usually not a problem, but it should be done under supervision
User :   she said that she has some giddiness feeling... whats that then
Doctor :  
in hyderabad in which area do you stay?
User :   i stay near nampally...
Doctor :  
giddiness, and fatigue are the earliest symptom of pregnancy few women have
Doctor :  
ok
Doctor :  
i will try to suggest you some hospital in hyderabad where you can meet a gynecologist
User :   ok
Doctor :   just give me a moment
Doctor :  
WWW.WWWW.WW User :   how much time does it take to determine in a hospital that she is pregnent
Doctor :   you can go to this link and go ahead with the checkup
User :   why dont u fix an appointment for me
Doctor :   just few minutes time is needed to see a urine pregnancy test
User :   andhow much they charge
Doctor :  
if she gets it negative but continues to not get her periods and has symptoms
User :   then....
Doctor :  
you can ask the doctor for a beta HCG test to be done along with a scan
Doctor :  
to confirm what is happening
Doctor :  
you can enquire bout the cost by contacting the hospital
Doctor :  
that you choose to go
User :   like whats therange
Doctor :  
beta HCG level and scan are the best to confirm the pregnancy as sometimes the urine pregnancy test can come as negative, due to HCG hormone being less in urine
User :   but first u want us to wait for 5-10 days before we do the appointment....
User :   physical appearence doesnt change in first 2-3 weeks right for the girl
Doctor :   no it does not change upto the start of 4th month for a girl if she is thin built
User :   ok.....
User :   shall we wait for 5-10 days before we do the appointment
Doctor :   if you are seriouly into relationship and contemplating marriage, then i would suggest that
Doctor :   you get married within a month
Doctor :  
aborting the first pregnancy results in scarring of uterus leading to infertility issues later
User :   but first it shud be confirmed that she is pregnent.....
Doctor :  
so, to avoid this risk, it is better that she does not go ahead with the abortion
Doctor :  
yes, it should be confirmed first, and if found pregnant, then in that case , this is what i suggest you to do
User :   doc.. do u prefer we wait for periods.....
User :   i mean if she gets periods then its fine right
User :   what precautions shud i take for the future... if i want to have unprotected sex with her
Doctor :   i deal with infertility cases too, and in almost 80-85% of cases, infertility isues are due to previous abortions.hence i wanted to warn you of the risks involved
User :   ok....
Doctor :  
you should wait to see if she gets her periods
Doctor :  
incase she does not, then go ahead with the check up for confirmation
User :   and the time frame is between 5-10 days
Doctor :  
and then think an ddecide what you want to do
Doctor :  
yes
Doctor :  
incae you do want to have unprotected intercourse later in future
Doctor :  
then follow alternative birth control measures
User :   like
User :   ??
Doctor :  
ask her if she is willing to go ahead for birth control pills, and after checkup with a gynecologist, she can start on a safe one
Doctor :   but she should take it strictly without missing them
User :   i think i will use condoms rather her using pills....
User :   but that means she shud get her periods by this month end..... m i correct
Doctor :  
you can also follow the abstinance method or the fertile period method, but these are not safe, as the ovulation time can vary depending on mental and emotional stressors that the girl might be under during that time
User :   i dont want ti use any unsafe method......
Doctor :  
she should be getting her periods by 29th Jan, if not then it is recommended that you follow the suggestions given above
User :   she shud get her periods by this month end..... m i correct doc
Doctor :  
condoms too can sometimes slip off or break resulting in pregnancy
Doctor :  
among all the birth control measures, the copper-T and the pills are the safest
User :   ok.....
Doctor :  
with very very less failure rates, compared to other methods
Doctor :  
have you followed what i have said?
User :   ya
Doctor :  
Is there any thing else I can help you with?
User :   if she is diagnosed pregnent......what shall we do in that case
User :   i mean maraige isnt on cards
Doctor :   that depends on what you want to do
Doctor :  
if in serious relationship an davoid the infertility issues
Doctor :  
then you should get married
User :   if we want to go ahead with abortion.........will she be prescribed any pills
Doctor :  
if not then you have to decide mutually what you both want to do
User :   she doesnt want to get married either
Doctor :   in such early stages she might be prescribed pills, but it has to be taken under strict supervion
Doctor :  
as it might co into complications
Doctor :  
resulting in heavy bleeding and serious problems
User :   ok.... and how long is teh course.... 15 days or 1 month
Doctor :  
and a repeat scan should be done to see tht all products of conception are out
Doctor :   and she is fine
Doctor :  
and be under observation
User :   ok
Doctor :  
such that later on she does not have continuos bleed and problems with infertility due to conceptions products being inside
Doctor :   once the bleeding starts after taking the prescribed pills, she should get admitted
Doctor :  
the pills prescribed for abortion is to be taken as depending on the type of pills prescribed
User :   she has to be admitted ????
Doctor :  
the gyne doctor whom you meet will decide what to be prescribed after examining her
Doctor :   Is there any thing else I can help you with?
User :   no.... i guess... u did well doc.... thanks... i just hope that she gets her periods..
Doctor :   Please fill the feedback form, and comment box, and say done when done.
Doctor :   once the bleeding starts, she should be addmited to be kept under observation
Doctor :   Please fill the feedback form, and comment box, and say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :   Are you back?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

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