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Doubts about pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   hello
User :   hi
User :   please proceed with your health query
User :   My girlfriend and I are worried about one issue
User :   ok. please proceed. I will help with my expertise.
User :   Her period should have started at the 7th
User :   and its delayed
User :   she is virgin
User :   do you mean to say that her periods were start on 7th Oct?
User :   yes
User :   ok.
User :   delayed periods can be possible with stress (physical, emotional, physical)
User :   can it be pregnancy
User :   these can cause periods to delay to upto 10 days.
User :   is there a chance
User :   are you sexually active?
User :   yes but we dont do sex
User :   she is virgin as I said
User :   have you had sexual contact in which there is chance of either pre-cum or semen entering her?
User :   yes
User :   its possible
User :   there is a chance of semen
User :   if pre-cum or semen is come in contact with vagina (wet condition), chances of pregnancy cannot be ruled out if she was in her fertile periods (egg release time)
User :   when was her last periods?
User :   7th of september
User :   is she regular on periods? if yes what is her menstrual cycle length?
User :   i mean to ask the time gap between two periods?
User :   29 days
User :   in between
User :   she is regular
User :   if she has had her periods on 7th Sept, and her cycles vary between 25-30 days, then probable dates of ovulation will lie between 14th to 25th sept taking 7th sept as first day of bleeding
User :   what does that mean
User :   this is to calculate her fertile days
User :   when she will have egg release from ovaries
User :   but this sexual contact was on the 1st of october
User :   Hello?
User :   R u there?
User :   Hello
User :   Are you there Doctor?
User :   yes I am here
User :   are you able to see what I have said earlier?
User :   no
User :   i can see what u wrote before
User :   but i didnt get an answer after when u said when she will have egg release from ovaries
Doctor :   i said that she will have egg release on the dates probably between 14th-25th sept
User :   is there a possibility of her not being pregnant right now?
Doctor :   since your contact was on 1st Oct, then pregnancy is possible only if she has had late ovulation or egg release
User :   so in conculsion can u summarize
Doctor :   so there is possibility that she may not be pregnant and the delay is caused by hormonal isues
User :   do we need to panic for this'
User :   ?
Doctor :   in summary: wait for her to get her periods until 17th Oct, if she is not pregnant she should get it by then
Doctor :   if she does not get her periods, then first rule out chances of pregnancy
User :   She has a cold as well
User :   for a few days already
Doctor :   by getting a blood HCG level test done
Doctor :   which will rule out pregnancy
Doctor :   and indicate further tests for hormonal levels
Doctor :   cold can cause some delay, as it is a part of stress on body
User :   but in your personal opinion what is the case
Doctor :   since the sexual contact was outside her usual fertile days, pregnancy chances are less
Doctor :   however delayed ovulation cannot be ruled out
Doctor :   so I suggested for blood HCG level tests
Doctor :   if the blood tests show that she is not pregnant, it will be confirmatory (if she still does not get periods by 17th)
User :   so if she doesnt get till 17th she is not pregnant right?
Doctor :   and you can proceed with other tests for hormonal level analysis (LH, FSH, Prolactin, Thyroid levels) to look for other underlying causes.
Doctor :   if she gets her period by 17th or if teh blood test shows negative results, it will mean that she is not pregnant.
Doctor :   have you followed what I have said?
User :   Yes I have
Doctor :   please get back to me if you have any doubt
User :   alright
User :   thank you very much
User :   what
User :   if it doesnt start on 17th
Doctor :   is there anything else you would like to ask me?
Doctor :   if it does nlot start by 17th, first rule out/confirm pregnancy by getting a blood HCG level test done which is more accurate than urine pregnancy tests
Doctor :   if the blood tests show positive, then she is pregnant due to possible late egg release
User :   Alright
User :   Thank you
Doctor :   if the blood test shows negative, then other hormonal causes are to be suspected requiring further investigations
Doctor :   like hormonal level analysis (LH, FSH, Prolactin, Thyroid levels) to look for other underlying causes.
User :   alright thank you very much
Doctor :   such that early treatment can be started to help her regulate her periods
Doctor :   is there anything else you would like to ask me?
User :   No thank you vermuch
Doctor :   thanks for consulting me. bye for now.
User :   bye
Doctor :   bhye
Doctor :   *bye for now
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