Hello
Thanks for your queries.
Let me answer them sequentially as you have asked :
1. As per your description, actual penetration of vagina with the penis did not occur. Further you took Emergency contraceptive pills in time. Thirdly, you had your normal periods on time AFTER the act. Fourth, your B HCG and pelvic ultrasound CLEARLY state that there is no pregnancy in your case, at present.

2. Your ultrasound and B HCG rule out an ectopic pregnancy also, at present.

3. Well, you have been diagnosed as a case of polycystic ovarian disease, in which, both menstruation and ovulation are highly irregular. In this disease, conception can occur at any time, as ovulation is erratic. However, if your last ( that too, non penetrative , I guess ) sexual encounter, was on 23rd November, then I can reliably say that by now the pregnancy would have shown up on the ultrasound definitely. In case there were any further encounters AFTER 23rd November, then because of irregular ovulation, the pregnancy might not yet show up.

4. The B HCG level found is absolutely normal.

5. There could be many causes for the pain described. It could be pre menstrual pain, as you might be about to have your periods. It could be because of some pelvic infection, mild gastroenteritis, urinary tract infection, constipation, inflamed appendix, endometriosis, uterine or ovarian tumours etc. The last two are ruled out as your ultrasound is normal, although endometriosis is not always seen on ultrasound, and for the rest, you need a whole abdomen ultrasound. For pelvic or urinary infections, your gynecologist would examine you and take appropriate tests.

6. The brown discharge is not normal. However, in polycystic ovarian disease, often there is scanty menstrual bleeding. I would like to know pattern of previous menstrual cycles - duration of flow, type of flow, cycle length etc.

7. Normally, after completion of Deviry course, your periods should start within 2 - 3 days, but sometimes it might take upto a week.

8. No, the tests are written in order to further investigate polycystic ovarian disease.

9. The chances of pregnancy after having the period are very remote, as I already mentioned.

10. Definitely, PCOD is a condition of hormonal imbalance, and can definitely lead to irregular , delayed and scanty periods.

11. The chances of your pregnancy, as I put it, are practically zero, if you have not been sexually active after the said incident.

The most probably reason for the irregular and delayed period is PCOD.
I think, after Deviry, you should have your period within a few days.
You need to be investigated thoroughly for PCOD too. I would add adrenal hormones, glucose tolerance test, fasting serum insulin, serum prolactin also to the list of tests mentioned.

Take care, and feel free to ask for further clarifications.
Do not worry about a pregnancy, it seems least likely.
However, be particular about using regular protection in the future.

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Hello again,

1. If there was no sexual activity henceforth, yes, you can completely rule out pregnancy of any type.
2. Progesterone sometimes does cause mild abdominal discomfort, but it could be pre menstrual pain also.
3. A blood HCG test alongwith pelvic ultrasound is the most reliable way of diagnosing a pregnancy,which is laready done
4. Your beta hcg test rules our pregnancy.
5. No need of another HPT
6. The chances are practically zero.
7. It is impossible to have a noticeable bulge overnight - you could be feeling slight fullness and discomfort. In case there you can feel an actual bulge that wasnt there earlier, please consult your gynecologist for that, to examine it. I can see no reason for a new bulge.
8. I repeat that there is no chance of pregnancy
9. The chances are also very remote, given that you had your underclothes on.
10. Well, if you have unprotected intercourse in future, you can become pregnant.As of now, you are safe.
11. The blood test rarely gives a false result. Yours seems reliable.
12. I think you are really going overboard with worry. I repeat again that you are completely safe as of now.
take care.

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Hi again,
1. As the first line of your B HCG report states, even males and non pregnant females do have some amount of hcg present.
2. Pregnancy symptoms like nausea, vomiting, breast changes etc bulging of lower abdomen, fetal movements all start at various periods in pregnancy. None of these are reliable, and the only reliable " symptom " of pregnancy is ultrasound evidence of pregnancy.
3. PCOD and thyroid disorders both are related, because both are commonly found together, and both cause irregular periods.
4. Obesity is one reason for causing PCOD, and PCOD in turn causes weight gain, so its a vicious cycle. Yes, abdominal fat could explain the "bulge" you mentioned.
5. You have sent me only one ultrasound, which clearly points to PCOD. So I cannot comment on the other one. Moreover, PCOD is also a biochemical finding, not just ultrasound diagnosis, so your blood tests would further confirm the diagnosis of PCOD.
6. There could be many causes for the pain described. It could be pre menstrual pain, as you might be about to have your periods. It could be because of some pelvic infection, mild gastroenteritis, constipation, inflamed appendix, endometriosis, uterine or ovarian tumours etc. The last two are ruled out as your ultrasound is normal, although endometriosis is not always seen on ultrasound, and for the rest, you need a whole abdomen ultrasound. For pelvic or urinary infections, your gynecologist would examine you and take appropriate tests.
7. If your period does not start after deviry, I would suggest you consult your gynecologist again, for further medication and assessment.
8, 9, 10 - I already clarified about the pregnancy part.
11. The result is accurate, and there is no chance.
take care.

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