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Is Pregnancy Possible After Non Penetrative Sexual Activity?

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Posted on Mon, 12 Oct 2015
Question: we got intimate with clothes on 22nd July..i rubbed her vulva with or without precum fingers i dont know..i didnt insert finger in her vagina nor we did intercourse..3 days later ie 25th July she got her period with medium flow for 4 days(25-28),blood clots were seen(she had irregular cycle,she had PCOD,she was under medications few months back,after that her cycle length was 34-37,bt she had period every time after taking medications).on 31st she said a little bit of rusty brown discharge on her underwear once..she said she had this earlier too(may be old blood of period)..on the 26th July she tested for preganews test and it came negative..on 29th July,she tested negative urine test again.on 3rd August again she got negative urine test..last month period was from 15th XXXXXXX to 18th June(normal flow),,11th May to 14th may(medium flow)..is she pregnant?

doctor
Answered by Dr. Aarti Abraham (10 hours later)
Brief Answer:
No chance of pregnancy.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I have gone through your query.
There is no chance of pregnancy.
She has got periods after the episode.
You did not have intercourse in any manner.
Clothes were on, as you say.
The pregnancy test is negative.
Please relax.
I am more than 100 % sure that there is no chance of her getting pregnant.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (34 minutes later)
mam are u sure?actually i am too much scared..we didnt have penetrative sex,never touched penis with vulva..accidentaly might have touched vulva with precum fingers..rubbed..no fingering and no intercourse..she was in the last week of her cycle..her avrg cycle length is 34-37 days..we did this on 38th day..3 days later she got period with medium flow..we thought that it could be implantation bleeding so we checked with preganews nd got negative result even after 12 days of the incident..madam what about the little bit of brown discharge 3 days after period ended..she said that when her flow during period is reduced she sometimes gets those,may be old blood from period..isn't it madam?i am too scared..are u assuring me that there is no chance of pregnancy?11th May was her period with the same flow like this time,15th XXXXXXX with normal flow..kindly answer mam..
doctor
Answered by Dr. Aarti Abraham (22 minutes later)
Brief Answer:
Yes, am 100 % sure.

Detailed Answer:
I am 100 % sure.
Pregnancy cannot occur in this manner.
The slight brownish discharge and reduced flow is due to PCOD.
Yes, I am assuring you that there is no chance for pregnancy.
You can take my word for it.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (1 hour later)
mam thanks..sorry for bothering u so much..i am stressed and tensed thats why.the incdnt hppnd on 22nd July,25th July she got her periods with light flow,26th and 27th July(with medium flow and blood clots).from 27th July eve it again went light and finally went away on 28th.31st a little bit of brown discharge on her panty once.the latest HPT was done on 3rd August with preganews kit and its negative.so mam had it been implantation bleeding the result wdnt hv been negative,is'nt it?is there any need to repeat the test,what do u feel?so the fact is that as she was on her 38th day of her cycle even precum got inside her vagina,it wont cause any harm.isn't it?(11th May period-same flow like this time,15th XXXXXXX Period-normal flow).she was having medicines for PCOS a few months back,after that she got regular period with 34-37 days so she stopped taking medicines yet gt period rglrly.no chance mam?
doctor
Answered by Dr. Aarti Abraham (7 hours later)
Brief Answer:
Pregnancy is not possible.

Detailed Answer:
I repeat once more.
There is no need to repeat the test.
I am more than 100 % sure that there is no chance of pregnancy in this scenario.
Please do not worry.
Precum cannot get in if you had your clothes on.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (5 minutes later)
thanku mam..u released my tension a lot..thanx for the help..sorry for bothering u so much..mam one last question,even if i touched outside vagina with precum fingers(without any clothes),would it be passed inside the vagina?actually i cant remember,bt as she had her period so i am rest assured that there are no chances of her being pregnant..isn't it mam?kindly reply to this question..thanx mam..thanx a lot..thank u..:)
doctor
Answered by Dr. Aarti Abraham (18 minutes later)
Brief Answer:
Relax,

Detailed Answer:
See, if you touched outside the vagina, on the vulva, there is no chance of pregnancy.
And she is obviously not pregnant, because she has had her period !
Please stop worrying on this matter.
Trust me and take my word on it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (7 days later)
Mam sorry to open the discussion again..sorry to bother u again mam..mam today she did urine test with preganews kit which is after 23 days from the incident ie 22nd July and got the negative result today too,bt that was not her 1st urine of the morning,that was 2nd urine bt she had the urine in his bladder for more than 4 hrs and tested and got negative..earlier on 7th August which was after 16 days from the incident she tested with 1st urine and got negative result with preganews kit..is she completely safe from pregnancy?mam i am confused about her 25-28th July period bleeding..due to less flow i guessed that it was implantation bleeding..so did repeated urine tests and got negative..mam was it period bleeding?plz assure me mam plz..11-14 May(light flow period),15-18June(Normal flow period)..we did this on 38th day of the cycle..wasn't it safe?kindly answer mam as soon as possible in details..plz mam..
doctor
Answered by Dr. Aarti Abraham (27 hours later)
Brief Answer:
Yes, no chance of pregnancy at all.

Detailed Answer:
I had already told you earlier, I repeat the same.
There is no chance of a pregnancy.
It is impossible in this situation.
The repeated tests are also proving this.
It was quite safe, and she is not pregnant at all.
Please relax on this count.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Aarti Abraham (1 hour later)
mam today 22 days after her last period,she experienced itching on vulva..so she itched her vulva after that blood came..now there is no itching..no abnormal vaginal discharge..mam we didnot engage in any sexual act after her last period came on 25th July.. last time we engaged on 22nd July..3 days later her period came..thereafter no sexual intimacy..she usually has 32-34 days cycle.. she has PCOS..then why is this bleeding?last period on july 25 she had light and medium flow..mam i am tensed and stressed today bcz of this bleeding..why is it so?..mam kindly answer..
doctor
Answered by Dr. Aarti Abraham (43 minutes later)
Brief Answer:
Nothing to worry.

Detailed Answer:
WIth PCOD there can be mild mid cycle or erratic spotting or bleeding.
Also, after itching, she might have scratched the vagina, leading to mild spots from there.
There is no pregnancy for sure, it could be mild spotting that is common in PCOD women.
Please do not worry.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Aarti Abraham (11 minutes later)
mam so nothing to worry about pregnancy?we didnot engage in any sexual intimacy in this cycle..mam is it implantation bleeding?as i heard that it is like spotting..mam do i need to test with HPT and confirm that it is not at all related to pregnancy anyhow bcz i heard that during implantation bleeding HPT is positive..mam do i need to test with HPT tomorrow?..mam plz answer..i am stressed again with this bleeding..last hpt was done yesterday with result being negative after 23 days from the incident..as her period from 25-28th July was light and medium bt had blood clots,i got concerned again..plz assure me mam plz..
doctor
Answered by Dr. Aarti Abraham (2 minutes later)
Brief Answer:
As below

Detailed Answer:
There is no need to test with HPT tomorrow.
You may do it, since you are having undue anxiety, and cannot trust the word of so many doctors !
In my opinion, I am 100 % sure that she is not pregnant.
Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Aarti Abraham (17 minutes later)
ok mam i wl follow ur instruction and wont do it again..mam is this bleeding is period by any chance because she said that her flow has increased from earlier and the typical smell of bloods of period as she smelled now too and she has been feeling sensitiveness on her vagina for couple of days which she gets before periods commences?..her cycle length is 32-34 days and today is 22nd day of the new cycle..so mam is it her period by any chance?and mam does that act of 22nd July wl lead to future threats of pregnancy in this cycle or coming cycles unless we again engage in sexual intimacy?kindly answer these mam..mam am i worrying for nothing?actually because of the reduced flow during period and also this bleeding i am concerned thats why..so mam no chance of pregnancy at all?..sorry mam for bothering u..kindly answer..and i wont repeat the HPT again unless we engage in further sexual intimacies,isn't it mam?..kindly answer to these mam..
doctor
Answered by Dr. Aarti Abraham (11 hours later)
Brief Answer:
As below

Detailed Answer:
Hi again.
Yes, you are worrying for nothing.
She already has PCOD and irregular cycles.
It maybe her period, as periods are very irregular in PCOD.
Yes, unless you have engaged in further acts of sexual intercourse, there is no chance of a pregnancy.
I would ask you to get an ultrasound scan done, since it appears that nothing and nobody is being able to reassure you.
INspite of so many negative HPTs, you are still anxious about it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (4 days later)
mam me again bothering u..u said it may be her period because she has PCOS and it can lead to irregular cycles..so mam is it normal to get periods preponed or postponed with variation in blood flows?..Mam the flow satrted on 15th August evening,it went medium flow and lots of blood clots on 16th and 17th morning and finally went away on 18th August..mam so the presence of blood clots indicates that it was her period which got preponed?..Mam she went to a homeopathic doctor on 16th who gave her medicines earlier too to regualrise cycles when she was diagnosed with PCOS..the doctor told that it is quite normal to get periods preponed and flow can also vary..its nothign abnormal in it..She did HPT's a no of times and it came negative ven 25 days after the incident ie on 16th August..so not at all a possibility of pregnancy with that 22nd July act?Mam,just for knowledge can pregancy happen without vaginal intercourse?Kindly answer to these questions,am bothering u a lot..
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Follow up: Dr. Aarti Abraham (1 minute later)
mam me again bothering u..u said it may be her period because she has PCOS and it can lead to irregular cycles..so mam is it normal to get periods preponed or postponed with variation in blood flows?she has 32-34 day cycle length,august period was on 22nd day..Mam the flow started on 15th August evening,it went medium flow and lots of blood clots on 16th and 17th morning and finally went away on 18th August..mam so the presence of blood clots indicates that it was her period which got preponed?..Mam she went to a homeopathic doctor on 16th who gave her medicines earlier too to regualrise cycles when she was diagnosed with PCOS..the doctor told that it is quite normal to get periods preponed once and flow can also vary..its nothing abnormal in it..She did HPT's a no of times and it came negative even 25 days after the incident ie on 16th August..so not at all a possibility of pregnancy with that 22nd July act?Mam,just for knowledge can pregancy happen without vaginal intercourse?Kindly answer to these questions,am bothering u a lot..
doctor
Answered by Dr. Aarti Abraham (11 hours later)
Brief Answer:
No chance of pregnancy

Detailed Answer:
Hello again.
Yes, with PCOS, it is possible to have altered flow and duration of periods.
THat is the reason for the earlier period.
There is no possibility of a pregnancy anymore.
Pregnancy CANNOT happen without intercourse.
It is impossible.
And do not feel bad about asking these questions, please relax and ask me as many times as you want.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (3 hours later)
ok mam thank u..kindly answer to these questions
1)Both the flow on 25-28th July and 15-18th July had lots of blood clots and both tested negative on HPT..she soaked 4 pads each time..so the presence of blood clots and negative HPT's indicates that they were Periods only and not any other bleeding related to pregnancy?
2)Mam if her coming periods gets preponed or postponed or missed with light or medium flow,its because of PCOS and hormonal imbance and not at all related to 22nd July activity or pregnancy?
3)Mam without any sexual activity in a cycle can pregnancy or implantation bleeding occur from previous encounter?
4)Mam she is totally free from pregnancy eith the 22nd July act..tested after 28 days and got negative with HPT..is HPT reliable after 28 days?..thanx for the great help mam..thanx a lot..:)
doctor
Answered by Dr. Aarti Abraham (3 minutes later)
Brief Answer:
As below

Detailed Answer:
Hi again.
1. Yes they were her periods, not related to pregnancy.
2. If the coming period is altered in any manner, it is due to PCOS only.
3. No, impossible.
4. She is totally free from pregnancy and the HPT is totally reliable.
Please do not worry about it.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (12 minutes later)
ok mam..thanx a lot..
1)Mam what is the difference between period and implantation bleeding?after implantation bleeding hpt is positive and after period hpt is negative?
2)Mam some doctors in this healthcare portal say that pregnancy can happen without sexual intercourse,and light period can happen even after being pregnant..thats why i got confused as she also had twice light and medium period after 22nd July..i am not here to disregard anyone bt that got me confused..
3)Mam have u ever heard off or can pregnancy scientifically possible just by rubbing miniscule amount of precum in bare vulva that too on the 38th day of the cycle?
4)Thanx a lot mam..i wl be grateful to u forever..
doctor
Answered by Dr. Aarti Abraham (3 hours later)
Brief Answer:
As below

Detailed Answer:
Hi again.
1. Implantation bleeding is less, with no clots and lasts for 1 - 2 days. After implantation bleeding , HPT is positive after a week.
2. Pregnancy cannot happen without sexual intercourse, I would really like to question the doctors who say that this is possible. Also, sometimes after pregnancy, a light bleeding may happen, but then the pregnancy test would be positive !
3. No, it is impossible.
Dont worry, you are still open to ask as many questions as you wish.
I understand that you are confused and anxious, but relax , atleast in this case.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (14 minutes later)
ok mam..thanx a lot..

1)As her HPT is negative even 28 days after the sexual activity,there is no chance of any pregnancy be it ectopic or normal?..If at all there was any chance,it wd have shown positive HPT,isn't it mam?..So there is no chance of any pregnancy with that act on 22nd July..
2)Mam is it mandatory to test with 1st morning urine with HPT?She tested on 28th day after the incident with 1st morning urine..she kept it in her bladder for more than 3 hours after she woke up at 7:45 am(last urination at 2am,then at 11 am for the test) and then got tested..so there is no wrong with the result?
3)Mam does period always contain blood clots?
4)Mam as u said that after pregnancy light bleeding can occur,bt does it contain clots?..
5)Mam is spotting and implantation bleeding the same and contain clots?
6)Mam so she is totally safe from any kind of pregnancy that 22nd July incident and no effect is going to happen in further cycles with that activity?

Thanx for the great help mam..kindly answer to these questions in details..I wl be grateful to u forever..thanku..:) :)
doctor
Answered by Dr. Aarti Abraham (5 hours later)
Brief Answer:
As below

Detailed Answer:
Hello again.
1. Yes there is no chance at all of any kind of pregnancy, ectopic or otherwise.
2. It is important to have 3 hours of more of urine in the bladder, so that is perfectly okay.
3. Yes, periods generally have clots, but sometimes they may not be there.
4. Rarely does bleeding after pregnancy contain clots.
5. Implantation bleeding is same as spotting, it does not contain clots, and it happens generally 5 - 7 days after sexual activity.
6. She is totally safe from pregnancy.
7. Yes, the period / blood flow from 15th - 18th August is not related to pregnancy .
And please do not apologize for asking me.
It is a pleasure to receive such questions , and please feel free always in future to ask me any more questions.
Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Aarti Abraham (14 days later)
Mam today again 22nd day of her new cycle,again period came..this time its heavy,soaked 1 pad in 6 hrs until now and lots of clots..she is experiencing cramps as well..Mam now twice in a row she got period on 22nd day,whereas her earlier cycle were 32-35 days length..why mam?..its heavy this time,not medium and light like earlier two times..kindly answer mam..
doctor
Answered by Dr. Aarti Abraham (3 hours later)
Brief Answer:
Get a gynec evaluation

Detailed Answer:
I think it is because of PCOS , often periods are earlier and heavier than usual.
I think she should have a complete evaluation by a gynecologist for this pattern of bleeding.
She should have an internal exam, Pap smear, pelvic ultrasound scan and hormonal tests ( FSH, LH, TSH, Prolactin).
She could be having abnormal thickening of the endometrium ( lining of the uterus ) leading to such bleeding.
Please get the check up done.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (7 minutes later)
Yes mam she will see her doctor on Monday..i just got freaked out again as it is again on the 22nd day of the new cycle..in the last cycle she also got her period on the 22nd day,bt this time its heavier than her XXXXXXX month normal period..Mam we didnot engage in any sexual act after that on 22nd July..so nothing related to pregnancy with that incident?Moreover her HPT is negative 44 days after the act too..mam what is the sensitivity of preganews in miu/cc?..thanx mam..kindly answer to these questions..
doctor
Answered by Dr. Aarti Abraham (25 minutes later)
Brief Answer:
No chance of a pregnancy AT ALL.

Detailed Answer:
The sensitivity is less than 20 miu / cc.
There is no question of pregnancy here, please believe me and the multiple other doctors on the forum who have told you that.
Please get the evaluation done as suggested.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (24 minutes later)
ok mam thank u.. she have already made appointment with her gynaecologist on Monday..i know u all have got fed up with me..Mam as i cant know the value of hcg through preganews as it only shows one C line,so does it indicate less than 5 or less than 20?..as in net its written less than 5 means not pregnant and 5-25 is equivocal..so in absence of pregnancy will the level go down to less than 5 miu/cc or less than 20 miu/cc or remain same?..and without any sexual act after that on 22nd July will the level decrease to less than 5miu/cc or remain same?..kindly answer to these in details..
doctor
Answered by Dr. Aarti Abraham (12 hours later)
Brief Answer:
You cannot use preganews to quantify B hcg.

Detailed Answer:
I am not at all fed up of you.
You have the right to ask as many questions as you wish, and I will always be happy to answer them, to the best of my ability.
But you have to place trust in the answers.
When I am telling you there is no question of a pregnancy, there is no question of a pregnancy.
Please believe that.
Preganews indicates less than 20.
IN absence of pregnancy, the level will go down obviously, but preganews cannot tell you if it is 0 or if it is 19.
Only a blood pregnancy test will tell you that.
You cannot measure B HCG in miu/cc based on PReganews.
HOpe that clarifies matters.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (14 hours later)
ok mam thank u..kindly answer to these questions in details..

1)Does implantation bleeding occur 3 days after sexual activity?we engaged on 22nd July and flow occurred on 25-28th July..

2)Mam she had earlier 32-35 cycle days length..we were intimate on the 38th day..ovulation as i know occur 14 days before expected period and ovum can live for 24-36 hrs and sperms live for atmost 5 days..so she was due on her period on 20th July and we engaged on 22nd July,2 days after her expected period date,even if ovulation happen late will it happen close to 20th July(at the expected period time)? 15-18th XXXXXXX period,she was expecting period on 20th July,so as per theory her ovulation should have been on 5-6th July,bt can it happen so late on the expected period date(20th July) and cause conception from the activity on 22nd July?so no conception have occured and no pregnancy?

3)Mam as she has PCOS so there may be anovulation,and without egg pregnancy is not possible..so the light period flow(with clots) both on 25-28th July and 15-18th August can be due to anovulation or PCOS or hormonal imbalance only?

4)Mam as her August period flow and September period flow both are on 22nd day of the cycle,can her cycle length be changed from 32 to 22 days?..as per my knowledge 21-35 days cycle length is normal..

5)Mam does the presence of clots during light period and negative HPT after the light period indicate that the flows were periods only and not any other bleeding?

6)Mam how many days after sexual act and after missing period preganews is totally reliable?

7)Mam what does equivocal of 5-25 miu/cc mean?..if the hcg remain between that level(5-20 miu/cc,as preganews sensitivity is 20) even 44 days after the sexual activity what does it mean?..and in absence of pregnancy does the level get down to zero or below 5?

8)Thanx for again reassuring me mam..she wl see her gynaecologist today and have the evaluation as suggested..So there is no chance of pregnancy at all with that act on 22nd July?..i am totally relieved now..thnx mam..thanx a lot for the great help..kindly answer to these in details..thank u..:)



doctor
Answered by Dr. Aarti Abraham (6 hours later)
Brief Answer:
Explained.

Detailed Answer:
Hello again.

1. Implantation bleeding happens 5 - 7 days after sexual activity if conception occurs.
The pregnancy test will be positive a week after implantation bleeding.

2. With consistently negative HPTs, there is no chance of conception. There is no reason for calculating or forming theories on probable dates of ovulation, since she is not pregnant at all !

3. The light flow and irregular period is due to hormonal imbalance and PCOD.

4. Yes 21 - 35 days is normal, and with PCOD, cycle length varies as cycles are irregular, so 22 days is also acceptable.

5. The clots and light bleeding can mean anything, but the negative HPT means that she is not pregnant.

6. Preganews is reliable 2 weeks after intercourse, with PCOD, cycles are irregular, so you can say it is reliable after 3 weeks of unprotected sex.

7. In absence of pregnancy, the level will go down below 5, and preganews will not tell you that, only blood HCG levels will tell you exact number.

8. HPT during periods is also pretty reliable. There is no need to repeat the HPT, as you are seeing a gynecologist today, who can do the ultrasound scan and tell you for sure.

Take care, and let me know what happens.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (10 hours later)
Mam she visited her gynaecologist today..the doctor examined her and told her to exercise daily and control diet..she recently gained 3 kgs..he told that she must reduce weight otherwise these irregularities will continue..he didnot tell her to do usg or hormonal tests..he only told her to exercise regularly and control diet..he didnot even prescribe medicines..

Mam she visited her local gynaecologist today whom she sees for her period problems since 2005 ..the doctor examined her and told her to exercise daily and control diet..she recently gained 3 kgs..he told that she must reduce weight otherwise these irregularities will continue..he didnot tell her to do usg or hormonal tests..he only told her to exercise regularly and control diet..he didnot even prescribe medicines..

Mam she visited her local gynaecologist today whom she sees for her period problems since 2005 ..the doctor examined her and told her to exercise daily and control diet..she recently gained 3 kgs..he told that she must reduce weight otherwise these irregularities will continue..he didnot tell her to do usg or hormonal tests..he only told her to exercise regularly and control diet..he didnot even prescribe medicines..he chekched her pressure,weight and some internal exams..he told her that as she has PCOD,so ovulation is erratic and hence periods sometimes starts early or late..the only way she can regularise this is through exercise daily and control diet..1 year back she had medicines to control irregularities in her period under her guidance for 5 months..he told that taking hormone medicines may hamper her in the long run,so he advised her only to exercise daily and reduce weight..thats what he only advised..
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
WHat is her height and weight ?

Detailed Answer:
What is her height and weight ?
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Aarti Abraham (15 minutes later)
weight-66 kgs,height-5 ft 2,3 inches,bp-110/70..this is todays value..
doctor
Answered by Dr. Aarti Abraham (44 minutes later)
Brief Answer:
Yes, doctor is right.

Detailed Answer:
Yes, the doctor is right.
She cannot permanently take medications or hormones.
SHe has to work on weight loss and daily exercise .
That will regulate her cycles mostly.
I hope you are now convinced about the pregnancy doubts !!
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Aarti Abraham (13 minutes later)
yes mam i amrelieved now..bt she is still tensed as the doctor have no idea about the intimacy..he just physically examined her took her bp weight and asked her to exercise..she insisted on doing usg but the doctor said there is no need to do and said if u dont loose weight,nothing can make ur cycle regular..bt she is still tensed..so she wants to do bhcg..mam will bhcg give correct negative result 7 weeks after the act though she has not missed her periods or wl it give false result?mam can bhcg be done without doctor recommendation?how long does the report take to come?what are the preparations for bhcg test?
doctor
Answered by Dr. Aarti Abraham (4 minutes later)
Brief Answer:
You can get B hcg done.

Detailed Answer:
BUt you should have told the doctor about whatever happened, there is no point in concealing it, as he would have then reassured you about it.
Blood B HCG will give you most accurate results, please get it done, yes even after 7 weeks.
Yes you can request a lab to get it done without a doctor's recommendation.
You get the report the next day.
There is no preparation for it.
Let me know how it goes.
Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Aarti Abraham (39 minutes later)
ok mam thank u..bt the point is that she is having her periods now..can the test be done tomorrow while she is having her periods and it wont affect the results?..does it require fasting of food or not drinking water before the test or taking the test early morning or can it be taken any time during the day?..mam is beta specific test the same as quantitative beta test?..Mam the result will be negative,isn't it mam?..kindly assure me mam plz..and mam she is taking Calcarea Carbonica homeopathic medicine for her irregularities,will bhcg or hpt result get affected by it? And will that be concludatory and no more further tests of any kind be needed after that?
doctor
Answered by Dr. Aarti Abraham (47 minutes later)
Brief Answer:
Explained

Detailed Answer:
As I said, the test can be done anytime.
Doing it during her periods wont affect it.
It does not require fasting or any such restriction.
QUantitative Beta HCG blood test is what you should be doing.
Yes, the result will be negative.
The homeopathic medicine will not affect the test, but that medication can be responsible for her irregular cycles, as there is no homeopathic medicine scientifically proven to work for PCOS.
YEs, blood B hcg testing will be conclusive, there is no test known to mankind that can be needed after that !
Please let me know the test result.
Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Aarti Abraham (43 hours later)
Mam i have got the beta hcg report today..i have attached the file..kindly see..its less than 0.100miu/ml..yesterday the test was done(48 days after sexual activity),they also took her urine..but they only gave the blood bhcg report..they asked her about LMP,she said 5th September,why mam?..kindly check the report and give ur valueable reply mam at the earliest..
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
Report clearly states that she is not pregnant.

Detailed Answer:
Hello
i have gone through the report.
The blood B HCG report clearly states that she is not pregnant.
Hope all your doubts have now been put to rest.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (16 minutes later)
yes mam thank u..i just wanted to know that the woman who took her blood asked about her LMP..so she said that it is 5th September and in the report it is also written..why did she ask about the LMP?did the LMP have any connection with the result?..Mam have u checked the report?..So the level of less than .100miu/ml will increase or decrease or remain same now without any sexual act?..Mam does hcg always remains in blood?i mean to say as she is not pregnant her level shouldnot be 0?and no need to do usg for this?..thanx mam for ur timely help..thanx a lot..
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
As below

Detailed Answer:
It is common procedure to ask for the LMP while doing this test.
The LMP will not change the result, it clearly states that she is not pregnant.
Of course I have checked the report, I would not have the audacity to answer you without checking the report first.
The level will remain the same without any sexual act or future pregnancy.
Minor amounts of HCG always remain in the blood stream, and a level less than .1 practically means 0.
There is no need to do a USG for the pregnancy related issue, but if you wish to do a USG to diagnose PCOD, that can be done.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (21 hours later)
ok mam thank u..she needs to usg pelvis or usg lower abdomen or usg tvs?if we do it tomorrow,when we will get the result?what are the preparations for test?not to empty urinary bladder prior to the test?..can u help us with the report?So,the level will not change unless we again get intimate?..thanku mam..kindly answer to these questions in details..
doctor
Answered by Dr. Aarti Abraham (2 hours later)
Brief Answer:
As below

Detailed Answer:
For her PCOD problem TVS usg is better.
YEs, you get the result immediately.
I will surely help you with the report, upload it as soon as possible.
The level will not change unless there is intercourse leading to pregnancy.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (10 minutes later)
Mam for all purpose pcod,ovarian cysts,to confirm her non pregnant state,endometrium thickening which usg is needed?kindly answer to it,i wl get back to u once i know from u what usg needs to be done and after doing the usg..kindly answer mam..
doctor
Answered by Dr. Aarti Abraham (9 minutes later)
Brief Answer:
As below

Detailed Answer:
Pelvic transvaginal ultrasound scanning.
Please get that done.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (6 days later)
Mam she did usg pelvis abdominal..
Uterus-Normal in size,shape,outline and position..Myometrial echopattern is homogenous.No focal lesion is seen..Endometrial echo(6 mm) thick and is in midline.Uterus measures 7.1cm*2.6cm*3.7cm..
Ovaries-Both ovaries are normal in size,shape and echotexture.No adnexal mass seen..RO-4.5cm*2.1 c,LO-3.8 cm*1.5 cm..
Ureters are not dilated
Urinary bladder is normal in size,shape and wall thickness.No intraluminal lesion or calculi is seen..

The sonographist while doing the usg said that are small cysts in her ovaries but it is better than her earlier scan 5-6 months ago..I cant upload the scan report because it is not visible after scanning on computer..

Mam what are the findings of this report?..So she is completely free from pregnancy? and what about the report?..She did this on 15th September..11th day..what about the endometrial thickness of 6mm?..Mam kindly answer at the earliest..
doctor
Answered by Dr. Aarti Abraham (2 hours later)
Brief Answer:
No chance of pregnancy.

Detailed Answer:
Yes, there is no doubt now regarding pregnancy.
Endometrial thickness of 6 mm is fine on day 11.
The scan is completely normal.
there is nothing to worry now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (5 minutes later)
1)Mam is there any need to do tvs to confirm or not?

2)Mam as i came to know that incase of pregnancy endometrial thickness increases,its 6 mm..so whats the meaning mam?

3)Mam as per my knowledge thickness increases with cycle,just before period it attains maximum thickness and then sloughs down during..and if i doesnot slough down it means pregnant?

4)Mam now there is no chance with that activity on July? even if her periods gets preponed or delayed or missed with variation in flow?

5)Mam she did BHCG 3 days after the 1 st one,the value is same but its highlighted..i am attaching the report..kindly see..why is it highlighted though the value is same?

6)So no need to repeat bhcg or usg even if her future periods gets altered?

Kindly answer mam in details..
doctor
Answered by Dr. Aarti Abraham (24 minutes later)
Brief Answer:
As below

Detailed Answer:
1. There is no need to do TVS.
2. Cavity always contains endometrial lining, that is what it means. IT is a normal non pregnant finding on day 11 of the cycle of any normal woman.
3. If the thickness increases without any sexual activity, and there is no natural shedding, it means hormonal imbalance ( could be PCOD ) and endometrial hyperplasia.
4. No chance of pregnancy, whatever variation here periods might have in future.
5. Report is highlighted to show the value.
6. No need to repeat anything .
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (41 minutes later)
ok mam..its been so helpful for me to understand..thank u mam for the umpteenth time..
1) Actually searching the net made me paranoid where some women says that they got periods even when they were pregnant,thats what made me paranoid..one of them even said that early periods on regular intervals is pregnancy..as she got periods twice on 22nd day,that made me stressed..

2)Mam the 2 nd time hcg was done 51 days after the incident,the value is same less than 0.100 miu/cc..this time she gave her LMP as 15th August which was her August period date as she had confusion about doing bhcg during periods affected the result..so she did again 3 days after her period ended..

3)Mam as hcg doubles every 2 days,so 1st time bhcg value and 2nd time bhcg value is same..that means its not pregnancy?Mam one thing after early,late period or varying flow periods or spotting,hpt is negative?

4)Mam thanx for the constant mental support u gave me..i am actually too nervous and tensed thats why..so no chance at all of any kind of pregnancy with that act as she got 3 varying flow periods and negative bhcgs of 0.100 miu/cc?

Thanku mam..thanx a lot..
doctor
Answered by Dr. Aarti Abraham (8 hours later)
Brief Answer:
No question of pregnancy.

Detailed Answer:
Hello again.
1. As the ultrasound and B HCG is clear, there is no more need for getting stressed, paranoid or anxious.
2. Both values are negative in either case, so there is no question of pregnancy.
3. Yes, there is no pregnancy. Yes, even the HPT is negative.
4. No chance of pregnancy at all.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (2 days later)
Mam she did only USG PELVIS ABDOMINAL on the 14 th day of the cycle(18/9/15),which is 2 months since the sexual act..i have attached the report..kindly see..

1)What is meant by uterus is anteverted,normal in size and echo pattern?

2)What is meant by midline echo is seen normal 6.7 mm?..Is it endometrial thickness of 6.7 mm?..3 days earlier it was 6 mm,now its increased to 6.7 mm?..so no harm in that?..No definite focal parenchymal lesion is seen,what does it mean?

3)Mam what is meant by uterine cavity is seen empty?

4)Mam is her uterus normal in size as she is not pregnant?Is it normal in size and shape and it indicates absence of pregnancy?

5)No pelvic/abnormal SOL is seen and no fluid in pouch of XXXXXXX .what does it mean?

6)What are the findings of the report?So pregnancy completely ruled out as usg pelvis abdominal was done after 2 months from sex?
And no chance of any kind of pregnancy with that act in future even if her periods gets missed or altered and pattern of flow changes?..i mean less flow or spotting or normal flow..

7)Mam the blood hcg if done during second part of a cycle will the level increase slightly because of alpha sub units of LH or FSH as they are to a minute extent similar to HCG?..if it increases what will it imply?..does it mean pregnancy?..After increase will it remain go down to that less than 0.100 miu/ml again?


Mam this is the last time i am bothering u..Just reassure me this last time,i will not bother u again..I am grateful to u forever..Kindly answer mam in details..thanku u..thanx a lot..:)
doctor
Answered by Dr. Aarti Abraham (2 hours later)
Brief Answer:
As below

Detailed Answer:
Hello again.
You can ask me as many questions as you want in future too, it is not a botheration for me, and I will be happy to answer them .
1. It means the uterus is of normal size, in normal position ( anteverted ) and has normal texture.
2. Yes, midline echo means endometrial thickness. Yes it increases by a few mm as days go by, it is quite normal.
3. It means that there is nothing inside the cavity - no pregnancy, clots, tumour, polyp etc.
4. When it is measured , there is always a difference of few mm, yes, it is normal in size.
5. SOL means space occupying lesion - tumour, cyst, polyp etc. It means that the tubes and ovaries ( adnexa ) are free and normal.
6. FIndings are that her reproductive organs are normal. Yes, pregnancy is completely ruled out. NO chance of pregnancy from that act at all.
7. The levels may minutely fluctuate, as long as they are less than 0.1, it means she is not pregnant.
They will not increase beyond the threshold without pregnancy.
Take care, and feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (1 hour later)
Ok mam thank u..

1)Mam 2 months after the sexual activity is a long enough time to show even in a pelvic abdominal usg incase of pregnancy has resulted?..as the uterine cavity is empty,so no pregnancy have resulted with that act and in future also no pregnancy will result with that July act?

2)Have u checked the report mam?..how is the overall report?

3)Mam i just wanted to know that if blood hcg is done just pre ovulation or post ovulation without any sexual act leading to pregnancy,will the value( less than 0.100 miu/cc) increase slightly as LH and FSH hormones have alpha sub units which in minute amount is similar to HCG?

4)Let the value( 0.100 miu/cc) increases slightly,what will it indicate?(without any sexual activity leading to pregnancy now or in future)..will it again get down to its earlier value( less than 0.100 miu/cc)?
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
As below

Detailed Answer:
Here are the answers numbered for you =
1. There is no chance AT ALL of pregnancy. The blood test, urine test and ultrasound scan clearly state that there is no chance of pregnancy.
2. Yes, I have checked the report. It is normal finding in a non pregnant woman.
3. No the value will not increase post ovulation.
4. If the value increases slightly, it indicates NOTHING. It is normal fluctuation of the hormone within the female body. It can get down to earlier value, or remain slightly higher, or anything. You cannot predict its pattern. what matters is that it is less than the threshold, thus indicating non pregnant state.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (4 hours later)
ok mam thank u..

1) Mam i just wanted to know that though tvs usg is better,but if there was any chance of pregnancy with that act 2 months ago,transabdominal usg would have atleast detected it by now as 2 months is a long enough time?..so no chance?

2)Mam how much(range) does the endometrial thickness increase during a cycle?Mam during period,menstrual bleeding which occurs,is it this layer which sloughs off only or there are other things which slough off during periods?

3)What is meany by no definite focal parenchymal lesion is seen?

4)Mam as the alpha subunits of LH and FSH have a minute resemblance to HCG hormone,so does it always increase the HCG level slightly in a non pregnant woman in the 2nd half of the cycle?

5)Mam as HCG levels rise only during pregnancy,but i have read it can also rise due to certain tumours..is it true?..to be honest surfing net for medical issues made me paranoid and there lies the conflict in my mind about what to believe..

6)So if HCG rises slightly(not at all intended in her case) but much less than the threshold value,it wont indicate any thing related to pregnancy?..it wl remain much below the threshold range without any sexual act leading to pregnancy now?

Kindly answer mam in details..
doctor
Answered by Dr. Aarti Abraham (6 hours later)
Brief Answer:
As below

Detailed Answer:
1. After two months, even after 15 days, transabdominal USG can certainly pick up pregnancy.
There is no doubt now at all, you have to believe that.
Else get a TVS done, if you feel that this same question is troubling you after so many reassurances.
2. Endometrial thickness can increase upto 14 mm in a cycle. Yes, it is this layer along with blood clots that sloughs off during periods.
3. It means that there is no lesion such as fibroid, cyst etc seen inside.
4. It may or may not increase the HCG level slightly, depends on person to person, as each woman has different levels of such hormones in her body.
5. Yes, HCG levels can rise in cases of certain tumours. And I feel that reading and researching on this topic has really made you very paranoid and anxious. The internet provides only half baked facts, unverified by science. Medical knowledge is acquired through 10 - 15 years of systematic study of scientific textbooks, and journals, and practising it on patients through decades. You cannot grasp all of it by reading the internet, it will only make you confused and anxious.
6. As long as it remains below the threshold range it is not related to pregnancy , and yes, without any sexual act, it will remain low.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (4 hours later)
1) Mam sorry for repeating the same questions again and again..mam i cdnt get u regarding the 1st answer..u told "After 2 months,even after 15 days..." this part i cdnt understand..she wont do the tvs,and there is no need to do the tvs as transabdominal usg wd have certainly showed pregnancy(atleast give a hint) in case it was there after 2 months?so no pregnancy?

2)Mam more the endometrial thickness,more the menstrual flow during period and its vice versa?..In July month period,the menstrual period was light,that means endometrial thickness was less,and in August its medium and in September its heavy,more was the endometrial thickness?..So menstrual flow is directly proportional to the endometrial thickness?

3)Mam in case of pregnancy uterus size never remains normal?..it becomes bulky,enlarged?

4)Apart from pregnancy,when size of uterus increases?

5)Is endometrial cavity the same as uterine cavity?

6) Mam incase of pregnancy,endometrial thickness increases?..apart from pregnancy endometrial thickness increases due to PCOD and endometrial hyperplasia?

Mam i got paranoid reading the patient discussions on net..Reliable medical websites didnot made me stressed,but the patient discussions did..thats why..
doctor
Answered by Dr. Aarti Abraham (7 hours later)
Brief Answer:
As below

Detailed Answer:
1. Let me explain. Transabdominal USG is quite sensitive, and would have detected even a 15 day old pregnancy, so for your case it is quite reliable. Yes no chance at all of pregnancy.
2. More the endometrial thickness, heavier the menstrual flow, yes you are right.
3. In case of pregnancy, uterus is bulky and enlarged.
4. Apart from pregnancy it increases in case of - post delivery status, fibroid, endometrial hyperplasia, tumours etc.
5. yes they are both the same.
6. In case of pregnancy, a proper gestational sac is seen. Yes, endometrial thickness is increased in PCOD and hyperplasia, polyp etc.
Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Aarti Abraham (47 hours later)
Ok mam thanx a lot for reassuring me repeatedly that there is no chance at all of any kind of pregnancy with that act on July..Its been a nice experience sharing with u my doubts and fears regarding the pseudo pregnancy fear which i had and which u banished from my mind..kindly answer to these last doubts of mine in details..Thanku mam..

1)Mam there was no need(may b) for all the tests to be done but as her following period(25-28th July) after the sexual act(22nd July) was light,it made me tensed as i heard about implantation bleeding also being light..Mam the only natural way to know whether it was irregular menstrual flow or pregnancy related bleeding is to check with HPT..if its negative,it means irregular menstrual flow(light period) and that would have summed up her non pregnant state ?..

2)Mam no mass seen in adnexas and uterine cavity is seen empty means there is no gestation sac inside the uterus which means no pregnancy?

3)So even if her future periods gets preponed or postponed or missed with variation in flow or colour or pattern,there is no reason to get paranoid or stressed..i mean less flow,heavy flow,normal flow,spotting,variable colour bleeding,brown discharge,its not related to any kind of pregnancy with that July Incident?..Only a fresh sexual act can lead to pregnancy now or in future?

4)So she is completely safe from any kind of pregnancy ectopic or normal and no more tests(HPT,BLOOD HCG,USG) is not needed to confirm her non pregnant status again with that July incident which is 2 months ago?And that July incident will not cause any threat of pregnancy now or in future even if her period gets missed nor any kind of abnormality in flows and periods?

5)So had she been pregnant with that act,the uterus size would have been bulky?atleast some evidence of pregnancy would have been there inside the cavity?also the blood beta hcg should have been much higher after 2 months after sexual act,not less than 0.100 miu/ml,isn't it mam?So even if i dont take those periods into account,still from blood hcg and usg pelvic abdominal confirms her non pregnant state?

Thanx for the umpteenth time mam for reassuring me repeatedly..I am grateful to u forever..thanx mam..thanx a lot..:)
doctor
Answered by Dr. Aarti Abraham (51 minutes later)
Brief Answer:
As below

Detailed Answer:
Hello
Thank you for your kind words and appreciation.
I seriously think you were / are paranoid about the pregnancy fear, and you might need counselling / help to get rid of such a persistent irrational fear .
1. Apart from HPT , no further tests were needed, maybe blood B HCG test as she had irregular periods.
2. It means no pregnancy or any other problem, it means a normal scan.
3. Only fresh sexual act carries risk of pregnancy.
4. SHe is completely safe from pregnancy. No more test is needed at all.
In presence of any kind of menstrual irregularities, she is still safe from pregnancy.
5. If she had been pregnant from July, the uterus would have showed the small baby within the sac ( gestational sac ).
The BHCG would have been far higher .
Everything confirms her non pregnant state.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Aarti Abraham

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Is Pregnancy Possible After Non Penetrative Sexual Activity?

Brief Answer: No chance of pregnancy. Detailed Answer: Hello Thanks for writing to us with your health concern. I have gone through your query. There is no chance of pregnancy. She has got periods after the episode. You did not have intercourse in any manner. Clothes were on, as you say. The pregnancy test is negative. Please relax. I am more than 100 % sure that there is no chance of her getting pregnant. All the best. Please feel free to discuss further.