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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Bleeding With Cramps After Intercourse A Sign Of Pregnancy?

Hi,I'm 20 yrs old n I just had an abortion this year 16 March and I was given a nur-isterate shot afterwards.I didn't go back for another shot which was on May and I was currently using Doxyclin pills for my acne.I had sex wit my boyfriend on 30 May using the withdrawal method,he quickly put on a condom long b4 he ejaculates.After having sex I had some bleeding nt tht heavy and evn cramps.The bleeding carried on for couple of days not that much bt it ws dark brownish red.Could I be pregnant again?Plz help
Thu, 28 Jul 2016
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OBGYN 's  Response
Hallow Dear.

Withdrawal method is one of the most unsafe and unreliable method of contraception. Before the ejaculation of semen, some amount of pre-ejaculatory secretions are expelled out which do contain some sperms which are capable of causing pregnancy.

It is not clear from your history whether the bleeding you had after the intercourse was at the due time of menstruation or at some time. If it was at the time of menstruation, you do not have to worry about the pregnancy as missing a period is the first cardinal symptom of pregnancy; and moreover just before the menstruation, there is no egg present to get fertilized.

If this bleeding was apart from your menses, you will have to find out the evidence for any pregnancy. Pregnancy test on the overnight first morning urine sample about a week after missing period will help you to detect the pregnancy. Alternatively, you may opt for Beta hCG test on your blood 10 days after the last unprotected intercourse. Values of hCG under 5 mIU/ml denote 'no pregnancy' while values more than 25 mIU are diagnostic of pregnancy.

Pain in abdomen is not a symptom of pregnancy. Brown bleeding during pregnancy is indicative of danger to the baby; so it is also not a sign of pregnancy.

I hope this helps you.

Dr. Nishikant Shrotri
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Is Bleeding With Cramps After Intercourse A Sign Of Pregnancy?

Hallow Dear. Withdrawal method is one of the most unsafe and unreliable method of contraception. Before the ejaculation of semen, some amount of pre-ejaculatory secretions are expelled out which do contain some sperms which are capable of causing pregnancy. It is not clear from your history whether the bleeding you had after the intercourse was at the due time of menstruation or at some time. If it was at the time of menstruation, you do not have to worry about the pregnancy as missing a period is the first cardinal symptom of pregnancy; and moreover just before the menstruation, there is no egg present to get fertilized. If this bleeding was apart from your menses, you will have to find out the evidence for any pregnancy. Pregnancy test on the overnight first morning urine sample about a week after missing period will help you to detect the pregnancy. Alternatively, you may opt for Beta hCG test on your blood 10 days after the last unprotected intercourse. Values of hCG under 5 mIU/ml denote no pregnancy while values more than 25 mIU are diagnostic of pregnancy. Pain in abdomen is not a symptom of pregnancy. Brown bleeding during pregnancy is indicative of danger to the baby; so it is also not a sign of pregnancy. I hope this helps you. Dr. Nishikant Shrotri