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Delayed periods with severe cramps - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   For the past three days (since Sunday the 7th) I've been experiencing severe cramps, kind of like menstrual/ovulation cramps. Except with these it hasn't gone away at all, and every now and then I just get a huge stabbing pain and it hurts so bad I want to throw up. It's very tender and I can't press on my lower stomach without having pain. My last period ended on Thursday the 25th and started on Monday the 22nd. It usually lasts longer but I took Plan B (condom broke) so I think that affected the length. I'm not on birth control and my boyfriend and I had unprotected sex on Thursday the 4th, which is around the time I was ovulating. He has never ejaculated inside of me, but I've heard that pre-ejaculate can sometimes have sperm in it. Is there a chance I may be experiencing these cramps because I could be pregnant?
Doctor :   hi
User :   hey
Doctor :  
please give me sometime to read through what you have typed
User :   okay
User :   thank you
Doctor :  
as per your history, since the unprotected intercourse happened around your ovulation time, there are chances that you might be pregnant
Doctor :  
and the pain and cramps that you are having could be due to the pregnancy
Doctor :  
more-so an ectopic pregnancy which is causing the tubes to expand and hence the severe stabbing pain and lower stomach pain
Doctor :  
do not ignore your symptoms
User :   ectopic pregnancy? oh lord
Doctor :  
you should get a examination, 'bete hCG blood test' and a pelvic scan done
Doctor :  
to see what exactly has happened.
Doctor :  
and take further treatment as per the findings of the test results
Doctor :  
have you followed what i have said?
User :   yeah i have.
Doctor :   Is there any thing else I can help you with?

User :   but do you think it could be related to anything else? i was reading that endometriosis and HPV often start with cramps.
Doctor :  
endometriosis and HPV often do start with cramps, but it will be present since long time, and endometriosis pain wil get a bit relieved after you get pregnant.
User :   okay, thank you very much
User :   so
User :   blood test
Doctor :   and in case of HPV, the serology test will come positive for HPV
User :   and pelvic exam is the priority?
Doctor :  
yes, the examination by a gynecologist is the top priority right now
Doctor :  
to make sure nothing complicated occurs
Doctor :  
that might even risk your life if delayed in cases of ectopic
Doctor :  
Is there any thing else I can help you with?
User :   right right
User :   did my last message send?
Doctor :   which last message? I am sorry, I did not recieve it..
User :   i was just wondering the probability since he has pulled out every time. (our internet is a rather flakey)
Doctor :  
Doctor :  
if the pre-cum is gone inside, during your fertile period, then chances of pregnancy cannot be ruled out.
User :   hmmm ok, and will a pelvic exam verify that?
User :   or would the blood text out-right determine a pregnancy?
User :   test*
Doctor :   a pelvic exam, along with beta hCG blood test and a ultrasound pelvis will be confirmatory
Doctor :  
to tell you what is happening
User :   okay, i guess lastly
Doctor :  
also a serology for HPV and if the pregnancy is negative then the
Doctor :  
possibilioty of endometriosis
User :   ah, okay okay
Doctor :  
should be ruled out by doing a laproscopy
User :   alright cool
User :   then, worse case scenario and it's a confirmed pregnancy this early, how many options are open?
Doctor :  
is there anything else that you would like to ask me?
Doctor :  
Doctor :  
the worst case scenario would be to have an etcopic pregnancy, and the only option is to do an emergency surgery to remove it
Doctor :  
and then later put you on birth control measures
Doctor :  
to avoid further pregnancy for atleast next 6 months
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