Hello XXXXXXX

Thanks for posting your query. I have gone through your history in details.

Being late period for 11 days with both HPT & blood test negative, it is unlikely to be pregnant. To make sure or clear doubt, you may undergo one ultrasound scan (USG) which helps you to rule out conception or underlying pathology if any.

Pregnancy is possible only, if unprotected sexual intercourse is done around ovulation time in regular period. Ovulation occurs approx 14 days before due date.

Spotting may occur following unprotected sex in some women due to hormonal factor or stress/ emotional upset.

The possible reasons for delayed period include hormonal imbalance, irregular eating habit, stress/anxiety, ovarian cyst or PCOD, thyroid problem, psychological factors, overweight or extreme weight loss, etc.

The possibilities can be narrowed by means of other tests such as LH / FSH level, blood estrogen and progesterone levels, thyroid profile, blood sugar etc.

So please consult with your gynecologist who can help you in guide through the tests & proper medication after a physical examination.

Do the following measures that can be helpful:
1) Control body weight by regular physical exercise.
2) Avoid stress by yoga/deep breathing regularly.
3) Take healthy diet with vitamin & iron supplements.
4) Drink plenty of fluids/water and eat leafy vegetables & fruits.
5) Maintain personal hygiene and need proper sleeping.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your good health in future.

Regards,
Dr Soumen

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Hello XXXXXXX

Thanks for follow up query. I am giving answer according to your query.

1) In your case, it is unlikely to be pregnant. In rare case, less than 1 % women may be pregnant due to false negative test in early pregnancy.

Therefore I suggest to perform one ultrasound scan (USG) to confirm or exclude pregnancy by 100%.

2) Before commencing period, some women feel lower abdominal cramp which is quite common & normal thing. It may or may be not related with pregnancy. Only after confirmation of pregnancy, we can say the underlying causes.

3) You did unprotected sex around ovulation time. Then you have high possibility of being pregnant if ovulation occurred at that time.
White secretion (leukorrhea) after ovulation or prior to commencing period is quite common and natural thing if it is devoid of odor & itching. For heavy discharge, you may need some antibiotic therapy or vaginal suppository and maintain genital hygiene properly.

But you do a ultrasound scan at the earliest. Then you need to consult with gynecologist.

According to your height & weight, your BMI is 19.13 which is quite normal but ideal weight will be 57-58 kg.

If you do not have any clarifications, you can close the discussion and rate the answer.

Take care of yourself and be well.
Regards,
Dr Soumen

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Hello XXXXXXX

Thanks again for follow up query. I am trying to answer your query accordingly.

1) Yes, mild white discharge may be seen in early pregnancy. It is also seen post ovulation or prior to commence period.
Sometimes early pregnancy test gives false negative test due to low level of HCG hormone in blood but it is less than 1%.

I suggest you to do one ultrasound scan at the earliest to clear confusion from your mind and it also helps in to rule out certain other pathology.

2) Actually ovulation occurs 14 days prior to expected due date of period. Post ovulation, ovum only survives for 24-36 hrs. In case of delayed period, cycle remains anovulatory (without ovulation) and possibly due to progesterone deficiency.
Ovulation prediction kit (OPK) is useful to predict ovulation in case of regular cycle. Other methods like Day 21 progesterone level, mid cycle serum LH, serial sonography for ovarian follicle measurement, endometrial biopsy on Day 21-23 for observing secretory changes etc.

3) Missed period is not normal thing if previous cycle was regular. In such case, you should undergo several investigations to rule out underlying causes besides pregnancy and I have already discussed in previous reply. Please follow those.

First, you should do an ultrasound scan at the earliest and then you can contact with gynecologist for further suggestion & next line management.

If you do not have any clarifications, you can close the discussion and rate the answer.
Be well and not to be much worried.

Regards,
Dr Soumen

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Hello XXXXXXX

Thanks for your query.

As your actual bleeding started on 17th December, then next period due date was on 14th January in case of 28 days cycle. Spotting is not your actual period. So period date would be calculated as per actual bleeding.

According to expected due date (14th January), you ovulated around 31st December and your fertile days were 28th Dec to 3rd January.

So follow my suggestive advice as described on earlier reply.

If you do not have any clarifications, you can close the discussion and rate the answer.
Take care yourself.

Regards,
Dr Soumen

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