Hello,

Thanks for writing to us. I have gone through your history in detail.

Basically pregnancy depends on proper timing of ovulation and unprotected sex. According to her period due date (as on 18th January), she ovulated around 4th January and fertile days are 1st to 7th January. You were involved in sex on 12th January which was almost safe period and chance of pregnancy is almost nil.

Therefore I suggest her to wait at least 7 days for getting her period. If she does not get at that time, then she needs to do a home pregnancy test with urine for beta-HCG initially and for confirmation one ultrasound scan of lower abdomen.

Other possible reasons for delayed period like ovarian cyst, stress/ anxiety, hormonal imbalance, irregular eating habit, thyroid problem, psychological factors, overweight or extreme weight loss etc may be considered if pregnancy is ruled out.

The possibilities can be narrowed by means of several tests such as Ultrasound (USG) lower abdomen, LH / FSH level, blood estrogen & progesterone levels, thyroid profile etc.

In this scenario, a gynecologist can help you in guide through the tests after a physical examination. So please consult with him/her if you get negative pregnancy test.

Only after exclusion of pregnancy, she can take mensovit plus capsule and usually it is taken twice daily.

In the mean time, the following measures can be helpful:
1) Avoid stress by yoga/deep breathing regularly (20-30 times).
2) Take healthy diet with vitamin & iron supplements.
3) Drink plenty of fluids/water and eat leafy vegetables & fresh fruits.
4) Maintain personal hygiene and need proper sleeping.
5) Control body weight by regular light exercise.

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

Wish your good health & practice safe sex in future.

Regards,
Dr Soumen.

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Hello,

Thanks for follow up query. I understand your problem on facing doctor.

Here she can undergo any one of test for confirmation of pregnancy as previous pregnancy test was negative.

1) Blood test for beta-HCG
or 2) One ultrasound scan for lower abdomen.

Only after negative pregnancy test, she can start progesterone tablet like duphaston for 7-10 days usually. A withdrawal bleeding, similar to period, comes out within 7 days after stop taking the tablet. Consulting a Gynecologist will help you in getting a prescription for the same.

Herein, if she do not get period, then above said investigations (in previous reply) need to carry on accordingly to rule out underlying pathology. Treatment depends on proper diagnosis on the basis of investigation.

Also follow suggestive measures as described on previous reply to get period early.

Hope I have been able to address your concern. If you do not have any clarifications, you can close the discussion and rate the answer.

Take care of her.

Regards,
Dr Soumen

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hello,

Thanks again for follow up query.

If she gets positive pregnancy test, then medical abortion can be done. But certain things need to be known.

1) Medical abortion is completely done up to XXXXXXX 7-9 weeks of pregnancy. You should confirm gestational age by ultrasound before proceeding abortion.

2) Taking abortifacient medication is always carried on under supervision of gynecologist to avoid unnecessary excessive vaginal bleeding that may occur.

3) A ultrasound scan is needed following abortion and it is mandatory to check retained bits if any or products out incompletely.

4) In such case, surgical method of abortion (D & C) is needed to carry on. So you should consult with your doctor before proceeding abortion.

There are certain MTP pill available like misoprostol etc and these are prescription medication. All abortifacient drugs have some side effects.

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

Regards,
Dr Soumen

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Hello,

Thanks for your query.

Yes, probably it is sign of period. She may get white discharge earlier and now period comes out. Bleeding pattern may vary in concurrent cycle.

As she got negative pregnancy test again, then there is no chance of pregnancy at all. Don't be stressed much.

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

Regards,
Dr Soumen

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Hello,

There is no chance of getting pregnant during period in any circumstances.

Please close the discussion and rate the answer.

Regards,
Dr Soumen

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