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Is Pregnancy Possible Through Non-penetrative Intercourse?
Question: 22 nd July me and my gf got intimate..no intercourse,no fingering,no genital contact..may have just rubbed her vulva with minuscule amount of precum if any(it may or may not be precum bt not a handful of precum),that was on 38th day of her cycle..she was due in her periods then..3 days later she got light and medium period with blood clots and typical smell of blood during period which she gets in her period from 25th July-28th July..after 22nd July no sexual intimacy..she has roughly 34-37 days cycle bt her flow during period varies sometimes normal sometimes light..on 31st july(few days after her july period) she got slight brown discharge once,she said that she got this in some of her earlier cycles too may be old blood of period.. after 22nd July no sexual intimacy,then again on 15th August she got her period(2 weeks early) with light and medium flow and lots of blood clots for 4 days(15-18th August)..that was on 22nd day of her cycle..She took some 10 no of Urine pregnancy Test with Preganews all being negative,latest being on 27th August(36 days after the sexual act) and it came back negative..She has PCOS,earlier had medications,now stopped..cycle length is 34-37 days now bt her flow varies..Her age is 20..after her august period on 16th august she visited a homeopathic doctor who gave her medicines earlier too to regularise periods..she now gave her Calcarea Carbonica which she is taking now..
1)Mam no chance of pregnancy as the urine pregnancy test with preganews showed negative result even after 36 days from the incident?
2)Mam why is the August period(15-18th August) early by 2 weeks?we didnot engage in any sexual act after 22nd July..she got the august period on her 22nd day(15-18th August)..she was under stress,is that the reason?
3)Mam her flow during period varies,she got 2 periods though with reduced flow after 22nd July incident,so no chance of pregnancy at all with that incident on 22nd July?
4)May month Period 11-14th May(light and medium flow) XXXXXXX month Period 15-18th June(normal flow),July month period 25-28th July(light and medium flow),August month period 15-18th August(light and medium flow)
5)Mam kindly answer to these questions in details as early as possible..
1)Mam no chance of pregnancy as the urine pregnancy test with preganews showed negative result even after 36 days from the incident?
2)Mam why is the August period(15-18th August) early by 2 weeks?we didnot engage in any sexual act after 22nd July..she got the august period on her 22nd day(15-18th August)..she was under stress,is that the reason?
3)Mam her flow during period varies,she got 2 periods though with reduced flow after 22nd July incident,so no chance of pregnancy at all with that incident on 22nd July?
4)May month Period 11-14th May(light and medium flow) XXXXXXX month Period 15-18th June(normal flow),July month period 25-28th July(light and medium flow),August month period 15-18th August(light and medium flow)
5)Mam kindly answer to these questions in details as early as possible..
Brief Answer:
Pregnancy unlikely.
Detailed Answer:
Hello,
Thanks for posting your query.
After going through the sequence of events as reported by you, here are your answers:
1. Chances of pregnancy are almost nil since she had the sexual contact around her period, in other words, during the safe or anovulatory period. When repeated home pregnancy tests performed as per instructions are negative, pregnancy is unlikely. You can conclusively confirm through an estimation of the serum beta-hCG titres also.
2. Stress and hormonal disturbances as in PCOD can cause irregular periods and this is possibly the reason for the early period in August.
3. Chances of pregnancy would have been there if she had been ovulating during the period of sexual intimacy. The fact that she was in her safe period then rules out pregnancy. Also, since she had two periods after that, this indicates absence of any conception in normal instances.
4. As per her menstrual calendar, her cycle length is variable. PCOD can be one of the causes for this. To correct imbalances, she needs to have a proper evaluation by a specialist and plan further management.
Hope your queries have been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Pregnancy unlikely.
Detailed Answer:
Hello,
Thanks for posting your query.
After going through the sequence of events as reported by you, here are your answers:
1. Chances of pregnancy are almost nil since she had the sexual contact around her period, in other words, during the safe or anovulatory period. When repeated home pregnancy tests performed as per instructions are negative, pregnancy is unlikely. You can conclusively confirm through an estimation of the serum beta-hCG titres also.
2. Stress and hormonal disturbances as in PCOD can cause irregular periods and this is possibly the reason for the early period in August.
3. Chances of pregnancy would have been there if she had been ovulating during the period of sexual intimacy. The fact that she was in her safe period then rules out pregnancy. Also, since she had two periods after that, this indicates absence of any conception in normal instances.
4. As per her menstrual calendar, her cycle length is variable. PCOD can be one of the causes for this. To correct imbalances, she needs to have a proper evaluation by a specialist and plan further management.
Hope your queries have been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
mam the urine pregnancy test is negative even after 36 days of from the sexual act,so there is no chance of pregnancy with that act on 22nd July?..is there any need to do the blood test?..UPT is negative 36 days from the sexual act,then why is blood test required mam?..kindly answer..she is not willing to do the blood test..plz answer the preganews test is negative even after 36 days from the act..kindly answer mam as soon as possible..and is it because of pcos that her flow varies?
mam kindly answer these question in details..
1)HPT with preganews is negative even after 36 days from the sexual act,so there is no chance of pregnancy with that act unless we again get intimate?
2)Mam she is not willing to do blood test..she told that she wl do another HPT test on monday which is 40 days after the incident,it wl conclusively rule out pregnancy with that 22nd July act?Isn't it mam?
3)Mam her flow varies and cycle length too..is this because of pcos and hormonal imbalance?
4)Mam kindly answer to these in details..i wl be grateful to u forever..plz mam reply as soon as possible..thanx..:)
mam kindly answer these question in details..
1)HPT with preganews is negative even after 36 days from the sexual act,so there is no chance of pregnancy with that act unless we again get intimate?
2)Mam she is not willing to do blood test..she told that she wl do another HPT test on monday which is 40 days after the incident,it wl conclusively rule out pregnancy with that 22nd July act?Isn't it mam?
3)Mam her flow varies and cycle length too..is this because of pcos and hormonal imbalance?
4)Mam kindly answer to these in details..i wl be grateful to u forever..plz mam reply as soon as possible..thanx..:)
Brief Answer:
Pregnancy unlikely.
Detailed Answer:
Hello,
Thanks for writing back.
Here are your answers:
1. Home pregnancy tests usually read well 3-7 days after a missed period when performed with a fresh early morning sample of urine. If in doubt, the test can be repeated after 3-4 days. If repeated tests performed as advised are negative, pregnancy is unlikely.
2. The blood tests also detect the pregnancy hormone as the urine tests, but even in lower quantities. If she is not willing to get it done, let her go ahead with another HPT.
3. The varied length and flow in her cycles is more likely to be due to PCOS for which she needs to take proper treatment. The presence of clots, brownish discharge and uneven flow suggest that she could be having breakthrough bleeding on and off.
Hope this helps. Please contact if you need any more information.
regards,
Shanti.V.
Pregnancy unlikely.
Detailed Answer:
Hello,
Thanks for writing back.
Here are your answers:
1. Home pregnancy tests usually read well 3-7 days after a missed period when performed with a fresh early morning sample of urine. If in doubt, the test can be repeated after 3-4 days. If repeated tests performed as advised are negative, pregnancy is unlikely.
2. The blood tests also detect the pregnancy hormone as the urine tests, but even in lower quantities. If she is not willing to get it done, let her go ahead with another HPT.
3. The varied length and flow in her cycles is more likely to be due to PCOS for which she needs to take proper treatment. The presence of clots, brownish discharge and uneven flow suggest that she could be having breakthrough bleeding on and off.
Hope this helps. Please contact if you need any more information.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
ok mam thank u..
1)So the repeated negative HPT with preganews 40 days after the incident wl rule out any chance of pregnancy with the 22nd July event?
2)Mam u said if anyone misses period then only one can test with HPT,bt she didnot miss the period after 22nd July activity..she was already due on her periods then,3 days later she got period with light and medium flow..she got 2 periods after the incident..so as she got the period after 22nd July and also the HPT is negative 36 days after the incident,it completely rules out any chance of pregnancy with that 22nd July event?
3)Mam so there is no threat of pregnancy in future with the 22nd July activity unless we again get intimate?
4)Kindly answer mam in details as soon as possible..I wl be grateful to u foreever..thanx..:)
1)So the repeated negative HPT with preganews 40 days after the incident wl rule out any chance of pregnancy with the 22nd July event?
2)Mam u said if anyone misses period then only one can test with HPT,bt she didnot miss the period after 22nd July activity..she was already due on her periods then,3 days later she got period with light and medium flow..she got 2 periods after the incident..so as she got the period after 22nd July and also the HPT is negative 36 days after the incident,it completely rules out any chance of pregnancy with that 22nd July event?
3)Mam so there is no threat of pregnancy in future with the 22nd July activity unless we again get intimate?
4)Kindly answer mam in details as soon as possible..I wl be grateful to u foreever..thanx..:)
Brief Answer:
There is no chance of pregnancy.
Detailed Answer:
Hello,
Thanks for writing.
When the HPT is repeated a few days after the first one, given sufficient time after the incident, almost rules out pregnancy, if negative. Since she has had normal periods after the incident, there is no possibility of pregnancy.
You can also get a trans-vaginal sonogram done to know the status of the pelvic organs. This clarifies your fears beyond doubt.
Please do not worry. She is safe.
Hope this helps.
regards,
Shanti.V.
There is no chance of pregnancy.
Detailed Answer:
Hello,
Thanks for writing.
When the HPT is repeated a few days after the first one, given sufficient time after the incident, almost rules out pregnancy, if negative. Since she has had normal periods after the incident, there is no possibility of pregnancy.
You can also get a trans-vaginal sonogram done to know the status of the pelvic organs. This clarifies your fears beyond doubt.
Please do not worry. She is safe.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
ok mam thanx a lot..
1)Mam if the test result on preganews kit is negative even after 40 days from the incident,it wl completely rule out any chance of pregnancy with that 22nd July act?
2)Mam wl the HPT negative result after 40 days from the incident wl be conculdatory and wl rule out any chance of pregnancy with that act on 22nd July?
3)Mam if the HPT with preganews is negative even 40 days after the incident,still wl i repeat the HPT again?
4)Mam if her coming periods gets preponed or postponed with less or normal flow,it is due to pcos and hormonal imbalance only and not due to the 22nd July act?
5)Mam that 22nd July activity wl not cause any threat of pregnancy in future unless we again get intimate,isn't it mam?
6)Mam she wl see her doctor for irregularities in period..she needs to do pelvic usg or transvaginal usg?
7)Mam i am actually concerned with the reduced flow during her periods after the 22nd July incident..though both of the flows tested negative on HPT..
8)Mam sorry for bothering u so much..this is the last time i am bothering u..thanx for sparing ur valueable time and answering my silly questions..kindly answer to these questions in details as soon as possible..i l be grateful to u forever..thanx a lot mam..:)
1)Mam if the test result on preganews kit is negative even after 40 days from the incident,it wl completely rule out any chance of pregnancy with that 22nd July act?
2)Mam wl the HPT negative result after 40 days from the incident wl be conculdatory and wl rule out any chance of pregnancy with that act on 22nd July?
3)Mam if the HPT with preganews is negative even 40 days after the incident,still wl i repeat the HPT again?
4)Mam if her coming periods gets preponed or postponed with less or normal flow,it is due to pcos and hormonal imbalance only and not due to the 22nd July act?
5)Mam that 22nd July activity wl not cause any threat of pregnancy in future unless we again get intimate,isn't it mam?
6)Mam she wl see her doctor for irregularities in period..she needs to do pelvic usg or transvaginal usg?
7)Mam i am actually concerned with the reduced flow during her periods after the 22nd July incident..though both of the flows tested negative on HPT..
8)Mam sorry for bothering u so much..this is the last time i am bothering u..thanx for sparing ur valueable time and answering my silly questions..kindly answer to these questions in details as soon as possible..i l be grateful to u forever..thanx a lot mam..:)
Brief Answer:
Pregnancy is not possible in the current scenario.
Detailed Answer:
Hello,
In the current scenario, pregnancy is not possible to have happened. This is what I have been saying all the time. Please get rid of this obsessive thought and just relax. She is not pregnant.
With repeatedly negative pregnancy tests and regular periods, there is no need to worry about conception having occurred.
The problem of PCOS has to be attended to and as part of the investigation, a sonogram is always done. Also, stress, hormone imbalance, sudden weight disturbances and PCOS can give rise to period disturbances. A specialist can assess and plan further management in this regard. Healthy diet, balanced weight and regular exercise help to maintain hormone balance.
Hope your query has been answered.
Wish you good health.
regards,
Shanti.V.
Pregnancy is not possible in the current scenario.
Detailed Answer:
Hello,
In the current scenario, pregnancy is not possible to have happened. This is what I have been saying all the time. Please get rid of this obsessive thought and just relax. She is not pregnant.
With repeatedly negative pregnancy tests and regular periods, there is no need to worry about conception having occurred.
The problem of PCOS has to be attended to and as part of the investigation, a sonogram is always done. Also, stress, hormone imbalance, sudden weight disturbances and PCOS can give rise to period disturbances. A specialist can assess and plan further management in this regard. Healthy diet, balanced weight and regular exercise help to maintain hormone balance.
Hope your query has been answered.
Wish you good health.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Prasad
Mam she again got her period on 5th September that lasted for 5 days and its heavy this time with lots of clots and cramping(5-9th September)..She visited her gynaecologist with her fathe XXXXXXX 8th whom she sees since 2005..He said that as she has PCOD,this type of irregular periods can occur..He examined her internally,didnot prescribe any medicines or examinations..Her weight is 66 kgs,height 5 ft 2-3 inches,BP-110/70..He told her to regularly exercise for 4-45 minutes and control diet..as she took medicines under him 1 year back for 4 months to regularise her cycles from 45-50 days to 32-35 days,the gynaecologist told that these hormonal medicines may affect her in the long run,so he just advised her to exercise regularly and control diet..She is taking Calcarea Carbonica for her irregularities in period..
She took blood hcg test on 8th September(3rd day of her September period),whic is 7 weeks since the act,and it showed less than 0.1miu/cc,she again took bhcg on 11th September after her period ended and it showed less than 0.1 miu/cc..I am attaching the reports..kindly see it mam..
1)Mam blood for hcg was done on her periods(8th September),and in the report it is also mentioned,so does it affected the result?This time he told that her period is on 5th September,as it is her LMP,the result showed less than 0.1miu/cc..
2)Mam today she also took the test,the value is also same as earlier,but this time she mentioned her last LMP as 15th August(as she had confusion that doing bhcg during periods affected the result earlier time) which was her earlier period date..the value is same,but it is highlighted..why mam?
3)Mam earlier she had 32-35 days cycle length,in August and September she got her periods exactly on the 22nd day..in september month its heavy..why mam?
4)So no chance of pregnancy with that act on July and no need to repeat blood hcg?
She took blood hcg test on 8th September(3rd day of her September period),whic is 7 weeks since the act,and it showed less than 0.1miu/cc,she again took bhcg on 11th September after her period ended and it showed less than 0.1 miu/cc..I am attaching the reports..kindly see it mam..
1)Mam blood for hcg was done on her periods(8th September),and in the report it is also mentioned,so does it affected the result?This time he told that her period is on 5th September,as it is her LMP,the result showed less than 0.1miu/cc..
2)Mam today she also took the test,the value is also same as earlier,but this time she mentioned her last LMP as 15th August(as she had confusion that doing bhcg during periods affected the result earlier time) which was her earlier period date..the value is same,but it is highlighted..why mam?
3)Mam earlier she had 32-35 days cycle length,in August and September she got her periods exactly on the 22nd day..in september month its heavy..why mam?
4)So no chance of pregnancy with that act on July and no need to repeat blood hcg?
Brief Answer:
Pregnancy is ruled out.
Detailed Answer:
Hello,
Thanks for writing again.
I have gone through both the reports. She is not pregnant. From the description of the symptoms you have given, pregnancy is ruled out. Moreover, her symptoms point to the condition of PCOD and what her doctor suggested is to be followed carefully since this seems to be the best option available at present.
Even if she had forgotten her last menstrual period, the fact is that she has been having natural menstrual cycles ever since the point of sexual contact. Also, in PCOD, ovulation is irregular and sometimes absent, so fertility rates are naturally lower. Thus, there is no significance on the blood test result. the value has been highlighted as part of the procedures in lab reports where values above or below normal are highlighted; this is of no importance here.
PCOD causes irregular cycles and also irregular duration and amount of flow. Finally, I would like to say that you need not worry about pregnancy and go for a repeat blood test, but, continue with the treatment for PCOD.
Hope this helps.
regards,
Shanti.V.
Pregnancy is ruled out.
Detailed Answer:
Hello,
Thanks for writing again.
I have gone through both the reports. She is not pregnant. From the description of the symptoms you have given, pregnancy is ruled out. Moreover, her symptoms point to the condition of PCOD and what her doctor suggested is to be followed carefully since this seems to be the best option available at present.
Even if she had forgotten her last menstrual period, the fact is that she has been having natural menstrual cycles ever since the point of sexual contact. Also, in PCOD, ovulation is irregular and sometimes absent, so fertility rates are naturally lower. Thus, there is no significance on the blood test result. the value has been highlighted as part of the procedures in lab reports where values above or below normal are highlighted; this is of no importance here.
PCOD causes irregular cycles and also irregular duration and amount of flow. Finally, I would like to say that you need not worry about pregnancy and go for a repeat blood test, but, continue with the treatment for PCOD.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Yogesh D
Mam we repeated the blood test after 48 days and 51 days of the sexual act..she had two light medium periods and one heavy period since then,the last blood hcg was done yesterday and the report shows less than 0.1 miu/cc..then why it is to be repeated mam?is there still chance of pregnancy with the act on 22nd July?..we did the 1st blood test on 8th September(4th day of her September period),and again on 11th September after her period ended,both gave the same result..then why it is to be repeated mam?
Brief Answer:
No need to repeat the test.
Detailed Answer:
Hello,
I think you have misread my answer. You need not repeat the pregnancy test. There is no need at all. I mentioned that you need not worry about pregnancy and go for a repeat test, which means the test need not be repeated.
Hope this clarifies your query.
regards,
Shanti.V.
No need to repeat the test.
Detailed Answer:
Hello,
I think you have misread my answer. You need not repeat the pregnancy test. There is no need at all. I mentioned that you need not worry about pregnancy and go for a repeat test, which means the test need not be repeated.
Hope this clarifies your query.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Yogesh D
Ok mam..she is doing usg pelvis lower abdomen the day after tomorrow for her pcos and also to confirm her non pregnant state..
1)Mam does doing bhcg when her periods are on flow affect the test result?She mentioned about this month's period as LMP(5th September) and the test was done on 8th September(4th day of this month period)..And in the report it is also written as LMP..so does that affect the result?The result is less than 0.1miu/cc,this time its not highlighted
2)She did the 2nd bhcg on 11th September from the same lab as she was in doubt that doing bhcg during periods affected the result,this time she mentioned last month's medium period 15th August as her LMP,this time also the value is same less than 0.1 miu/cc,but this time its highlighted..earlier time the value was same but not highlighted..
3)Mam both the tests were within normal level(less than 2.5 miu/cc for non pregnant women)..but the 2nd time its highlighted,1st time it was not..why mam?
4)This value wont increase unless we again engage in sexual activity..isn't it mam?
5)Mam even if i dont take those 3 periods into account,51 days after the act the value is less than 0.1 miu/cc,so it completely rules out pregnancy with that act?
6)Mam if her coming periods gets altered or missed with less or normal flow,it is not because of pregnancy with that July incident?
Kindly answer to these mam in details..
1)Mam does doing bhcg when her periods are on flow affect the test result?She mentioned about this month's period as LMP(5th September) and the test was done on 8th September(4th day of this month period)..And in the report it is also written as LMP..so does that affect the result?The result is less than 0.1miu/cc,this time its not highlighted
2)She did the 2nd bhcg on 11th September from the same lab as she was in doubt that doing bhcg during periods affected the result,this time she mentioned last month's medium period 15th August as her LMP,this time also the value is same less than 0.1 miu/cc,but this time its highlighted..earlier time the value was same but not highlighted..
3)Mam both the tests were within normal level(less than 2.5 miu/cc for non pregnant women)..but the 2nd time its highlighted,1st time it was not..why mam?
4)This value wont increase unless we again engage in sexual activity..isn't it mam?
5)Mam even if i dont take those 3 periods into account,51 days after the act the value is less than 0.1 miu/cc,so it completely rules out pregnancy with that act?
6)Mam if her coming periods gets altered or missed with less or normal flow,it is not because of pregnancy with that July incident?
Kindly answer to these mam in details..
Brief Answer:
Serum beta-hCG titres relate to pregnant or non-pregnant status.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1,2,3. Firstly, there is no need for estimation of the serum beta-hCG titres when there is no doubt about pregnancy. Also, test result is not dependent on menstrual flow in this scenario. Please understand that the test involves measurement of a hormone which shows significant levels in pregnancy-related conditions only. I have already written that highlighted text does not mean anything important here; it is only part of routine practice by certain labs.
4. The titres rise only if pregnancy occurs and not with sexual activity alone.
5. Pregnancy is completely ruled out as I have already explained.
6. Her cycle disturbances cannot be related to the sexual activity; in fact, since she has already been diagnosed with PCOD, it is obvious that this is the cause for the cycle disruption.
Hope all your queries have been clarified. Take care.
regards,
Shanti.V.
Serum beta-hCG titres relate to pregnant or non-pregnant status.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1,2,3. Firstly, there is no need for estimation of the serum beta-hCG titres when there is no doubt about pregnancy. Also, test result is not dependent on menstrual flow in this scenario. Please understand that the test involves measurement of a hormone which shows significant levels in pregnancy-related conditions only. I have already written that highlighted text does not mean anything important here; it is only part of routine practice by certain labs.
4. The titres rise only if pregnancy occurs and not with sexual activity alone.
5. Pregnancy is completely ruled out as I have already explained.
6. Her cycle disturbances cannot be related to the sexual activity; in fact, since she has already been diagnosed with PCOD, it is obvious that this is the cause for the cycle disruption.
Hope all your queries have been clarified. Take care.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Ok mam thanx for sparing ur valueable time and answering my questions..
1)Mam does blood hcg testing when the periods are in flow affect the test result?i mean to say whether lmp of this month and testing during this month period cause false result?
2)Mam she is taking calcarea carbonica homeopathic medicine for her irregularities in period,does it affect the results?
3)Mam no need to do pelvis lower abdomen usg for this count as she is not pregnant?
4)Mam will this blood hcg level remain same or increase or decrease without any sexual activity now leading to pregnancy?
Kindly answer to this mam in details..i wl be grateful to u forever..thanx mam..
1)Mam does blood hcg testing when the periods are in flow affect the test result?i mean to say whether lmp of this month and testing during this month period cause false result?
2)Mam she is taking calcarea carbonica homeopathic medicine for her irregularities in period,does it affect the results?
3)Mam no need to do pelvis lower abdomen usg for this count as she is not pregnant?
4)Mam will this blood hcg level remain same or increase or decrease without any sexual activity now leading to pregnancy?
Kindly answer to this mam in details..i wl be grateful to u forever..thanx mam..
Brief Answer:
Sonogram of the pelvis can be done as a routine.
Detailed Answer:
Hello,
Thanks for writing back.
Here are your answers.
1.No, the test results are not related to a menstrual cycle, in fact, are not needed at all if she is menstruating normally.
2. I cannot relate the effects of homeopathic medicine on the test result. You should ask a homeopathic doctor for better idea. The only things that would interfere and give a false result are external use of hCG and hMG injections as is seen during infertility treatments.
3. Sonogram of the pelvis can be done as part of routine testing. This also helps to know the status of the pelvic organs. Pregnancy is not the only indication for this procedure, there are several others.
4.The current level of serum beta-hCG is irrelevant and insignificant. It can remain the same, or vary but not rise so long as there is no pregnancy in future.
Hope this helps.
regards,
Shanti.V.
Sonogram of the pelvis can be done as a routine.
Detailed Answer:
Hello,
Thanks for writing back.
Here are your answers.
1.No, the test results are not related to a menstrual cycle, in fact, are not needed at all if she is menstruating normally.
2. I cannot relate the effects of homeopathic medicine on the test result. You should ask a homeopathic doctor for better idea. The only things that would interfere and give a false result are external use of hCG and hMG injections as is seen during infertility treatments.
3. Sonogram of the pelvis can be done as part of routine testing. This also helps to know the status of the pelvic organs. Pregnancy is not the only indication for this procedure, there are several others.
4.The current level of serum beta-hCG is irrelevant and insignificant. It can remain the same, or vary but not rise so long as there is no pregnancy in future.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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 cm,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..
Mam what are the findings of this rerport?..So she is completely free from pregnancy? and what about the report? what about the endomertial thickness as i came to know it thickens during pregnancy....She did this on 15th September(8th week since the incident)..11th day..Is there any need to repeat usg again?kindly answer mam in details..
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 cm,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..
Mam what are the findings of this rerport?..So she is completely free from pregnancy? and what about the report? what about the endomertial thickness as i came to know it thickens during pregnancy....She did this on 15th September(8th week since the incident)..11th day..Is there any need to repeat usg again?kindly answer mam in details..
Brief Answer:
Normal study.
Detailed Answer:
Hello,
Thanks for writing again.
The sonogram report denotes normal study. She is not pregnant. Please note that if she had become pregnant by the sexual contact, this would definitely have shown in the sonogram. So, do not worry. There is also no need to repeat the sonogram. The endometrial thickness is normal in a non-pregnant state for the day of the menstrual cycle when the sonogram was done.
Hope this helps.
regards,
Shanti.V.
Normal study.
Detailed Answer:
Hello,
Thanks for writing again.
The sonogram report denotes normal study. She is not pregnant. Please note that if she had become pregnant by the sexual contact, this would definitely have shown in the sonogram. So, do not worry. There is also no need to repeat the sonogram. The endometrial thickness is normal in a non-pregnant state for the day of the menstrual cycle when the sonogram was done.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
1)In general in usg its written that there is no gestational sac or non gravid or uterine cavity is empty..thats why..actually this usg is done as a whole abdomen..i mean upper abdomen and lower abdomen too..not only usg pelvis lower abdomen..so wl she do only usg pelvis lower abdomen again just to be too sure?
2)Mam whats the endometrial thickness for pregnancy to occur?Her is only 6mm..Mam whats the meaning mam endometrial echo 6 mm thick and in midline?
3)Mam as per my knowledge endometrial thickness increases during the cycle,finally it sloughs off during period..Mam if her coming periods(without any sexual act) in future gets preponed or postponed or missed with variation in flow or pattern what will it indicate?
4)Thanku mam..
2)Mam whats the endometrial thickness for pregnancy to occur?Her is only 6mm..Mam whats the meaning mam endometrial echo 6 mm thick and in midline?
3)Mam as per my knowledge endometrial thickness increases during the cycle,finally it sloughs off during period..Mam if her coming periods(without any sexual act) in future gets preponed or postponed or missed with variation in flow or pattern what will it indicate?
4)Thanku mam..
Brief Answer:
Endometrial thickness corresponds to the phase of the menstrual cycle.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. Uterus is a pelvic organ and hence, a sonogram of the pelvis only can give a clarification of the status of the uterus.
2. The thickness of the endometrium is usually around 8 mm. at the time of ovulation and this is when pregnancy can occur. The meaning of the sonogram report of the endometrium means that it is corresponding to the menstrual phase and is normal in appearance.
3. Without pregnancy, variation in the menstrual cycle is considered normal within a range of 7-10 days. Beyond this range, either frequent or delayed periods suggest hormone imbalance. Please remember, pregnancy cannot happen without sexual activity.
Hope this helps.
regards,
Shanti.V.
Endometrial thickness corresponds to the phase of the menstrual cycle.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. Uterus is a pelvic organ and hence, a sonogram of the pelvis only can give a clarification of the status of the uterus.
2. The thickness of the endometrium is usually around 8 mm. at the time of ovulation and this is when pregnancy can occur. The meaning of the sonogram report of the endometrium means that it is corresponding to the menstrual phase and is normal in appearance.
3. Without pregnancy, variation in the menstrual cycle is considered normal within a range of 7-10 days. Beyond this range, either frequent or delayed periods suggest hormone imbalance. Please remember, pregnancy cannot happen without sexual activity.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Ok mam..thank u..
1)So wl she do only usg pelvic abdominal once today or no need to do it?..and no need to do another bhcg?
2)Mam can sexual activity from that july cycle cause threat to pregnancy now or future?i know it cannot just asking for reassurance as searching net made me paranoid where ppl saying that periods occur even after getting pregnant and bhcg is not reliable,thats why..Her latest bhcg was done 51 days after the act with LMP given as 15th August(august period date) and its less than 0.100 miu/cc..
3)So she is completely safe from any kind of pregnancy normal or ectopic without any further sexual activity after that July incident?
4)Mam what was her overall usg report?
Kindly answer mam in details..
1)So wl she do only usg pelvic abdominal once today or no need to do it?..and no need to do another bhcg?
2)Mam can sexual activity from that july cycle cause threat to pregnancy now or future?i know it cannot just asking for reassurance as searching net made me paranoid where ppl saying that periods occur even after getting pregnant and bhcg is not reliable,thats why..Her latest bhcg was done 51 days after the act with LMP given as 15th August(august period date) and its less than 0.100 miu/cc..
3)So she is completely safe from any kind of pregnancy normal or ectopic without any further sexual activity after that July incident?
4)Mam what was her overall usg report?
Kindly answer mam in details..
Brief Answer:
No need to test for pregnancy again.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. There is no need to repeat the sonogram or pregnancy test.
2. She cannot get pregnant now with a sexual act long ago. This is impossible. Net surfing on such issues should be done only with reliable websites. You cannot take every opinion into count; just rely only on expert opinions.
3. She is completely safe from pregnancy.
4. Her sonogram report is completely normal and she is not pregnant. I reiterate this, and please take this for granted.
Hope this helps.
regards,
Shanti.V.
No need to test for pregnancy again.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. There is no need to repeat the sonogram or pregnancy test.
2. She cannot get pregnant now with a sexual act long ago. This is impossible. Net surfing on such issues should be done only with reliable websites. You cannot take every opinion into count; just rely only on expert opinions.
3. She is completely safe from pregnancy.
4. Her sonogram report is completely normal and she is not pregnant. I reiterate this, and please take this for granted.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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?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?
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 is completely ruled out as usg pelvis abdominal was done after 2 months from sex?
Mam this is the last time i am bothering u..I am grateful to u forever..Kindly answer mam in details..thanku u..thanx a lot..:)
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?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?
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 is completely ruled out as usg pelvis abdominal was done after 2 months from sex?
Mam this is the last time i am bothering u..I am grateful to u forever..Kindly answer mam in details..thanku u..thanx a lot..:)
Brief Answer:
Non-pregnant state with polycystic ovaries.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. It reflects the position of the uterus in relation to the cervix. The echo pattern can become variable when there is abnormal tissue pattern. Here, it is normal and this means there is nothing wrong with the uterus and there is no pregnancy.
2. This again means that there is no localized abnormal tissue pattern in the lining of the uterus and this again means there is no abnormality such as any tumors or pregnancy.
3. No local protrusions into the cavity, no blood clots or gestation sac.
4. Yes.
5. SOL means space occupying lesion which essentially means gestation sac, tumors, blood clots, polyps etc. Fluid in the pouch of XXXXXXX is often seen associated with ovulation and here, it is absent.
6. The sonogram shows bilateral polycystic ovaries and the rest of the study is normal. Pregnancy is completely ruled out.
Hope this helps.
regards,
Shanti.V.
Non-pregnant state with polycystic ovaries.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. It reflects the position of the uterus in relation to the cervix. The echo pattern can become variable when there is abnormal tissue pattern. Here, it is normal and this means there is nothing wrong with the uterus and there is no pregnancy.
2. This again means that there is no localized abnormal tissue pattern in the lining of the uterus and this again means there is no abnormality such as any tumors or pregnancy.
3. No local protrusions into the cavity, no blood clots or gestation sac.
4. Yes.
5. SOL means space occupying lesion which essentially means gestation sac, tumors, blood clots, polyps etc. Fluid in the pouch of XXXXXXX is often seen associated with ovulation and here, it is absent.
6. The sonogram shows bilateral polycystic ovaries and the rest of the study is normal. Pregnancy is completely ruled out.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Mam today is the 35th day after 5th September,still she didnot get her periods..She did usg pelvis abdominal yesterday..the result is:
Uterus normal in size shape outline and echotexture..measures 74*37*40mm..Central echo is normal..uterine cavity is empty..cervix is normal..no free fluid in abdomen..ovaries are normal in size..8-9 immature follicle seen at the periphery..RO-27*25*21mm,LO-26*24*22mm..
Impression:Small follicles peripherally arranged in both ovaries-consistent with pco
No GSac seen in uterus/adnexa at present..
Mam is her report normal?..Why are her periods didnot come yet?..We didnot engage in any sexual act,after that in July..So nothing related to pregnancy with that incident?..
11-14th May-light period,15-18th June-Normal Period,sexual act-22nd July,25-28th July-Light Period,15-18th August-medium period,5-9th September-Heavy Period..
Uterus normal in size shape outline and echotexture..measures 74*37*40mm..Central echo is normal..uterine cavity is empty..cervix is normal..no free fluid in abdomen..ovaries are normal in size..8-9 immature follicle seen at the periphery..RO-27*25*21mm,LO-26*24*22mm..
Impression:Small follicles peripherally arranged in both ovaries-consistent with pco
No GSac seen in uterus/adnexa at present..
Mam is her report normal?..Why are her periods didnot come yet?..We didnot engage in any sexual act,after that in July..So nothing related to pregnancy with that incident?..
11-14th May-light period,15-18th June-Normal Period,sexual act-22nd July,25-28th July-Light Period,15-18th August-medium period,5-9th September-Heavy Period..
Brief Answer:
Typical of PCOD.
Detailed Answer:
Hello,
Thanks for writing back.
Her sonogram report shows evidence of polycystic ovaries. The menstrual pattern also is typical of PCOD. This has got nothing to do with pregnancy. She is not pregnant and this has been documented by the sonogram.
The next step in the management would be to deal with the hormone imbalances that are creeping up as a result of PCOD and hence causing the period disturbances.
Regular exercise, diet management and maintenance of a healthy weight, periodic check ups and hormone treatment if necessary are needed to manage PCOD.
Hope this helps.
regards,
Shanti.V.
Typical of PCOD.
Detailed Answer:
Hello,
Thanks for writing back.
Her sonogram report shows evidence of polycystic ovaries. The menstrual pattern also is typical of PCOD. This has got nothing to do with pregnancy. She is not pregnant and this has been documented by the sonogram.
The next step in the management would be to deal with the hormone imbalances that are creeping up as a result of PCOD and hence causing the period disturbances.
Regular exercise, diet management and maintenance of a healthy weight, periodic check ups and hormone treatment if necessary are needed to manage PCOD.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok mam thank u..
1)Mam as the report says that no gsac seen in uterus/adnexa at present,so there is no chance of formation of gsac later without any sexual act after that?
2)Mam does her uterus size increased?last time on 18th October it was 65*30*40mm,yesterday it was 74*37*40 mm,though in the report mentioned its normal in size..
3)Mam does her ET level of 6.7mm also corresponds to non pregnant state?
4)Mam so even if her periods are missed,preponed or postponed with variation in flow pattern and colour,there is no reason to suspect pregnancy with that act in July?
Kindly answer to these mam in details..
1)Mam as the report says that no gsac seen in uterus/adnexa at present,so there is no chance of formation of gsac later without any sexual act after that?
2)Mam does her uterus size increased?last time on 18th October it was 65*30*40mm,yesterday it was 74*37*40 mm,though in the report mentioned its normal in size..
3)Mam does her ET level of 6.7mm also corresponds to non pregnant state?
4)Mam so even if her periods are missed,preponed or postponed with variation in flow pattern and colour,there is no reason to suspect pregnancy with that act in July?
Kindly answer to these mam in details..
Brief Answer:
Sonogram corresponds to non-pregnant state.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. No. There is no chance of formation of a gestation sac without any fertilization later on.
2. The variation in the size of uterus can be a physiological phenomenon corresponding to the phase of the menstrual cycle and also the difference in observation.
3. The endometrial thickness is not favorable for lodging of an embryo and mostly corresponds to a non-pregnant state.
4. No. There is no need at all to suspect pregnancy even with variations in the menstrual flow pattern.
Hope this helps.
regards,
Shanti.V.
Sonogram corresponds to non-pregnant state.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. No. There is no chance of formation of a gestation sac without any fertilization later on.
2. The variation in the size of uterus can be a physiological phenomenon corresponding to the phase of the menstrual cycle and also the difference in observation.
3. The endometrial thickness is not favorable for lodging of an embryo and mostly corresponds to a non-pregnant state.
4. No. There is no need at all to suspect pregnancy even with variations in the menstrual flow pattern.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok mam thank u..
1)What is the normal size of non pregnant uterus?does her uterus size corresponds to non pregnant state too?
2)Mam does ET decrease without any period or bleeding?on 18th September it was 6.7mm,on.5th October it was 5.9mm without any period or bleeding occuring in between..no harm in it?
3)Mam so no need to test further to confirm her non pregnant state?
4)Mam does ET decrease once pregnancy is achieved or it increases along with pregnancy?As hers is 6.7mm,so it also corresponds to non pregnant state?
5)So we should completely rule out pregnancy with reliablity with that act on July even if her period is missed or her flow varies in colour pattern and amount?
6)Mam uterine cavity is empty also means that there is no pregnancy?
Kindly answer mam in details..
1)What is the normal size of non pregnant uterus?does her uterus size corresponds to non pregnant state too?
2)Mam does ET decrease without any period or bleeding?on 18th September it was 6.7mm,on.5th October it was 5.9mm without any period or bleeding occuring in between..no harm in it?
3)Mam so no need to test further to confirm her non pregnant state?
4)Mam does ET decrease once pregnancy is achieved or it increases along with pregnancy?As hers is 6.7mm,so it also corresponds to non pregnant state?
5)So we should completely rule out pregnancy with reliablity with that act on July even if her period is missed or her flow varies in colour pattern and amount?
6)Mam uterine cavity is empty also means that there is no pregnancy?
Kindly answer mam in details..
Brief Answer:
Her uterus corresponds to the non-pregnant state.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. The size of a normal non-pregnant uterus is roughly 3"/2"/1" in size. Her uterus corresponds to a non-pregnant uterus in size.
2. Endometrial thickness can get lower when there is some shedding of the membrane without external bleeding. This may later present as a scanty brownish discharge. This happens when there is hormonal imbalance as in PCOD. This is the most likely cause for this disparity seen.
3. Yes. There is no need absolutely to test further for evidences of pregnancy.
4. Endometrial thickness rises once pregnancy is achieved. Her endometrial thickness corresponds to the non-pregnant state.
5. Yes.
6. Yes.
Hope this helps.
regards,
Shanti.V.
Her uterus corresponds to the non-pregnant state.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. The size of a normal non-pregnant uterus is roughly 3"/2"/1" in size. Her uterus corresponds to a non-pregnant uterus in size.
2. Endometrial thickness can get lower when there is some shedding of the membrane without external bleeding. This may later present as a scanty brownish discharge. This happens when there is hormonal imbalance as in PCOD. This is the most likely cause for this disparity seen.
3. Yes. There is no need absolutely to test further for evidences of pregnancy.
4. Endometrial thickness rises once pregnancy is achieved. Her endometrial thickness corresponds to the non-pregnant state.
5. Yes.
6. Yes.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok mam thank u..thanx a lot..
1)Mam is endometrial cavity the same as uterine cavity?
2)Mam no gsac in adnexa means ectopic pregnancy is also ruled out?
3)Mam if her periods is missed or delayed or preponed or her periods changes in colour or spotting then also no reason to suspect pregnancy with that act?
4)Had she been pregnant usg would have showed it 11 weeks after the act,isn't it mam?so no pregnancy and we shd be rest assured about her non pregnant state?
5)Pcos causes delayed periods,does it also causes preponed periods and scanty flow and heavy flow too?
6)Mam pregnancy cant happen later with that act on July,isn't it mam?
7)So she is completely pregnancy safe with that act on July and no need to test further?,i am just asking for reassurance..so we shd be completely stress free?
8)How is her overall usg report apart from PCOS?
Thanx mam..thanx a lot for reassuring me..its been a nice experience sharing with u my fears which u helped me to get rid of it..thanx a lot mam..:)
1)Mam is endometrial cavity the same as uterine cavity?
2)Mam no gsac in adnexa means ectopic pregnancy is also ruled out?
3)Mam if her periods is missed or delayed or preponed or her periods changes in colour or spotting then also no reason to suspect pregnancy with that act?
4)Had she been pregnant usg would have showed it 11 weeks after the act,isn't it mam?so no pregnancy and we shd be rest assured about her non pregnant state?
5)Pcos causes delayed periods,does it also causes preponed periods and scanty flow and heavy flow too?
6)Mam pregnancy cant happen later with that act on July,isn't it mam?
7)So she is completely pregnancy safe with that act on July and no need to test further?,i am just asking for reassurance..so we shd be completely stress free?
8)How is her overall usg report apart from PCOS?
Thanx mam..thanx a lot for reassuring me..its been a nice experience sharing with u my fears which u helped me to get rid of it..thanx a lot mam..:)
Brief Answer:
She is not pregnant.
Detailed Answer:
Hello,
Thanks for posting your queries.
Here are your answers:
1. Yes. It is the same as uterine cavity. It is called 'endometrial cavity' because it is lined by the endometrial layer of the uterus.
2. Yes.
3. No. Her cycle disturbances are a consequence of the polycystic ovaries and the consequent hormone imbalance.
4. Yes, you are right.
5. Yes, all sorts of presentation is possible, especially delayed periods, scanty flow/excessive flow/prolonged bleeding etc.
6. Yes, you are right.
7. Yes, you can rest assured that she cannot get pregnant.
8. Her overall sonogram report apart from the polycystic ovaries, is normal.
Hope all your queries have been answered. Take care.
regards,
Shanti.V.
She is not pregnant.
Detailed Answer:
Hello,
Thanks for posting your queries.
Here are your answers:
1. Yes. It is the same as uterine cavity. It is called 'endometrial cavity' because it is lined by the endometrial layer of the uterus.
2. Yes.
3. No. Her cycle disturbances are a consequence of the polycystic ovaries and the consequent hormone imbalance.
4. Yes, you are right.
5. Yes, all sorts of presentation is possible, especially delayed periods, scanty flow/excessive flow/prolonged bleeding etc.
6. Yes, you are right.
7. Yes, you can rest assured that she cannot get pregnant.
8. Her overall sonogram report apart from the polycystic ovaries, is normal.
Hope all your queries have been answered. Take care.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Mam sorry to again bother u..she didnot get her periods yet..its 42 days now..She called up her doctor,he said not to take any medicines..just to exercise and control diet..she is taking Calcarea Carbonica homeopathic medicine for her irregularities in period..
1)Mam why is her period missed?just because of pcos?
2)Mam no reason to suspect pregnancy even though her periods are missed?
3)Mam if she dont get her periods or flow varies,still no reason to suspect pregnancy with that act?
4)Kindly answer mam in details..plz mam..
1)Mam why is her period missed?just because of pcos?
2)Mam no reason to suspect pregnancy even though her periods are missed?
3)Mam if she dont get her periods or flow varies,still no reason to suspect pregnancy with that act?
4)Kindly answer mam in details..plz mam..
Brief Answer:
Delayed cycle is due to hormone imbalance, not pregnancy.
Detailed Answer:
Hello,
Thanks for writing again.
Here are your answers:
1. Yes. She has a missed period due to the hormone imbalance caused by PCOD.
2. There is no reason to suspect pregnancy.
3.No. the variation in the menstrual pattern is not due to pregnancy, but, is due to hormone imbalance.
Hope this helps.
regards,
Shanti.V.
Delayed cycle is due to hormone imbalance, not pregnancy.
Detailed Answer:
Hello,
Thanks for writing again.
Here are your answers:
1. Yes. She has a missed period due to the hormone imbalance caused by PCOD.
2. There is no reason to suspect pregnancy.
3.No. the variation in the menstrual pattern is not due to pregnancy, but, is due to hormone imbalance.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Raju A.T
1)Mam so no reason to suspect pregnancy even if she dont get her periods?
2)Mam in the usg report its written that central echo is normal?what is central echo?
3)Mam in the usg its written no gsac seen in uterus/adnexa at present,is it possible to form gsac without any sexual act now leading to pregnancy after July?
4)Mam as u said ET increases in pregnancy and also in the later part of the cycle and it is this layer which sloughs off during period,bt if she dont get her periods,ET will get thickened,wont in indicate pregnancy mam?
5)Kindly answer to these mam in details..
2)Mam in the usg report its written that central echo is normal?what is central echo?
3)Mam in the usg its written no gsac seen in uterus/adnexa at present,is it possible to form gsac without any sexual act now leading to pregnancy after July?
4)Mam as u said ET increases in pregnancy and also in the later part of the cycle and it is this layer which sloughs off during period,bt if she dont get her periods,ET will get thickened,wont in indicate pregnancy mam?
5)Kindly answer to these mam in details..
Brief Answer:
Not pregnant.
Detailed Answer:
Hello,
Thanks for writing again.
Here are your answers:
1. No.
2. Central echo is the reflection of sound waves observed from the cavity of the uterus. If pregnant, one can see the gestation sac there along one of the walls. The report stating that the central echo is normal means that the cavity is empty or in other words, she is not pregnant.
3. No.
4. No.There are several other conditions apart from pregnancy where the endometrial lining gets thickened and I would not delve into them at this moment. It is enough to know that this endometrial thickening has been caused by the hormonal imbalance secondary to PCOD.
Hope this helps.
regards,
Shanti.V.
Not pregnant.
Detailed Answer:
Hello,
Thanks for writing again.
Here are your answers:
1. No.
2. Central echo is the reflection of sound waves observed from the cavity of the uterus. If pregnant, one can see the gestation sac there along one of the walls. The report stating that the central echo is normal means that the cavity is empty or in other words, she is not pregnant.
3. No.
4. No.There are several other conditions apart from pregnancy where the endometrial lining gets thickened and I would not delve into them at this moment. It is enough to know that this endometrial thickening has been caused by the hormonal imbalance secondary to PCOD.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Prasad
ok mam thank u..
1)Is ET,midline echo,central echo are all the same things?
2)Mam in pregnancy uterus size increases and becomes bulky..so as her uterus size is normal in shape and size,so that also confirms her non pregnant state?
3)Mam if her uterus size increases now without any sexual act,it also wont indicate pregnancy?
4)So we should be completely stress free and not to think about it even if she misses her period?
Kindly answer to these in details..
1)Is ET,midline echo,central echo are all the same things?
2)Mam in pregnancy uterus size increases and becomes bulky..so as her uterus size is normal in shape and size,so that also confirms her non pregnant state?
3)Mam if her uterus size increases now without any sexual act,it also wont indicate pregnancy?
4)So we should be completely stress free and not to think about it even if she misses her period?
Kindly answer to these in details..
Brief Answer:
Enlargement of the uterus has other causes also.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. ET is endometrial thickness and this is a measurement of the endometrial lining of the uterus. The terms indicate the same features mostly. I am giving you a link below to go through and try to understand the ultrasound terms.
http://www.fetalultrasound.com/online/text/3-137.HTM
2. Yes.
3. No, it does not indicate pregnancy.
4. Yes.
Hope this helps.
regards,
Shanti.V.
Enlargement of the uterus has other causes also.
Detailed Answer:
Hello,
Thanks for writing.
Here are your answers:
1. ET is endometrial thickness and this is a measurement of the endometrial lining of the uterus. The terms indicate the same features mostly. I am giving you a link below to go through and try to understand the ultrasound terms.
http://www.fetalultrasound.com/online/text/3-137.HTM
2. Yes.
3. No, it does not indicate pregnancy.
4. Yes.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Sonia Raina
ok mam thanx a lot..thanku..kindly clear these doubts of mine,i wl not bother u again..
1)So ET,midline echo and Central echo are all same?
2)Uterine cavity is same as endometrial cavity? and its empty mean no pregnancy?
3)There is no chance of pregnancy now or in future with that act in July even if she misses her period or her cycle varies in length,duration,pattern and colour?
4)Is there any need to test(hpt,bhcg,usg) further to confirm her non pregnant state with that act in July?
5)Mam is USG ABDOMINAL conclusive after 11 weeks of the act that she is not pregnant?
6)Now only fresh sexual act carries risk of pregnancy and that July incident have no effect now or in future?
7)Mam can pregnancy happen now with that act in july or in future?or she is completely safe from pregnancy with that July incident?
8)Mam though USG TVS is better,USG ABDOMINAL would have showed it which is 11 weeks after the act..so no pregnancy from that act and hence no tests are further needed to confirm this?
9)In presence of any menstrual irregularities still she is safe from pregnancy?like missed period,delayed,preponed period,spotting,less flow etc etc..
10)Mam if she now takes tablets for withdrawal period if her doctor gives,still no periods..then also it wont indicate pregnancy?as i heard that withdrawal tablets gives period bt sometimes it doesnot..thats why i am asking..if still no period occur after withdrawal tablet,what wl it indicate?
Kindly answer to these mam in details..i wont bother u anymore..thanku :)
1)So ET,midline echo and Central echo are all same?
2)Uterine cavity is same as endometrial cavity? and its empty mean no pregnancy?
3)There is no chance of pregnancy now or in future with that act in July even if she misses her period or her cycle varies in length,duration,pattern and colour?
4)Is there any need to test(hpt,bhcg,usg) further to confirm her non pregnant state with that act in July?
5)Mam is USG ABDOMINAL conclusive after 11 weeks of the act that she is not pregnant?
6)Now only fresh sexual act carries risk of pregnancy and that July incident have no effect now or in future?
7)Mam can pregnancy happen now with that act in july or in future?or she is completely safe from pregnancy with that July incident?
8)Mam though USG TVS is better,USG ABDOMINAL would have showed it which is 11 weeks after the act..so no pregnancy from that act and hence no tests are further needed to confirm this?
9)In presence of any menstrual irregularities still she is safe from pregnancy?like missed period,delayed,preponed period,spotting,less flow etc etc..
10)Mam if she now takes tablets for withdrawal period if her doctor gives,still no periods..then also it wont indicate pregnancy?as i heard that withdrawal tablets gives period bt sometimes it doesnot..thats why i am asking..if still no period occur after withdrawal tablet,what wl it indicate?
Kindly answer to these mam in details..i wont bother u anymore..thanku :)
Brief Answer:
She is not pregnant.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. ET is endometrial thickness while mid-line echo and endometrial echo denote similar features.
2. Yes.
3. Yes.
4. No.
5. Yes.
6. Yes.
7. Yes.
8. Yes.
9. Yes.
10. Withdrawal bleeding is usually seen 3-7 days after completion of the treatment. Here, her failure to get a period is not due to pregnancy, but is due to hormone disturbances. A period occurs only when there is sufficient amount of both estrogen and progesterone. If she does not get a period after hormone supplement, she may need a course of oral pills to see how her uterus responds.
Hope this helps.
regards,
Shanti.V.
She is not pregnant.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. ET is endometrial thickness while mid-line echo and endometrial echo denote similar features.
2. Yes.
3. Yes.
4. No.
5. Yes.
6. Yes.
7. Yes.
8. Yes.
9. Yes.
10. Withdrawal bleeding is usually seen 3-7 days after completion of the treatment. Here, her failure to get a period is not due to pregnancy, but is due to hormone disturbances. A period occurs only when there is sufficient amount of both estrogen and progesterone. If she does not get a period after hormone supplement, she may need a course of oral pills to see how her uterus responds.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Prasad
Mam she finally got her periods(without any medication) on 21st October on the 47 th day..it was heavy flow for 1st 2 days(21,22 October),then normal flow for 1 day(23 October),and light bleeding on 24,25 October and finally ended on 26th October morning..it had lots of clots and she felt cramping and heaviness in lower abdomen for the 1st two days of her period on 21st and 22nd October which went away after those 2 days..
1)So is it normal to have heaviness in lower abdomen and cramping during period?
2)It was heavy period this time like in the month of September whereas her early periods on July and August were medium flow..they also had clots but cramping and heaviness was not so felt like this time..
May 11-14-Light Period XXXXXXX 15-18-Normal Period,July 22nd Sexual act,25-28 July-Light period,31st July-slight brownish discharge once,15-18th August-Medium Period,5-9th September-Heavy Period,October 21-26th- Heavy Period..
1)So is it normal to have heaviness in lower abdomen and cramping during period?
2)It was heavy period this time like in the month of September whereas her early periods on July and August were medium flow..they also had clots but cramping and heaviness was not so felt like this time..
May 11-14-Light Period XXXXXXX 15-18-Normal Period,July 22nd Sexual act,25-28 July-Light period,31st July-slight brownish discharge once,15-18th August-Medium Period,5-9th September-Heavy Period,October 21-26th- Heavy Period..
Brief Answer:
Heavy periods are common after delay.
Detailed Answer:
Hello,
Thanks for writing again.
Here are your answers:
1. Heaviness is a common feature during a menstrual period as there is increased pelvic congestion just before and during the early days of a period. Cramping is also commonly seen.
2. Heavy periods are common after a delay since the delay can cause thickened endometrium. Moreover, since she was diagnosed with PCOD, this is quite common.
It is good that she is attaining natural menstruation, but, if the hormone imbalance caused by PCOD also can be attended to, she will have normal, regular cycles with moderate flow and less cramping. This will also help to plan proper contraception in future.
Hope this helps.
regards,
Shanti.V.
Heavy periods are common after delay.
Detailed Answer:
Hello,
Thanks for writing again.
Here are your answers:
1. Heaviness is a common feature during a menstrual period as there is increased pelvic congestion just before and during the early days of a period. Cramping is also commonly seen.
2. Heavy periods are common after a delay since the delay can cause thickened endometrium. Moreover, since she was diagnosed with PCOD, this is quite common.
It is good that she is attaining natural menstruation, but, if the hormone imbalance caused by PCOD also can be attended to, she will have normal, regular cycles with moderate flow and less cramping. This will also help to plan proper contraception in future.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Mam actually she was under hormone treatment for 4-5 months straight last year to regularise her cycles from 45-50 days to 32-35 days..Thats why her gynaecologist told her in September that taking hormone treatment may affect her in the long run,he just advised her to do regular exercise and control diet..
1)Mam her period flow varies..sometimes light,sometimes normal and sometimes heavy..why is it so?
2)And she didnot feel much of these heaviness and cramping during her July and August period when her flow was medium..In September and October,she felt this more..earlier during January-Feb she felt these symptoms when her flow was excessive..why mam?
3)So no chance at all of pregnancy with that act on 22nd July after which she got 2 medium flow periods and 2 heavy flow periods?
4)Even if her next periods get preponed or postponed or missed with variation in flow,or pattern it is due to PCOS only and not due to pregnancy with that act in July?
5)Is her pattern of flow during period normal?..1st 3 days it was heavy and normal flow,then it went light and finally went away on the 6 thday morning..
Thanx mam..:)
1)Mam her period flow varies..sometimes light,sometimes normal and sometimes heavy..why is it so?
2)And she didnot feel much of these heaviness and cramping during her July and August period when her flow was medium..In September and October,she felt this more..earlier during January-Feb she felt these symptoms when her flow was excessive..why mam?
3)So no chance at all of pregnancy with that act on 22nd July after which she got 2 medium flow periods and 2 heavy flow periods?
4)Even if her next periods get preponed or postponed or missed with variation in flow,or pattern it is due to PCOS only and not due to pregnancy with that act in July?
5)Is her pattern of flow during period normal?..1st 3 days it was heavy and normal flow,then it went light and finally went away on the 6 thday morning..
Thanx mam..:)
Brief Answer:
She is not pregnant.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. The variation in the menstrual flow is a common feature with hormone imbalances since the endometrial thickness varies with the hormone fluctuation which does not stick the usual cyclical pattern.
2. Pelvic congestion is not necessarily associated with every period; it is often seen with ovulatory cycles due to prostaglandin effect and progesterones.
3. No.
4. Yes, the pattern is only due to PCOS and not due to pregnancy. Please understand that pregnancy causes absence of periods and not irregular menstruation.
5. The term 'normal' varies with each individual. So long as the bleeding is restricted to less than a week and the flow is not associated with large clots, it can be considered normal.
Hope this helps.
regards,
Shanti.V.
She is not pregnant.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. The variation in the menstrual flow is a common feature with hormone imbalances since the endometrial thickness varies with the hormone fluctuation which does not stick the usual cyclical pattern.
2. Pelvic congestion is not necessarily associated with every period; it is often seen with ovulatory cycles due to prostaglandin effect and progesterones.
3. No.
4. Yes, the pattern is only due to PCOS and not due to pregnancy. Please understand that pregnancy causes absence of periods and not irregular menstruation.
5. The term 'normal' varies with each individual. So long as the bleeding is restricted to less than a week and the flow is not associated with large clots, it can be considered normal.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
)Mam she got many small clots during this period and also during her September period,not big clots..
2)I mean to say,that her flow during 1st 3 days of October and September period was heavy to normal,then on 4th and 5 th day it went light and finally went away on the 6 th day morning..soaked 6 pads in total for 5 days and the cramping and the heaviness was on the 1st 2 days of the period,then it went away..but in July and August period without much heaviness and cramping she got light flow on 1st day,then medium flow on 2nd and 3 rd day morning and finally went light thereafter,then it ended on 4th day..July and August period were of 4 days and September and October period of 5/6 days..why?
3)The pattern of flow is also different(like heavy start to normal to light and then ended on both September and October period,light start to medium to light and then ended on both July and August period),so this flow pattern is related to hormonal imbalance?
4)Mam can a uterus ever be of normal in size(non bulky and non enlarged), normal shape and echo pattern with a intrauterine pregnancy in the 11th week?
5)So if in future her periods gets missed or preponed or postponed with less flow or spotting or different colour or discharge,its due to PCOS which needs to be rectified with hormone tablets?
6)Can pregnancy ever occur without any symptoms in the 2nd trimester?
7)Mam as u said that pregnancy results in absent period,so if her future periods gets missed,it will only indicate pregnancy if there is any intercourse after that July incident?
8)Mam as u said that pelvic congestion occurs with ovulation,as hers October period was heavy and she felt heaviness and cramps during 1st 2 days of period,so in this cycle ovulation occured?
9)Mam can period flow occur even without ovulation?
Kindly answer to these in details..
2)I mean to say,that her flow during 1st 3 days of October and September period was heavy to normal,then on 4th and 5 th day it went light and finally went away on the 6 th day morning..soaked 6 pads in total for 5 days and the cramping and the heaviness was on the 1st 2 days of the period,then it went away..but in July and August period without much heaviness and cramping she got light flow on 1st day,then medium flow on 2nd and 3 rd day morning and finally went light thereafter,then it ended on 4th day..July and August period were of 4 days and September and October period of 5/6 days..why?
3)The pattern of flow is also different(like heavy start to normal to light and then ended on both September and October period,light start to medium to light and then ended on both July and August period),so this flow pattern is related to hormonal imbalance?
4)Mam can a uterus ever be of normal in size(non bulky and non enlarged), normal shape and echo pattern with a intrauterine pregnancy in the 11th week?
5)So if in future her periods gets missed or preponed or postponed with less flow or spotting or different colour or discharge,its due to PCOS which needs to be rectified with hormone tablets?
6)Can pregnancy ever occur without any symptoms in the 2nd trimester?
7)Mam as u said that pregnancy results in absent period,so if her future periods gets missed,it will only indicate pregnancy if there is any intercourse after that July incident?
8)Mam as u said that pelvic congestion occurs with ovulation,as hers October period was heavy and she felt heaviness and cramps during 1st 2 days of period,so in this cycle ovulation occured?
9)Mam can period flow occur even without ovulation?
Kindly answer to these in details..
Brief Answer:
Anovulatory cycles can occur.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. Small clots are a common observation during any period, only larger clots matter.
2. There can be slight variation in each period and the pattern of flow can differ slightly even in a normal situation. With hormonal imbalance as observed in a condition like PCOD this variation is more significantly seen.
3. Yes. The flow pattern is related to the hormone status of the body because it is the hormones which determine the thickness of the endometrium and the pattern of shedding is dependent on this.
4. No, it cannot be.
5. Mostly, if sexual activity is absent. PCOD can be treated in several ways, with exercise, weight management, medications etc.
6. Symptoms may not manifest, but signs do.
7. If periods are absent after some sexual activity in a fertile woman, it is suggestive of pregnancy and this needs to be clinically confirmed before anything else is planned.
8. PCOD does not always mean anovulation. Ovulation is random and cycles are often interspersed. It is possible that she may have ovulated last cycle.
9. Yes.
Hope this helps.
regards,
Shanti.V.
Anovulatory cycles can occur.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1. Small clots are a common observation during any period, only larger clots matter.
2. There can be slight variation in each period and the pattern of flow can differ slightly even in a normal situation. With hormonal imbalance as observed in a condition like PCOD this variation is more significantly seen.
3. Yes. The flow pattern is related to the hormone status of the body because it is the hormones which determine the thickness of the endometrium and the pattern of shedding is dependent on this.
4. No, it cannot be.
5. Mostly, if sexual activity is absent. PCOD can be treated in several ways, with exercise, weight management, medications etc.
6. Symptoms may not manifest, but signs do.
7. If periods are absent after some sexual activity in a fertile woman, it is suggestive of pregnancy and this needs to be clinically confirmed before anything else is planned.
8. PCOD does not always mean anovulation. Ovulation is random and cycles are often interspersed. It is possible that she may have ovulated last cycle.
9. Yes.
Hope this helps.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ok mam thank u..
1)Mam we didnot engage in any sexual act after that 22nd July incident,after which she got 2 medium periods and 2 heavy periods..if her future periods are absent,it will also not indicate pregnancy?
2)Even if she dont gets periods after taking withdrawal tablets for period in future due to missed period and yet dont get period(without any sexual act after 22nd July),it will also not indicate any pregnancy?As i have heard that if fter taking withdrawal tablets,period desnot occur it means pregnancy..thats why i am asking..
3)Can a uterus be of normal in size with 74*37*40 mm as dimension after 11 weeks of the sexual act in case intrauterine pregnancy is there in the uterus?
4)as hers uterus is normal in size,shape and echotexture after 11 weeks of the act,that also means no pregnancy?
5)If her uterus gets enlarged and bulky now,then also it wont indicate pregnancy with that act on July?And if her ET gets thickened without any sexual act after July,then also it wont indicate pregnancy?
6)Mam does PCOS also causes preponed periods,light periods too? Can pcos also cause change in colour of period or spotting or discharge in absence of any sexual act after that In July?
7)So only fresh sexual act after 22nd July or now carries risk of pregnancy?And mam she doesnot have any symptoms and signs of pregnancy,so she is not pregnant due to that act in July?
8)And she cannot get pregnant from July sexual act and we should be rest assured about it even if her future periods are absent or altered in any manner(like less flow or spotting or preponed or delayed period)?
9)Is there any need to test further to confirm her non pregnant state with act on July in presence of future absent periods or less flow period or delayed and preponed period or pattern change?
10)And uterine cavity cannot be empty after 11 weeks after the act if pregnancy is there?..as its empty,it means no pregnancy..isn't it mam?
Thanx mam..thanx a lot..kindly answer to these in details..Thanx a lot..:)
Kindly answer to these in details..thanku mam..:)
1)Mam we didnot engage in any sexual act after that 22nd July incident,after which she got 2 medium periods and 2 heavy periods..if her future periods are absent,it will also not indicate pregnancy?
2)Even if she dont gets periods after taking withdrawal tablets for period in future due to missed period and yet dont get period(without any sexual act after 22nd July),it will also not indicate any pregnancy?As i have heard that if fter taking withdrawal tablets,period desnot occur it means pregnancy..thats why i am asking..
3)Can a uterus be of normal in size with 74*37*40 mm as dimension after 11 weeks of the sexual act in case intrauterine pregnancy is there in the uterus?
4)as hers uterus is normal in size,shape and echotexture after 11 weeks of the act,that also means no pregnancy?
5)If her uterus gets enlarged and bulky now,then also it wont indicate pregnancy with that act on July?And if her ET gets thickened without any sexual act after July,then also it wont indicate pregnancy?
6)Mam does PCOS also causes preponed periods,light periods too? Can pcos also cause change in colour of period or spotting or discharge in absence of any sexual act after that In July?
7)So only fresh sexual act after 22nd July or now carries risk of pregnancy?And mam she doesnot have any symptoms and signs of pregnancy,so she is not pregnant due to that act in July?
8)And she cannot get pregnant from July sexual act and we should be rest assured about it even if her future periods are absent or altered in any manner(like less flow or spotting or preponed or delayed period)?
9)Is there any need to test further to confirm her non pregnant state with act on July in presence of future absent periods or less flow period or delayed and preponed period or pattern change?
10)And uterine cavity cannot be empty after 11 weeks after the act if pregnancy is there?..as its empty,it means no pregnancy..isn't it mam?
Thanx mam..thanx a lot..kindly answer to these in details..Thanx a lot..:)
Kindly answer to these in details..thanku mam..:)
Brief Answer:
Detailed below.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1.No. It will not indicate pregnancy.
2. Without any sexual activity, if she fails to get withdrawal bleeding, she cannot be pregnant.
3. No.
4. Yes.
5. No. It will not indicate pregnancy.
6. Yes. PCOD can cause several types of menstrual disturbances ranging from scanty periods, inter-menstrual spotting or bleeding, prolonged bleeding or spotting or heavy periods. Altered color due to breakthrough bleeding also is seen.
7. Yes. No, she is not pregnant now.
8. Yes.
9. No.
10.Yes.
Hope this helps.
regards,
Shanti.V.
Detailed below.
Detailed Answer:
Hello,
Thanks for your queries.
Here are your answers:
1.No. It will not indicate pregnancy.
2. Without any sexual activity, if she fails to get withdrawal bleeding, she cannot be pregnant.
3. No.
4. Yes.
5. No. It will not indicate pregnancy.
6. Yes. PCOD can cause several types of menstrual disturbances ranging from scanty periods, inter-menstrual spotting or bleeding, prolonged bleeding or spotting or heavy periods. Altered color due to breakthrough bleeding also is seen.
7. Yes. No, she is not pregnant now.
8. Yes.
9. No.
10.Yes.
Hope this helps.
regards,
Shanti.V.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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