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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Get Pregnant After Unprotected Sex Days Before The Periods And Have Dizziness And Nausea ?

Ok , so i got my period two weeks late. It was lighter than my other periods but it was still normal i just did not have clots like i usually do. I had unprotected sex two days before it started. I had also stopped my contraception pill 3weeks before all of this happend. I have been getting symptoms like dizziness , sleeping and eating more , firm lower abdomen , smelling certain things that i could not before and getting naoseous because of it and headaches and lower backaches. I also got a faint , dark line going from my belly button to my vaginal area. I took three pregnancy test , one the day my period started , another at 12 MN and another the next morning , in that order. They were all faintly positive but they got progessively darker one after the other. Im 15 years old. Am i pregnant??
Mon, 11 Apr 2016
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OBGYN 's  Response
Hallow Baby,

In normal course, the egg release takes place 14 days before the next expected menstrual period. The egg has a life of 24 hours while the sperms are active for 72 hours. Hence, a period of about on week around the day of egg release is fertile period. Of course this rule is applicable for those who get their menses regularly. Hence, an unprotected intercourse just two days before the expected menses should not cause pregnancy.

You have dropped the birth control pills 3 weeks ago. Immediately after discontinuing the pills, egg release may be irregular. Hence calculation of the exact day of ovulation may go wrong.

Your periods were on the lighter side and the pregnancy tests were light positive (weak positive). This happens in case if the pregnancy is implanted somewhere outside the uterine cavity. However, the bleeding in ectopic pregnancy is associated with severe pain. Still weak positive pregnancy test with lighter bleeding does demand investigations for ectopic pregnancy.

Please undergo ultrasonography. If pregnancy is visualized in the uterine cavity, it is not an ectopic pregnancy. Then since you do not want to continue this pregnancy (I presume), you may get the pregnancy terminated by Tab. Mifepristone + Tab. Misoprostol by Obstetrician's advice.

However, if pregnancy is not visualized in the uterine cavity and the pregnancy tests are (weak) positive; there are chances of ectopic pregnancy. It can be confirmed by Laparoscopy. If it is unruptured ectopic pregnancy, it can be managed through Laparoscopic surgery or conservatively by Methotrexate.

After rupture, ectopic pregnancy bleeds heavily. It then requires surgical intervention with many units of blood transfusion. So please report to your Gynaecologist and get the issue sorted out ASAP.

I hope you got the message clearly.

Dr. Nishikant Shrotri
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Can I Get Pregnant After Unprotected Sex Days Before The Periods And Have Dizziness And Nausea ?

Hallow Baby, In normal course, the egg release takes place 14 days before the next expected menstrual period. The egg has a life of 24 hours while the sperms are active for 72 hours. Hence, a period of about on week around the day of egg release is fertile period. Of course this rule is applicable for those who get their menses regularly. Hence, an unprotected intercourse just two days before the expected menses should not cause pregnancy. You have dropped the birth control pills 3 weeks ago. Immediately after discontinuing the pills, egg release may be irregular. Hence calculation of the exact day of ovulation may go wrong. Your periods were on the lighter side and the pregnancy tests were light positive (weak positive). This happens in case if the pregnancy is implanted somewhere outside the uterine cavity. However, the bleeding in ectopic pregnancy is associated with severe pain. Still weak positive pregnancy test with lighter bleeding does demand investigations for ectopic pregnancy. Please undergo ultrasonography. If pregnancy is visualized in the uterine cavity, it is not an ectopic pregnancy. Then since you do not want to continue this pregnancy (I presume), you may get the pregnancy terminated by Tab. Mifepristone + Tab. Misoprostol by Obstetrician s advice. However, if pregnancy is not visualized in the uterine cavity and the pregnancy tests are (weak) positive; there are chances of ectopic pregnancy. It can be confirmed by Laparoscopy. If it is unruptured ectopic pregnancy, it can be managed through Laparoscopic surgery or conservatively by Methotrexate. After rupture, ectopic pregnancy bleeds heavily. It then requires surgical intervention with many units of blood transfusion. So please report to your Gynaecologist and get the issue sorted out ASAP. I hope you got the message clearly. Dr. Nishikant Shrotri