Plan B and High fertility

I had sex with my boyfriend durriing according to my ovulation calendar on high fertility days.  according to my calculations i was supposed to ovulate aug 7th.  i had sex on aug 4th annnd on the 5th. i took the morning after pill 40 hours later after  i had sex on the 5th.   i had unprotected sex and both times he came inside me.   on aug the 8th i spotted for three days straight.  then the spotting lstopped.  i was supposed to get my period on august 22 but its today september 4th annd still no period.   the only thing i have been noticing is that ive been getting heavier discharge then usual every single day.  please help i am reallly worrried.  could i be pregnant??????

[Bhupinder Kaur, MD]

Hello,
In your case, pregnancy due to post coital pills failure should be ruled out. I suggest you to confirm your pregnancy status by getting a urine for pregnancy test done or get your serum HCG levels estimated. The HCG (it is a hormone) levels rise only in pregnancy and hCG can be detected in urine after implantation of zygote in the wall of the uterus. So HCG presence will confirm the status of your pregnancy. Ideally urine for pregnancy test should be done after 1 week of your missed periods date.

I hope it helps. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.