Could I be pregnant?

[mucho_muchacho]

I am currently on the combined pill (mycrogynon 30) and have been happy on it for 4years now. I recently havent been feeling too well and threw up on two seperate days during my packet. The first day I was sick was a Saturday shortly after taking my pill and I didn't take another one, just carried on with the packet as usual. The next day I was sick was on the following Tuesday, again I carried on as usual without taking another pill that same day. Then on the Wednesday I had sex with my husband without using a condom as I usually would after missing a pill. The packet finished on the Friday and I started my withdrawal bleed/period on the following Tuesday like clockwork. I'm just wondering what the chances are of being pregnant even though I've started my period. Also, how soon can I take a test? Is it 21days from the sex? I hope I'm freaking out about nothing I'm usually alot more careful :s

[Bhupinder Kaur, MD]

Hello,
Ovulation is the release of a single, mature egg from a follicle that developed in the ovary. It usually occurs regularly, around day 14 of a 28-day menstrual cycle. Once released, the egg is capable of being fertilized for 12 to 48 hours before it begins to disintegrate.

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.

[mucho_muchacho]

hi thanks for your reply. i'm not sure when ovulation occurred or really how to tell when it occurred as i don't really know what ovulation is so i'm still unsure when to do a urine test. i really don't want to go to my doctor unless really necessary as i don't think there really is much chance of pregnancy. i have no idea what HCG levels are. the plan is to carry out a urine test on the 15th of march (21 days from intercourse) and take it from there. i have two urine pregnancy tests. should i take these on the same day or some days apart?

[Bhupinder Kaur, MD]

Hello,
If you have started with the periods then chances of pregnancy are less. To confirm the status of pregnancy, I suggest you to test for pregnancy by a highly sensitive pregnancy test 10 days post ovulation with a sensitive ( 20 - 25 mIU ) pregnancy test. Also then I would suggest you to get your serum HCG levels estimated since this is more specific than urine for pregnancy tests. If it comes negative then other causes of delayed periods should be explored.

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.