Do delayed periods, intense cramping, and a whitish-brown discharge point toward pregnancy?

Question

Hello doctor,

I am on my 35th day of the menstrual cycle and have not got my period yet. I had sex (using a condom, no pills) on the 10th day. I have been having mild to intense cramping. I only have white and brown discharge. I took a pregnancy test during my 3rd and 4th weeks, and all tests were negative. Is it still possible to get pregnant in my situation?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query.

I understand your concern. It is better to have a blood pregnancy test serum beta hCG to check the clear status of your pregnancy. In the case of irregular periods, we cannot say exactly for the fertile periods and sometimes pregnancy. If the pregnancy test comes negative, you might need blood hormonal investigations (serum testosterone, progesterone, prolactin, FSH, LH, serum insulin, thyroid function test, and complete blood count) on day 2 of menstrual periods and transvaginal scan as well. Have one high vaginal swab to exclude pelvic infection, as this also could give you abdominal cramps. If beta hCG comes negative, you can have a tablet of Norethisterone 10 mg twice daily for five days and then wait for menstrual bleeding for 1 to 2 weeks. From day 2 to 5, you can have a tablet of Ponstan 500 mg 8 hourly for abdominal cramps if there is no pregnancy. You can take combined oral contraceptive pills for three cycles to regulate cycles.

I hope this has helped you. Thank you.