Last Menstrual Period

The last menstrual period indicates the first day of the last menstrual period before pregnancy. The last menstrual period helps in calculating the expected delivery date. The expected delivery date is calculated by adding 40 plus or minus two weeks from the last menstrual period.

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I have been on birth control vaginal ring for five years, but recently noticed spotting post-intercourse. What could be the reason?

Query: Hello doctor, I have been on birth control vaginal ring for the past five years. I had no problems with it until this morning. I was intimate with my partner (penetration with fingers) and had an orgasm. We then noticed that I had a bleed. It was light spotting and looked like a little period. It ha...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to Your complaint is about post-intercourse spotting with birth control vaginal ring and then period-like pain, so you are asking about the possibility of injury. Birth control vaginal ring is a polymeric drug delivery device designed to produce two hormones, etonogest...  Read Full »

My hCG levels are 17 mIU/mL on the third week after the last menstrual cycle. Is this normal?

Query: Hi doctor, I am in my fourth week after the last menstrual cycle. I took blood tests in the third week, and my hCG levels were 17 mIU/ml. Is this normal? Kindly suggest.  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to I understand your concern. It is difficult to determine whether an hCG level of 17 mIU/mL at three weeks is normal without any additional information. hCG levels vary widely during early pregnancy; the normal range can be broad. Generally, an hCG level below 5 mIU/mL is...  Read Full »

I did not get my period on time despite having a negative pregnancy test. What could be the possible cause?

Query: Hello doctor, For the past two years, I got my periods on the time it was not delayed. Usually, it happens four days before last month's period, or it will occur on the same day as my last month. But this month, I did not get my period, and It has been passed two days since I did a pregnancy test t...  Read Full »

Dr. Bandam Srinivas

Answer: Hello, Welcome to There could be many reasons for not getting a period this month. Some common causes of a missed period include pregnancy, stress, changes in weight, and certain medications. If your pregnancy test results are negative and you have not been experiencing any other preg...  Read Full »

Can you tell me the reason for my missed periods after going through my thyroid and blood test reports?

Query: Hello doctor, I missed my period. The last was one month back, and I also have the thyroid and pregnancy reports. So I wanted to check if there is any issue.  Read Full »

Dr. Natasha Bansal

Answer: Hello, Welcome to I read you query and can understand your concern. Your test is negative for pregnancy, but I suggest going for a blood test to confirm this. Get serum beta hCG levels done. If they are negative, we can be sure that there is no pregnancy. After that, we can give you...  Read Full »

I am in an open relationship and I would like to know my child's father. Can you help?

Query: Hello doctor, My husband and I are in an open relationship. I had sex with someone at the end of last month, and the condom broke, so on the next day, I went and got a plan B tablet and took it in the morning. I went to my gynecologist a few days later and had a pregnancy blood test, and it was neg...  Read Full »

Dr. Reetika

Answer: Hello, Welcome to I can understand your concern. To get pregnant, the sperms have to be released inside the vagina of the female. These sperms then need to fertilize an egg which may or may not be available depending on the ovulation pattern of the female. The fertilized egg is then req...  Read Full »

I had unprotected sex three days before my last period. Do I still have a chance of being pregnant?

Query: Hi doctor, I had unprotected sex a few days before my period. Later, I had my period, but the volume of blood flow was less than regular. Can I still be pregnant? Or is there no chance? Should I still take my emergency contraception to prevent pregnancy?  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I have read your query and I understand your concern. If someone is positive for pregnancy then there is no menstrual bleeding in the female in the subsequent month. Menstruation only occurs when a person is not pregnant. You did mention that you had unprotected sexual...  Read Full »

Is it safe to have sex 20 days after the last menstrual period?

Query: Hello doctor, My fiance and I had protected intercourse 20 days after her last LMP, and she generally has a 30-day cycle. She was supposed to get her periods today, but she did not get her periods. Is this physiological to be delayed by a few days, and was she in the safe period? Please help.  Read Full »

Dr. Reetika

Answer: Hi, Welcome to I can understand your concern and will surely help you. Firstly, let me tell you that periods can be delayed due to multiple reasons like polycystic ovarian syndrome, hormonal imbalance, medication, intense exercise, dietary changes, etc. But pregnancy in your ca...  Read Full »

LMP was 20 days back. Could the nauseous feeling be due to pregnancy?

Query: Hi doctor,I am a 27-year-old female. I am planning to have a baby. It is the first time that I am trying for it. My last menstrual period was 20 days back. Yesterday, I started to have a feeling of nausea and gastric issues. Today, I have pain in my lower abdomen. Is there a chance for me to be conc...  Read Full »

Dr. Reetika

Answer: Hi, Welcome to I understand your concern. For getting pregnant, you need to take folic acid and multivitamins. Keep track of your menstrual cycle and ovulation cycle. Have intercourse on alternate days during ovulation period. As you are experiencing some pregnancy-related symptom...  Read Full »

Why is my gestational age a week more than my last menstrual period?

Query: Hi doctor, I had my last period before 4 weeks 5 days. I confirmed pregnancy by doing a home pregnancy test. When I went to the scan, the doctor told me that the sac measures 1.75 centimeters and it is 5 weeks 5 days. Why do I have this difference? Is this normal?   Read Full »

Dr. Sravanthi Nuthalapati

Answer: Hi, Welcome to There is nothing to be worried about this calculation as it is just a machine reading. You can follow the actual date of gestational age calculations. As per your date, your gestational age is 4 weeks 5 days and gestational sac diameter is 17 millimeters. According to t...  Read Full »

How can I figure out my conception date?

Query: Hello doctor, How can I figure out my conception date? My last menstrual period was three months back. I had my dating ultrasound and it put the GA at 9 weeks and 3 days. Also there was a CRL measurement of 26.96. My due date based on LMP and ultrasound are different. Please answer. Also how many "...  Read Full »

Dr. Mavani Jimesh Himatbhai

Answer: Hello, Welcome to First of let me tell you that if your menses is coming every month with 2-3 days here or there then it is absolutely normal cycle. Now in normal cycle ovulation occurs in the middle of the cycle (around 12-18th day of cycle) when conception can actually happen. Fir...  Read Full »

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