OB-GYN (Obstetrician-Gynecologist) Questions

Pregnancy Feasibility?

Hi Doctor.

It's been approximately about 20 weeks ever since my last sexual encounter. No vaginal-penile penetration and was done through dry sex/outercourse (each person had 2 layers on) but some ejaculate leaked through the condom. With that said, I've had 4 periods after missing it on February.

Complete timeline is as follows:

* Sexual Exposure - Feb 25

* 1st Period - Mar 3-16

* Negative HPT test - Mar 23, 27

* 2nd Period - Apr 3-11

* Negative HPT test - Apr 4

* Negative Qualitative Serum HCG Test - Apr 17

* 3rd Period - May 18-24

*4th Period - Jun 28-Jul 7

Is it safe to say that I'm not pregnant? Just getting concerned because I've been gaining weight lately and my stomach has been getting big. I also experienced some weird lower left abdominal pains a few days ago but it has gone away now. Not pregnant? No need for retesting? I hope to receive a detailed answer since doctors I've spoken to have been very vague about the subject matter. Thank you so much!

Just got worried because some women said that they experience monthly bleeding despite being pregnant.

*Additional information:

I am a 21 year old, female

Female | 21 years old
Medications: None

2 Answers

OB-GYN(Obstetrician-Gynecologist)
Hi there, thank you so much for sharing your experience in such detail. I hear your concern, and I want to provide you with a clear and reassuring explanation so you can feel at ease. Summary of What You've Told Me Your sexual encounter was dry sex with double layers of clothing and no vaginal penetration. Youve had 4 distinct menstrual periods since then. You've taken multiple negative urine pregnancy tests and a negative blood serum HCG test. This occurred 20 weeks ago. Let's Break It Down 1. Can you get pregnant from dry sex with clothing? No sperm cannot travel through clothing, even if some ejaculate leaked through the condom. With two layers your clothes and partners, and no direct genital contact, the risk of pregnancy is essentially zero. 2. Does having multiple periods after an encounter rule out pregnancy? Yes. True periods bleeding that lasts days and follows your typical cycle strongly indicate that you are not pregnant. It is extremely rare for someone to have normal monthly bleeding and be pregnant those cases usually involve spotting or conditions unrelated to true menstruation. 3. Are your tests reliable after 20 weeks? Absolutely. A blood test serum hCG is highly sensitive and would detect pregnancy within 1014 days after conception. Your negative blood test at 7 weeks postencounter April 17 combined with multiple negative home urine tests makes pregnancy effectively ruled out. So Why the Weight Gain and Abdominal Bloating? Weight changes and abdominal symptoms can result from many nonpregnancyrelated causes, especially if you're under stress or changing routines. Some possibilities Digestive issues constipation, gas, IBS Hormonal fluctuations Diet, exercise, or stress Body image changes or anxiety which can also create physical symptoms The brief leftsided pain you mentioned could be from ovulation, gas, or a strained muscle all common and usually not worrisome. Do You Need to Retest for Pregnancy? No. Based on Your timeline Type of sexual activity Multiple negative urine and blood tests Multiple regular periods You are not pregnant. There is no need to retest. Reassurance You're not alone in worrying especially with how much misinformation is shared online. But in your case, the evidence is clear, and you can move forward confidently without fear of pregnancy from this encounter. If the weight gain or abdominal symptoms persist, it may be helpful to Track your cycle and digestion Increase fiber and water intake Get basic labs or a physical exam with a provider if concerned But for pregnancy you can put this worry to rest. Please dont hesitate to reach out again if you want to talk more about anxiety, hormones, body changes, or anything else. You're doing the right thing by asking and taking care of your health. Warmly, Dr. AlKaraghouli.
Some females have reg cycles or bleeding. It ca n just be spotting. I would get a blood Pregnancy test if you are concerned. There are other reasons for menstrual irregularities like thyroid. You can consult your physician for other testing.