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Am I Pregnant and What Are My Options?
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Gynecology & Pregnancy Care
Question #24454
45 days ago
151

Am I Pregnant and What Are My Options? - #24454

Client_e8fd9a

Hello Doctor, My periods are 42 days late, which is unusual for me because my cycle is normally regular. I had unprotected sex, but my husband did not ejaculate inside. We were not sure about pregnancy, but because my periods were late, I took two home pregnancy tests on different days, and both came back positive. My husband thinks the result might be wrong, but I am worried because both tests were positive. We do not want to continue this pregnancy. I am 18 years old. Could you please confirm if I am likely pregnant and advise whether I should take abortion pills? If yes, which medication is safe and appropriate, and what precautions should I take? Thank you.

When was the last time you had your period?:

- 1-2 months ago

Have you experienced any pregnancy symptoms?:

- Unsure

Have you used any form of birth control regularly?:

- No, never
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello ji Walikum assalam Apki condition se lag raha hai pregnancy confirmation hai Aapka time bhi 42 days show ho raha hai Main apko kuch test likh raha hun isko karwayo aur gynaecologist ke saath share karo tabhi pata lagega ki ocd medication ke side-effects to nahin honge Serum tsh Serum ferritin Pelvic USG Urine analysis CBC Serum prolactin Serum progesterone Lft Rft Transpendoidal USG Iske alawa aapki do dwai mel sakti hai Mifepristone Misoprotosol Pehley gynaecologist ko dikhana tabhi dawai Lena Nahin to side-effects ke chance rehtay hain Hopefully aap jaldi theek ho Regards

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
42 days ago
5

Two positive home pregnancy tests after 42 days without a period very strongly suggest that you are pregnant, even if ejaculation did not occur inside (pregnancy can still happen from pre-ejaculate). Before taking any abortion pills, you must confirm the pregnancy and number of weeks with a doctor (urine/blood test and sometimes ultrasound) to ensure safety and rule out ectopic pregnancy.

If you do not want to continue the pregnancy, a gynecologist can guide you about safe medical abortion (commonly using mifepristone + misoprostol within early weeks), the correct dose, timing, and precautions — please do not take these medicines on your own without medical supervision because incorrect use can cause heavy bleeding or complications.

Please visit a gynecologist, government hospital, or reproductive health clinic as soon as possible for confirmation, counseling about your options, and safe treatment.

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
38 days ago
5

Hello, thank you for sharing your concern. 2 positive tests mean you are pregnant. Even though you and your husband feel that he didn’t ejaculate, many a times some ejaculation go unnoticed.

You can get an abortion done, if you don’t want to continue this pregnancy, but taking online prescription for the same is not recommended. If you are taking an online prescription, then kindly talk to a certified Gynecologist and follow their advice.

Before that, get done an Ultrasound for Pregnancy Details, to confirm the pregnancy, location of implantation and other details.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
44 days ago
5

Hello

If two home pregnancy tests on different days are positive, you are very likely pregnant, especially with 42 days missed period and symptoms like vomiting and fatigue.

Withdrawal (no ejaculation inside) is not fully reliable, so pregnancy can still happen.

Since you do not want to continue the pregnancy:

First, confirm with a doctor visit and ultrasound to check how many weeks and rule out ectopic pregnancy.

If it is an early pregnancy (usually up to 9 weeks), medical abortion pills (Mifepristone + Misoprostol) are commonly used.

Do not take pills without medical guidance, especially at 18 and without confirming gestational age.

⚠️ Seek urgent care if severe abdominal pain (one-sided), dizziness, or very heavy bleeding.

Please see a gynecologist as soon as possible for safe and legal options in your area.

I trust this helps Thank you Take care

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
44 days ago
5

since your period is 42 days late and you had two positive home pregnancy tests on different days, pregnancy is very likely. Home pregnancy tests are usually very accurate, and two positives are rarely wrong, even if ejaculation did not happen inside (pregnancy can still occur from pre-ejaculate fluid).

The next step is to confirm with a blood beta-hCG test and/or an ultrasound at a clinic as soon as possible. If you do not wish to continue the pregnancy, early medical abortion (abortion pills) is generally safe and effective in early pregnancy, but it should be taken only under medical supervision. The usual regimen involves mifepristone followed by misoprostol, and a doctor will guide you on the correct dose, timing, and check for complications

Do not take random pills without prescription, as incorrect use can cause heavy bleeding or incomplete abortion. Seek a gynecologist or family planning clinic urgently, as earlier treatment is safer and simpler. If you develop severe abdominal pain, very heavy bleeding, dizziness, or fever, go to emergency care immediately.

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1 replies
Client_e8fd9a
Client
44 days ago

Hello doctor. I understand your advice about visiting a clinic, but unfortunately I am not able to visit in person due to personal and family reasons. My last period was on (date). I have no severe one-sided pain, no fainting, and no heavy bleeding. I am approximately 5–6 weeks pregnant. If medical abortion is possible in my case, please guide me on the safest option, necessary precautions, and warning signs to watch for. I understand the risks and will seek emergency care if needed. Thank you for your guidance.

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
44 days ago
5

Hello

I understand your concern and anxiety about this situation. Based on your description—42 days late period, history of unprotected sex, and two positive home pregnancy tests—it is very likely that you are pregnant. Home pregnancy tests are quite reliable, especially when repeated and both are positive.

However, I cannot provide advice or guidance about abortion pills or any medication for ending a pregnancy.
This is a sensitive medical issue that requires a doctor’s supervision for your safety and well-being. The safest and most appropriate step is to consult a gynecologist or a healthcare professional as soon as possible. They will confirm the pregnancy with a blood test or ultrasound and discuss safe options with you, including any necessary precautions.

Thank you

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3 replies
Client_e8fd9a
Client
44 days ago

Hello doctor. I understand your advice about visiting a clinic, but unfortunately I am not able to visit in person due to personal and family reasons. My last period was on (date). I have no severe one-sided pain, no fainting, and no heavy bleeding. I am approximately 5–6 weeks pregnant. If medical abortion is possible in my case, please guide me on the safest option, necessary precautions, and warning signs to watch for. I understand the risks and will seek emergency care if needed. Thank you for your guidance.

Client_e8fd9a
Client
44 days ago

OK Thank uh soo much

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
44 days ago
5

Hello Since you are about 5–6 weeks pregnant and have no severe pain, no heavy bleeding, and no fainting, a medical abortion is generally considered effective and safe in early pregnancy for most people. However, I need to say clearly: the safest option is always to have medical supervision

Option 1 (Most effective):

Mifepristone 200 mg (one tablet) Followed by Misoprostol 800 mcg (4 tablets of 200 mcg each) 24–48 hours later

Misoprostol can be taken:

Under the tongue (sublingual – hold 30 minutes, then swallow remnants), or

Between cheek and gum (buccal – hold 30 minutes), or

Vaginally (insert high into vagina)

At 5–6 weeks, this usually works very well

Option 2 (If mifepristone is not available):

Misoprostol only

800 mcg (4 tablets of 200 mcg)

Repeat every 3 hours

Up to 3 doses total if needed

This works slightly less effectively than the combined method but is still safe

What to Expect

After misoprostol:

Cramping (can be strong)

Bleeding (often heavier than a period)

Clots and tissue passing

Nausea, diarrhea, feverish feeling, chills (common for 24 hours)

At 5–6 weeks, you may see:

Small clots

A small sac-like tissue (may not be clearly identifiable)

Bleeding usually starts within a few hours after misoprostol.

Normal vs Warning Signs Normal:

Heavy bleeding with clots

Strong cramps

Fever/chills for less than 24 hours after misoprostol

SEEK EMERGENCY CARE if:

Soaking 2 or more large pads per hour for 2 consecutive hours

Severe abdominal pain not relieved by pain medicine

Fainting or severe dizziness

Fever ≥ 38°C lasting more than 24 hours after misoprostol

Foul-smelling vaginal discharge

No bleeding at all within 24 hours of misoprostol

How to Confirm It Worked

After 3–4 weeks:

Take a pregnancy test (it may still be faintly positive earlier) OR

If possible, get an ultrasound

Signs it likely worked:

Heavy bleeding and clots

Pregnancy symptoms decrease (breast tenderness, nausea improve)

Important Emotional Note

Hormonal shifts can cause mood changes for a few days. That is normal. Try to rest and have someone nearby if possible.

First, an important safety note: Before taking abortion pills, it’s safest to confirm:

You are less than 10 weeks pregnant

You do not have symptoms of ectopic pregnancy (severe one-sided pain, shoulder pain, dizziness/fainting)

You do not have an IUD in place

You are not allergic to the medications

You do not have a bleeding disorder or take blood thinners

Thank you

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Given that both home pregnancy tests have returned positive results and your period is 42 days late, it’s highly likely you are pregnant. Home pregnancy tests, when done according to instructions, are quite reliable as they detect the presence of hCG (human chorionic gonadotropin), a hormone typically found in the body during pregnancy. However, for confirmation, I would recommend scheduling an appointment with a healthcare provider. They can perform a more definitive test, such as a blood test or an ultrasound, to confirm pregnancy and discuss your options.

If you decide to terminate the pregnancy, there are medical options available, such as the use of mifepristone followed by misoprostol, which are medications used for medical abortion. Generally, these medications are effective up to the first 10 weeks of pregnancy, but it’s crucial to get guidance from a healthcare professional. They’ll provide the appropriate dosage and administration instructions, ensuring safety and addressing any medical conditions that might alter use. You’ll need to consider health facilities which can offer immediate assistance afterwards in managing potential complications like excessive bleeding or failed evacuation.

It is paramount not to self-administer these medications or take advice from unverified online sources, given the risks involved if they are used incorrectly. Setting an appointment with a healthcare provider is essential. They will detail the process, possible side effects, and what to watch for in terms of complications. They’ll also discuss alternative methods if necessary. Make sure to seek medical advice as soon as possible to discuss the best course of action.

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