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Am I pregnant and what are my options?
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Gynecology & Pregnancy Care
Question #24476
136 days ago
304

Am I pregnant and what are my options?

Ayra

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.

How long ago did you have unprotected sex?:

- More than 4 weeks

Have you experienced any pregnancy symptoms?:

- Severe symptoms (vomiting, severe fatigue)

Have you discussed your concerns with a healthcare provider before?:

- No, I haven't
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Doctors' responses

since your period is 42 days late and you have had two positive home pregnancy tests on different days, pregnancy is very likely. Home pregnancy tests are highly accurate, and two positives almost always mean you are pregnant, even if ejaculation did not occur inside (pregnancy can still happen from pre-ejaculatory fluid). Your symptoms like vomiting and fatigue also support early pregnancy. Because you do not wish to continue the pregnancy, you should see a gynecologist or visit a registered clinic as soon as possible to confirm with an ultrasound and discuss safe options. In early pregnancy (usually up to 9 weeks), doctors may prescribe medical abortion pills, which are safe when taken under medical supervision, but you should not self-medicate without guidance due to risks like heavy bleeding or incomplete abortion. Please seek medical care promptly for proper evaluation and safe treatment.

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Ayra kamyaar
Client
135 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.

Based on the information you’ve provided, it is very likely that you are pregnant given that you have had a 42-day delay in your menstrual cycle and two positive home pregnancy tests. Home pregnancy tests are generally quite accurate, especially if taken correctly. Confirming the pregnancy with a healthcare provider would be an important next step, as they can offer a clinical pregnancy test and potentially an ultrasound to confirm the pregnancy’s status and estimated gestational age. If you are considering an abortion and find that the pregnancy is confirmed, consulting a healthcare professional is crucial. Medication abortion is an option generally available up to 10 weeks of gestation, but the specific regulations and protocols can vary depending on where you live. The commonly used medications for this purpose are mifepristone and misoprostol. They are both effective when used together and have set regimens to follow. A healthcare provider can guide you with the exact dosage and procedure, ensuring it’s both safe and legally compliant for you. It’s also important to understand the potential complications and know what symptoms to watch for that might prompt a need for urgent medical care, like severe bleeding or intense pain. Do not try to manage or start this process without professional guidance, since following the correct protocol is essential for your safety. I recommend that you make an appointment with a healthcare provider or a reproductive health specialist to discuss your options in detail, explore what support systems are available, and get personalized, lawful medical advice.

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Two positive pregnancy tests after a 42-day missed period very strongly mean you are pregnant, even if ejaculation did not occur inside, and your symptoms (vomiting, fatigue) also support this. If you do not want to continue the pregnancy, early termination can be done safely with medical abortion (mifepristone + misoprostol) or a simple clinic procedure, but the pregnancy must first be confirmed and assessed by a doctor to check the duration and rule out ectopic pregnancy. Please see a gynecologist or visit a registered hospital/clinic as soon as possible and do not take abortion pills on your own, as correct dosing, timing, and safety monitoring are essential.

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Hello ji As per clinical pregnancy is confirmed. Time period is also 42 days. Periods are also missed due to hormonal variations . Iam suggesting some tests. Please share with gynaecologist to prevent side-effects of ocd Serum tsh Serum ferritin Pelvic USG Urine analysis CBC Serum prolactin Serum progesterone Lft Rft Transpendoidal USG You may be given below medication on confirmation Mifepristone Misoprotosol Please avoid any medication without consulting the concerned physician Hopefully you recover soon Regards

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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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Ayra kamyaar
Client
135 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.

Hello

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

Still if you are asking safest option , its the abortion pills

Dont take pills if you are 10 weeks pregnant or more

Emergency if:

2+ pads/hour for 2 hours Severe one-sided pain, fainting Fever >38°C for more than 24 hrs No bleeding within 24 hrs after misoprostol

Thank you

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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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Hello Ayra, thank you for your sharing your concern. 2 positive pregnancy tests means high chances that you are pregnant. To confirm the pregnancy, get done an Ultrasound for Pregnancy Details.

Next, if you don’t want to continue this pregnancy, don’t take a abortion pill prescription on chat. This will do more harm and benefit. Kindly consult a certified gynecologist for the same and follow their advice.

Feel free to reach out again.

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

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