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19 February 2013 @ 06:51 pm
 
Survey

1. What type of birth control (Condoms, pills, pulled out) did you use?
Nuvaring, condoms, pulling out.
2. Were there any problems with your protection (condom breaking, missing pills)? No. Tested the condoms with water each time.

3. Are you trying to get pregnant, or avoiding it? Avoiding!

4. How many days are between the first day of one period and the first day of your next? I had my last period starting 1/21/13. For the last 7 months, I take my ring out, and I start my bleed the next day like clockwork.

5. Any changes which could change your cycle (major change in diet, exercise, new medication, new stress?) no recent chances.

6. What was the month/day your last period started? 1/21/13

7. What date(s) did you have sex? December 12 and 14, then February 14 and 16.

8. Where was ejaculation(in vagina, in condom, pulled-out)? Pulled out, took condom off, ejaculated on lower back.

9. Is there anything else that makes you think you're pregnant? I take my ring out and for the last 7 months have gotten my bleed the next day like clockwork. I took my ring out Sunday, and haven't had any indication that a bleed is coming.

This might be stupid. I'm just incredibly paranoid and anxious right now. I had gastric bypass just about a year ago, which increases fertility from the rapid weight loss, which is the reason for the three types of preventative methods. Is it possible to skip a period so soon (3 days) after sex? If I get a quant blood test tomorrow, can I expect accurate results?
 
 
 
She appears composed, so she is, I suppose.: Boisestacyinthecity on February 20th, 2013 01:41 am (UTC)
Most likely you are not pregnant since there were 3 methods of birth control used and none failed.

I know that when on HBC pills, sometimes my body would just skip a period. I'd stop the active pills and take the placebo pills on schedule, but my period never arrived. That happened twice in the few years I was on HBC and my understanding is that it isn't uncommon.

If the January times caused a pregnancy, a test would certainly be accurate by now if you just want to ease your mind. The February dates would be accurate in another week and a half or so.

Good luck!
kindamaybekindamaybe on February 20th, 2013 02:36 am (UTC)
The first times were in December, not January, and I've had a bleed since then.

Isn't a quantitative blood test accurate 3-4 days after possible conception?
She appears composed, so she is, I suppose.: Boisestacyinthecity on February 20th, 2013 02:47 am (UTC)
I don't know when a blood test is accurate, but you also need to define "conception." Some people define it by implantation, others define it by when the sperm meets the egg. Sex can happen several days before the sperm meets the egg. And then it takes several days (up to 11 days, and generally no fewer than 6) for the egg to implant into the uterus. Urine tests are at best accurate 2 days after implantation, but even that is variable by person.

If you have had your normal withdrawal bleed since the Dec sex, you probably don't need to even worry about that at all. You used 3 methods of protection, none failed, and you got your withdrawal bleed as usual.

For the February, you had sex with 3 methods of protection and none failed. You are missing the withdrawal bleed, but I know that sometimes hormonal contraception can cause no withdrawal bleed or a very late one. You are probably not pregnant. But if your bleed never comes and you want that extra bit of assurance, a test should be accurate in another week and a half (yes, you could get a positive sooner than that if you are pregnant, or a true negative sooner than that too, but it just isn't guaranteed since you don't know if or when you even ovulated).

But again, you are probably not pregnant with 3 non failing methods of protection.
Lemonade Girl: avatar- blinkingmslaynie on February 20th, 2013 01:15 pm (UTC)
This is a pet peeve of mine, but there's no reason to call your period a "bleed" when you're using hormonal birth control. They're both caused by a drop in hormones, and they're both the shedding of the uterine lining. I'm not sure why people think there's a difference, but really they're the same thing. :D
She appears composed, so she is, I suppose.: Boisestacyinthecity on February 20th, 2013 03:17 pm (UTC)
It isn't my preferred terminology either but she used it in her survey so I figured I'd keep on with similar terminology for consistency sake.
Lemonade Girl: avatar- blinkingmslaynie on February 20th, 2013 03:11 am (UTC)
She had sex in December and February, with at least one period between the December sex and now. If she were to be pregnant, it would be from the February sex, and it's way too early for a test now (like you said).

Also, you're right- it's actually fairly common to miss a period entirely when you're using hormonal birth control. The pamphlets say that if you're using your method properly, that you shouldn't even test til you've missed two periods in a row. :D
Lemonade Girl: avatar- blinkingmslaynie on February 20th, 2013 03:09 am (UTC)
I can appreciate that you're worried. Take a deep breath... relax. I'm going to address several points, which basically back up why I say you aren't pregnant.

First, it doesn't matter what day your period usually starts. Your period is considered on time as long as it starts sometime during that 7 days your ring is out. It is entirely irrelevant- your period could start on the last day, right before you put your ring in, and it's still considered right on time. So, don't freak out about this part.

Second, it's totally normal to completely skip a period once in a while when you're using hormonal birth control. As long as you've been using it correctly (in your case, inserting your ring on time and not removing it during that 3 weeks it's in, and not leaving it out for more than 3 hours if it falls out) then you have no reason to suspect you're pregnant. Your pamphlet will say this specifically, and that you don't need to test unless you miss 2 periods in a row.

Third, sperm aren't little superheros in capes and tights. They don't fly, and they don't crawl. You would need your partner to ejaculate directly onto your vagina to get pregnant without him ejaculating inside you. Sperm can't travel across dry skin, and need fertile cervical fluids to travel through. You can't get pregnant from him ejaculating on your back.

Fourth, I just spent a half hour or so researching gastric bypass and increased fertility. From what I can tell by looking at medical studies, gastric bypass doesn't increase fertility in women across the board. Instead, it helps reverse the lowered fertility woman have from PCOS. If you don't have PCOS, I really doubt your fertility has increased significantly. That's not something to worry yourself over.

Fifth, your body can't just spontaneously get pregnant at any point in your cycle. It takes around 2 weeks with specific hormones in your body for an ovary to produce an egg to fertilize, and the Nuvaring prevents your ovaries from doing that by suppressing those hormones. The ring basically tells your body "hey, we already did the egg thing. Now we're just waiting for a period, so chill for a bit."

So, the week of your period your body has the exact opposite hormones of those needed for you to get pregnant. This is why you don't get pregnant during the week of inactive pills or having your ring out.

Finally, it is point blank impossible to miss a period because of sex three days prior. Getting pregnant is a process that goes like this: you ovulate, and the egg is fertilized while it's in the fallopian tubes. Then, once that egg is fertilized, it has to travel down the fallopian tube into the uterus where it implants. That journey can take from around 8 days to two weeks.

Prior to implantation, you aren't pregnant. The fertilized egg doesn't start putting out the pregnancy hormone that tests look for until it's been implanted for a few days. This is why pregnancy tests aren't active until at least 2 weeks after the sex in question- because even if you were to become pregnant from the sex in question, it would take at least 2 weeks for the pregnancy hormone to begin being released and build up to a level that it can be picked up by a test.

This is also why we suggest women not bother testing until at least two weeks after the sex in question, because even a blood test can't pick up hormones that aren't there yet.

So, to sum up- you used three methods of birth control with no failure of any of them, you probably aren't any more fertile than the next person (and don't need extra backup for that, although I definitely support you using multiple methods for your peace of mind), and your hormones are exactly opposite to what you need to get pregnant.

I feel extremely confident saying you aren't pregnant. I hope this helps!
kindamaybekindamaybe on February 20th, 2013 12:00 pm (UTC)
With rapid weight loss, surgeons warn us that fertility is increased because hormones are stored in fat, and when rapid loss occurs, the hormones are released into the blood.

Is it possible to be pregnant from the sex in December, even though I had two normal bleeds since then (1/3/13 and 1/21/13)? I'm thinking of taking a urine test today to make sure that that's not the case

I don't know where I heard that a blood hcg test was accurate 4 days after conception. Hm..

It's just baffling how for months, one thing can happen habitually, then be different randomly.

I wish I wasn't so anxious about this stuff.
Lemonade Girl: avatar- blinkingmslaynie on February 20th, 2013 01:13 pm (UTC)
There's no real difference between your period when you're using hormonal birth control and when you aren't. They're both caused by a drop in hormones, and they're both the shedding of the lining of the uterus. You don't need to call it anything other than your period.

Also, I realize some doctors may say that rapid weight loss can cause increased fertility. However, doctors say all sorts of things. The studies I saw, however, showed something very different. I mean, women using fertility drugs aren't using estrogen to get pregnant, you know? So if you don't have PCOS, I would assume that you're just ... normally fertile. You won't conceive if he sneezes. *grin*

So you've had two normal pregnancy tests since the sex in December, and you used three methods of contraception. There's absolutely no reason to think that you're pregnant

We generally say that if something happens once, you can chalk it up to bodies being weird. If it happens twice, then it could be something to be concerned about. You say you aren't under any stress, but I bet if we sat down and talked you'd find a couple of things different this month. Are you in school? Did the new semester start last month? Have you traveled? Has your diet changed? Have you been sick at all?

Even good things can stress your body, and even if your body doesn't normally react by skipping a period, it doesn't mean it never will.

Are you anxious about other things in life, or is it just about the possibility of getting pregnant? If you are, it could be worth talking to your doctor about. I take medicine for my anxiety and it has absolutely changed my life.