Patient's question:
My period arrived on April 11th, but as of today (May 15th), my period has not come yet. I have an IUD. Previously, when I had sex with my husband, he never came inside me, but this time, three days before my period, he came inside me. Additionally, three days after my period was due, I started experiencing lower back pain, pelvic pain, breast pain, vaginal pain, and lower abdominal pain. It has been three or four days of pain, similar to menstrual cramps, but my period has still not arrived. I checked, and the dates of my periods over the past five months have been very regular. On the 12th (three days after my period was due), I took a pregnancy test, and it came back negative. I suspect it might be an ectopic pregnancy, as ectopic pregnancies are said to cause abdominal pain similar to menstrual cramps. Experts, please diagnose my condition and provide a detailed explanation in writing.Doctor's answer:
According to your description, your situation is not only about having an IUD but also about having intercourse 3 days before your period with internal ejaculation. In this case, it is absolutely impossible to get pregnant. Because the time you had intercourse is in the absolute safe period, even without any contraception, it would not lead to pregnancy. Moreover, since you have an IUD, it is even more impossible to get pregnant.Your symptoms include lower abdominal pain, vaginal pain, and back pain, which may indicate a gynecological issue, such as vaginitis, pelvic inflammatory disease, or adnexitis. It is recommended that you visit a hospital for an ultrasound and a thorough examination of secretions to diagnose the condition. After diagnosis, symptomatic treatment can be administered.
The recurrence of ectopic pregnancy poses a serious threat to women's health. Patients must avoid sexual intercourse during the treatment period.