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Pregnancy Mythbusters!!
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Byroney_WebMD_Staff posted:
This was posted in response to a nice question on "Could I be Pregnant?" board as to whether or not women can have pregnancy symptoms a week (or less) after ovulation.

The short answer is--No, they cannot. This is a really long response, so pardon me for the length as I explain more fully. When you ovulate, the sperm and egg just gon't get right together. Getting fertilized can take as long as Three to Five days after having intercourse. Once the egg is fertilized, it does not immediately implant. Instead, it changes chemically (to avoid other sperm joining in), and prepares for its trip. It has to pass through the fallopian tube to your uterus. Once in your uterus, it seeks a place to implant into your uterine lining. Side Note: This explains why you cannot have a True Period and be pregnant. When having a period, your body gets rid of that lining which would kill the developing fetus (miscarriage). Once implanted, changes take place that start raising hormone levels. This whole trip from ovulation to fertilization to implantation and raising hormone levels, etc. can take weeks. So while rarely a woman may have symptoms at four weeks, most women do not until six weeks pregnant or more. Some women never have symptoms. Check out the Egg to Embryo Slideshow for more information. Before Home Pregnancy Tests, women typically didn't see their doctor until they were 2-3 months pregnant because a pregnancy cannot be palpated (felt) until 10-12 weeks along. Palpation was the only way they had of confirming a pregnancy. Some women did not know they were pregnant until quickening (fetal movement) at 16-22 weeks. These women did not have the advantage women have today of testing so early, so they waited far longer to find out. Side Note: No one can feel fetal movement at 6 or 8 weeks, despite what you see posted. They are feeling gas because the embryo doesn't even become a fetus until it hits the eight week mark. There are no limbs to move around and it is the size of a BB pellet. Until 12 weeks, the fetus cannot even move around on its own. Check out the Fetal Development Timeline for more information on what happens each week. Statistically, a woman has ONLY a 20% chance of being pregnant each month, but almost 100% of the women who post here are having symptoms. Many of them will have other things like PMS, hormone imbalances, thyroid problems, the flu, etc. causing their symptoms. Some women have phantom/false pregnancies where they can go all the way up to having labor pains, but not really be pregnant--that is how powerful our minds are. That doesn't mean there is anything bad or wrong about women thinking they are having Pregnancy Symptoms before their body even knows it is pregnant. It is like if someone tells you they have lice and you feel your head itching. You are suddenly focused on any possible changes, and you may notice things you've never noticed before. Many women are also in a heightened state of awareness, either in excitement (trying to conceive!), or from fear (condom broke!). The good news is that after a year of trying, 85% of the women who wanted to be pregnant, will be! Best wishes and baby dust to all who want it, Byroney
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slogan79 replied to Byroney_WebMD_Staff's response:
I have a question. My tubes were tied 8 years ago. My doctor put me on the depo shot because I was having very painful periods and had a waiting period with my insurance. I took my last shot 4 months ago. I had a light period for 3 weeks when I didn't go for my last shot. I have been period free for 3 weeks now but have new symptoms. My breasts are REALLY tender and sore, I am have BAD heartburn, and frequent urination, and a lot of fatigue. Could I be pregnant? I have taken 2 tests that have come out neg. But it is hard to gage my last period since I had it for so long. Please help!
Thank you,
Slogan79
 
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Caprice_WebMD_Staff replied to slogan79's response:
Hi Slogan,

Be sure to discuss this with your GYN as there's really no way for anyone on a message board to know.

But if you'd like feedback from the community here on what's going on, I hope you'll start a new discussion. (You happen to have posted on a discussion which was begun over three years ago and I'm afraid your post here may be missed.)

To do that, hold your cursor over the orange Post Now button and choose 'Discussion' from the drop down menu which appears. Fill in the subject line and body of the message (you can ignore the poll part if you want) and Submit.
 
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Jane Harrison Hohner, RN, RNP replied to slogan79's response:
Dear slogan: I found your question via Caprice's reply. She has given you correct advice (as usual), but I want to add some more information about bilateral tubal ligations (BTL) and pregnancy.

A number of factors have been identified which influence the failure rate for BTLs. These include age of woman (older women get pregnant less frequently), the type of procedure used, and whether clips or rings were done while the tubes were more dilated (during immediate postpartum). There have been numerous studies of the failure rates of different techniques. The following represents a summary of those studies.
Pomeroy Procedure (section of tube surgically removed)--- 1.0%
Unipolar Coagulation--- 0.75%
Bipolar Coagulation--- 2.48%
Filshie Clip--- 0.9%
Hulka Spring Clip--- 3.6 %
Silastic Rings--- 1.7%

According to Peterson (1996) and his work group at Centers for Disease Control, the highest failure rates of BTL have been for women under the age of 30 receiving bipolar coagulation (5.4%), and Hulka clips (5.2%).

Unfortunately, if a woman with a tubal ligation conceives there is a much higher chance of having it being an ectopic, commonly known as tubal, pregnancy. Napolitano (1996) identified a 36% rate of ectopics in women with a failed tubal ligation. Peterson and colleagues (1997) followed over 10,000 women for 5-14 years after BTL. The rate of ectopic pregnancy in that very large group was less than 1%. Because of the duration of follow up, Peterson was able to determine that the risk of an ectopic pregnancy was just as high 4-10 years after surgery as during the first 3 years.

To summarize, overall tubal ligations fail in 1.3% or less of procedures. If one does become pregnant, up to 33% can be ectopic pregnancies. In your specific case you absolutely did the correct thing in checking a pregnancy test first. Fortunately you are likely at low risk for an accidental tubal pregnancy because of recent DepoProvera use.

As Caprice said, if your pregnancy symptoms persist you should see your GYN or clinic. They can do a blood pregnancy test which should be able to detect a tubal pregnancy. If the test is negative they can help determine the cause of your symptoms.

Yours,
Jane
 
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haritsa responded:
Hello Byroney!

I am 32 and planning for my second child....but i have hypothyrodism which is within range after my medication....we have been planning for second child for the past 6months but no success...but from the time we started planning i have these wierd symptoms post ovulation till my nxt period like bloating, cramps in leg, muscle pain, slight soreness in lower left abdomen n i feel slightly warm when im closer to my period....each month i hope i had conceived but so far i have ended up with a negative HPT....

please let me know whether these sypmtoms are normal as i never used to have these things before we started planning....or is it my thryroid causing this as i got thyroid after my first baby was born....give me some tips to get pregnant with hypothyrodism.....

thnks for your help!!
 
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yamaha450 replied to Byroney_WebMD_Staff's response:
heres a question, I know this question is asked all over the web. If it it so hard for a woman to get pregnant when a couple is trying to become pregnant, how can a woman get pregnant from pre-ejaculate? I've read that it comes from the cowpers gland and that there isnt any semen in the fluid. however, if you ejaculate prior then yes, there can be some left in the line making the pre-ejaculate pick up the left over semen. But if you urinate and clean out the line, how can it impregnate a woman?
 
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Jane Harrison Hohner, RN, RNP replied to yamaha450's response:
Dear yamaha: Excellent question. Finally a group of GYN's published a study in an attempt to put down this urban legend. Twelve men (including five which were being evaluated for known premature ejaculation) were tested on at least two separate occasions for the presence of sperm in the pre-ejaculatory fluid. After ejaculation they were then given a standard semen sample evaluation. While all men had normal sperm counts and motility, NONE of them had sperm found in their pre-ejaculatory fluids (Zukerman, 2003).

This data would suggest that risk for pregnancy after contact with pre-ejaculatory is very small. Now perhaps, if the male partner has already begun to climax, pregnancy is possible.

Bottom line, any residual semen from a prior ejaculation should be cleared with urination, and pre-ejaculatory fluid should typically be without semen.

Yours,
Jane


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