The Doctor Is In: OMG, Am I Preggers?

Talking sex with your doctor isn’t always easy. Whether you are afraid she or he will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

By CC Staff

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person and didn’t really trust the Yahoo community to answer for you. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: My period is irregular every month. Sometimes it comes 6 weeks apart and other times it can be up to 9.  I am not on birth control (can’t handle the side effects) and practice safe sex with my boyfriend. The problem is that I get freaked out every month that I’m pregnant. How soon can I take the test? Are there any signs I can look for that will either tell me I’m absolutely not pregnant or that maybe I am?

A: Sounds like your periods are annoying, unpredictable and scary. Bummer about that.  Chances are, if your periods are that irregular, that you’re not ovulating regularly, but that doesn’t mean you don’t have to worry about pregnancy. Your ovaries can still spit out an egg from time to time. When you’re not ovulating regularly, your uterus doesn’t know when to bleed, and your hormones can be all over the place.  Why might you be skipping periods or not ovulating?

Common Reasons for Irregular, Infrequent Periods:

- You exercise vigorously (think marathon runners and competitive gymnasts)
- You have an eating disorder.
- You’re overweight.
- You’re young and your body just hasn’t matured yet.
- You’re under a lot of stress.
- Your thyroid hormones are out of whack.
- You have polycystic ovarian syndrome (PCOS).

What can you do about irregular, infrequent periods?

See your gynecologist. A thorough physical exam and laboratory evaluation are in order. If you can’t take birth control pills, progesterone therapy may help balance out your hormones, assuming there isn’t some other underlying cause.

In the mean time, what can you do about the pregnancy scares? That’s tricky. There’s no reliable sign to signal to you whether you’re definitely pregnant. Some people experience nausea, breast-tenderness, and fatigue in early pregnancy, but many women do not. Technically, a pregnancy test should be positive within two weeks of ovulation, but since you have no clue when or if you’re ovulating, that makes it tough to time taking pregnancy tests. You can try taking a pregnancy test four weeks after the first day of your last period, when you would expect your period to come if it was regular. If that’s negative, repeat it every two weeks after that until your next period comes.

But that’s just a band-aid. You’re better off getting to the root of the problem and seeing a doctor.  Good luck, honey. I hope you get it sorted out.