Could my girlfriend be pregnant after taking Meprate?

Question

Hi doctor,

My girlfriend and I were intimate for two consecutive days last month. During that time, her periods were delayed by two weeks. I was careful not to ejaculate anywhere near her vagina, nor was it knowingly in contact with my penis. She waited for another 10 days, and since she did not get her period. She had Meprate tablet twice a day for five days.

Then, she got her period after another five days. The blood discharge was more on the first day, and the bleeding diminished subsequently, and it lasted only till the fourth day, though usually, it lasts for five days. Her period is due now for this month, and still, she does not have any menstrual symptoms.

Could she still be pregnant?

Please advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Ideally, Meprate - Medroxyprogesterone should be taken only after confirming the absence of pregnancy, as Meprate tends to cause incomplete abortion. So, it would be wise to get a serum beta hCG (human chorionic gonadotropin) done. It is a blood test that detects the tiniest pregnancies. As per the timeline, if the value is less than 5, then the test is negative.

Review the value of the beta hCG report, so that I can suggest a medication safe for her. When you review, make sure you mention the following -

The value of beta hCG.
The starting date of the last period (before intercourse).
Date of intercourse.
Intake of Meprate.
And whether she has an associated thyroid or prolactin disorder.

Please answer the mentioned questions so that I can assist you further.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have gone through the reports, and they appear to be normal (attachment removed to protect patient identity).

Meprate must ideally be taken only if pregnancy is ruled out by hCG failure, as Meprate can lead to -

Delayed implantation.
Defective implantation.
Incomplete abortions.

So, it is important to get hCG levels done. The thyroid and prolactin levels are normal. Therefore, the cause of amenorrhea if not pregnancy, might be PCOD (polycystic ovarian disease)of the thinned-out endometrium.

It will be clear on a gynecological ultrasound. The plan remains the same. Get hCG done and review with value, so that I can suggest medication safe to induce periods. Also, get the remaining hormonal profile and ultrasound done on day 2 of the period.

I hope I answered your query.

Please let me know if I can assist you any further.

Thank you.