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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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could you get pregnant during menstruation - 23-02-2008, 04:14 AM

as title says could you get pregnant during menstruation..cause i got some issues and problem of a girl getting pregnant during her periods.
just see this case.


Quote:
Originally Posted by sarahD
Hello, Im 16 years old and deathly afraid of being pregnant.
I need to know this answer. I was raped exactly a week and a half ago, while on my period. The ma pulled out but im afraid that pre *** would be able to get me pregnant. Is it possible to get pregnant on your period, By
Precum...?

Last edited by Moderator : 23-02-2008 at 06:01 PM. Reason: Links corrected
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Re: could you get pregnant during menstruation - 23-02-2008, 04:57 AM

Yes,

That's an excellent discussion. The incident is definitely a sorry one but the medical aspect has been well dealt and equally entertained by the client there. The concerns are:
  • Menstruations
  • Sexual contact - unprotected sex ( no matter what the way/modalityare)
  • Pregnancy

Definitely we can't rule out her chance of getting pregnancy because it really fluctuates with the menstrual regularity and timing of ovulation that swings with the menstruation. She has not explained her menstrual regularity there.

Secondly, there is no history of contraception or any other drugs esp hormonals/steroids/others that can fluctuate the ovulation as well as menstruation.

Next point point should be detailed history of sexual performace - was it a full contact? No detailed history has been given. Since the girl is sixteen and seems from really outside the domain of science or health background, the history should be properly dug up and draw a graph.

Fourth, about using the recommended strip of pregnancy test. Does she know how to use it? I mean technical knowhow. Is she menstruating during this period as well? When to test - early morning, on the day or evening /night? How long did she put that and took that reading? What are the conditions she can get this positive besides pregnacy? Is it the pregnancy only it gets positive? Was the way of urine collection correct? How did she handle it? Was there any chemical/detergent mixture - chance? When exactly it starts getting positive even if you have fruitful coitus - even a women is pregnant? Is it the best way to do? Is it the best test to do especially for a young, ignorant and medicolegal case? How about blood BETA-hCG??? Why not to go for it immediatley? How about USG Abdomen or better - Transvaginal Sonography? Cheap, easier and faster!!! I mean better way out and medical aspects of that sort of condition. Why not to ask her again to test with the proper way and from better quality strip? Repeat the TEST !!!

Then it comes whether she had other a number of conditions where she can have it positive like GTDs !!! Other illnesses?

Finally, it may also be the quality of the strip!!! Was it within the date- Expiry Date? Was it from a standard manufacturer? For such an important case, I strongly recommend to consider such points as well.

Anyway, that's an important condition and we have to deal with all aspects in mind. I have tried to put some of them here. Hopefully doctors handling the case there will consider these point - but I'm pretty sure they are quite smart medicos and are dealing all these.

Thanks Dr Deepak for sharing that here.



Best wishes,
mati


Matiram Pun
Maharajgunj Campus
Institute of Medicine, Maharajgunj
Tribhuvan University Teaching Hospital, Kathmandu
Nepal

Last edited by Mati : 23-02-2008 at 05:20 AM.
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Re: could you get pregnant during menstruation - 23-02-2008, 05:25 AM

Quote:
Originally Posted by sarahD
Hello, Im 16 years old and deathly afraid of being pregnant.
I need to know this answer. I was raped exactly a week and a half ago, while on my period. The ma pulled out but im afraid that pre *** would be able to get me pregnant. Is it possible to get pregnant on your period, By
Precum...?
I am sorry too for the incidence.


She won't get pregnant as she was menstruating. It was answered there too.

How can a women get pregnant even if she has a fruitful coitus (ejaculation inside the vagina) during her menstruation. To get pregnant you need to have a ova and sperm.

Ova release 14 days +- 3 days in average. Once the ova is released it stay alive for 12-24 hours only. She may be some where 1-5 days of her menstruation and ova will release after 9 days (14 + - 3 days) And once the sperm is ejaculated it stays for few days and in the optimum condition just five days. Since she is far way from her ovulation she won't get pregnant. But if she was in the later part of her menstruation and if her body provide optimum condition and above that if she ovulate earlier than expected date (14th day), there is a chance of getting pregnancy but very rare.

Quote:
Sperm ejaculated into a woman's vagina remain alive in the mucus of the cervix and are able to fertilize an egg for three to five days. Sperm ejaculated outside the body usually live only a few hours.
To be in the safe side she has to do a pregnancy test (easy pregnancy test kits) after 10 days or she can wait for her normal menstruation if it doesn't appear then it can be considered as danger sign.

Usual pregnacy test toolkits detect hCG of 50 mIU - 100 mIU hCG. The most sensitive pregnancy tests can detect hCG levels at as low as 20 mIU - or at around 8 days following implantation of the egg.

Last edited by Pal : 23-02-2008 at 05:38 AM.
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Re: could you get pregnant during menstruation - 24-02-2008, 01:19 AM

now she confirms that she had 7 days menstruation..
as i guess ovulation starts just before 12-16 days of menstruation regardless of monthy cycle of 21 or 28. so if it was 21 days cycle then say her ovuation have been started just right after menstruation. or 28 days then might be hust after 3-4 days on menstruation and as sperm live for 3-5 days . so she might have got pregnant,yea she confirms that doctor did the test and came positive.
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