Brief Answer:
Relax. This is not a
pregnancy.
Detailed Answer:
My dearXXXXX
Relax. Lets look at this issue systematically and scientifically. Knowledge will arm you and reassure you. Ignorance causes
anxiety.
A sexual contact 4 months ago cannot result in a pregnancy or any complication of pregnancy like a partial
abortion or something like that if the girl is having no abnormality in her periods.
Your friend is having normal 27-30 day cycle for last 4 months and, as i understand, there has been no sexual contact after 10th July, since you both stay in different cities.
In case a pregnancy resulted from the contact in July, her periods would not have been normal and further, she would have some kind of irregularity like a continued, prolonged spotting/bleeding. As i check the dates, i find that not only were they regular but also they lasted 4-5 days each time, except in August when they lasted 6 days. That's ok. We consider any period lasting more than 6 days as 'heavy'. So this pattern is perfectly normal.
The
Emergency Contraceptive Pill is very effective in preventing a pregnancy if taken correctly within 72 hours. Your friend took it well within that time, next day.
Look at another very important fact - the July period - first day of that period is 5th July. i.e. we call that Day 1. You had contact on Day 6. That is within first 7 days after start of the period. In a normal cycle of 28 days, this contact would fall within the so-called 'Safe Period'.
The symptoms most suggestive of pregnancy are
nausea and
vomiting = 'Morning Sickness'. The symptoms that you write about are not typical symptoms of pregnancy.
All in all, as you can see in these circumstances, the chances of pregnancy are very, very rare.
I hope that reassures you.
However, since your anxiety level is so high, you can always get a pregnancy test done, which is simple home kit based; easily available over-the-counter from any chemist or even at my centre, since your friend is based in my city.
I don't think its required but unless that thought of pregnancy is totally erased, it may bother you.
Now lets look at and sort out the symptoms of your friend. To me they appear as stress related. I personally think that its not the fact of pregnancy as much as some sort of a deep guilt reaction.
Both of you are young and our society forbids something that is very natural, before marriage. Either follow the dictates of the society that you want to live in very strictly OR else, have the courage to live the way you want without allowing guilt to settle in.
Its not very easy to explain this but i'll try to help you.
Most of the problems that we suffer from arise out of maladjustment - with relationships, people and societal expectations. If you are not mature enough to handle the consequences of premarital sex, then don't indulge in it. Its so simple.
Sex can have two medical consequences - pregnancy or infections. Premarital sex has another - guilt. And look how you guys suffer. Either be bindaas about premarital sex, simply to fulfill the natural need of the body; or if you are too conditioned by society, then avoid sex. Understood? There is nothing moral about this at all. You are not 'bad' because of a little 'exploration' but it bothered and worried both of you.
If both of you do wish to continue sexual activity, may i suggest, as your consulting doctor, that you prevent both pregnancy as well as infections. This can be done by you using correctly the condom Each Time PLUS your friend going on to the regular contraceptive pill rather than relying of Emergency Contraceptive Pill, which actually disturbs the rhythm of the natural cycle.
Ask your friend to take some fibre like Isabgol husk to relieve her
constipation. I generally prescribe 2 tablespoons with water at 6 pm daily. If her symptoms are not improved in 2-3 days, please check with a local doctor, who will be able to help further.
I hope you are reassured and more empowered with scientific information.
Take care. Relax.
Dr Nirja Chawla