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How To Tell That A Woman Is Not Pregnant

   

A health care provider usually can tell if a woman is not pregnant by asking her questions. Pregnancy tests and physical examinations usually are not needed, they waste resources, and they discourage clients.

 

It is reasonably certain that a woman is not pregnant if:

   

  • Her menstrual period started within the last 7 days, OR

  • She gave birth within the last 4 weeks, OR

  • She had an abortion or miscarriage within the last 7 days, OR

  • She gave birth within the last 6 months, is breastfeeding often, and has not yet had a Menstrual period   

If a women does not fit any of these categories, it is still reasonably certain that she is not pregnant if:

 

  • She has not had vaginal sex since her last menstrual period, OR

  • If she has had sex since her last menstrual period, she used family planning correctly and her last menstrual period was less than 5 weeks ago.

 

If she has had sex and her last period was 5 weeks ago or more , pregnancy cannot be ruled out, even if she used effective contraception. Has she noticed early signs of pregnancy? If more than 12 weeks since her last menstrual period, has she noticed later signs of pregnancy?

  

Early signs of pregnancy                   Later signs of pregnancy

Late menstrual period                            Larger breasts

Breast tenderness                                 Darker nipples Nausea                                                 More vaginal discharge Vomiting                                               Enlarged abdomen  

Weight change                                      Movements of a baby

Always tired

Mood changes

Changed eating habits

Urinating more often

If she has had several of these signs, she may be pregnant. Try to confirm by physical examination.

 

If her answers cannot rule out pregnancy, she should either have a laboratory pregnancy test, if available, or wait until her next menstrual period before starting method that should not be used during pregnancy. A provider can give her condoms or spermicide to use until then, with instructions and advice on how to use them.

 

 


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