Question
The patient asks about irregular menstrual periods, accompanied by abdominal pain and breast tenderness during the use of birth control pills, and is worried about the possibility of pregnancy.
Answer
The doctor points out that since the patient’s last menstrual period was on the 21st of the previous month and there is no clear history of missed periods, the symptoms described do not confirm pregnancy. These symptoms can occur before or after the menstrual period and are not exclusive to pregnancy. The doctor advises the patient to observe for any missed periods and to undergo an early pregnancy test if necessary to confirm the pregnancy status.