Pregnancy Tests and Medication Concerns in Gynecology - Obstetrics and Gynecology

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Hello Doctor, I would like to follow up on #108286.
I went to see the doctor today and took a pregnancy test again, which was negative.
Although the chances are almost zero, I am still very anxious.
The doctor mentioned that my endometrium is thickened and there is no gestational sac.
They prescribed me Medroxyprogesterone, but I found online that using this medication during pregnancy can be very dangerous, which makes me hesitant to take it.
Although I do not plan on being pregnant, I suddenly feel a bit nervous after reading that.
I also felt some abdominal pain tonight.
Can I wait a few more days before taking the medication? If I don’t take it, are there other options? If my period doesn’t come, should I continue to take pregnancy tests? How long should I keep testing? I feel like I’m about to break down and I don’t know if there’s something wrong with my body or if I might be pregnant.

J, 20~29 year old female. Ask Date: 2016/07/06

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, it is recommended to wait another two weeks before seeing a physician for an examination.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2016/07/06

More Info


When it comes to pregnancy tests and medication concerns in gynecology, it's essential to approach the situation with a clear understanding of the implications of both pregnancy and the medications prescribed. In your case, it seems that you are experiencing anxiety regarding the possibility of being pregnant, despite negative pregnancy tests, and the medications you have been prescribed.

Firstly, it's important to understand that pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If you have taken multiple tests and they have all returned negative, the likelihood of being pregnant is low, especially if your doctor has also confirmed this through examinations and ultrasound. However, if your menstrual cycle is irregular or if you have other underlying health issues, it may be beneficial to continue monitoring your situation.

Regarding the medication you mentioned, Medroxyprogesterone (often referred to as "美得能錠" in Chinese) is a synthetic form of the hormone progesterone. It is commonly prescribed to help regulate menstrual cycles and can be used in cases of amenorrhea (absence of menstruation). However, it is crucial to note that if there is any chance of pregnancy, taking Medroxyprogesterone can pose risks, particularly in the early stages of pregnancy. This is because it can affect the hormonal balance necessary for maintaining a healthy pregnancy.

If you are experiencing abdominal pain, it is advisable to consult with your healthcare provider before taking any medication. They can provide guidance on whether the pain is a cause for concern and whether it is safe to wait before starting the medication. If you feel uncomfortable or if the pain worsens, seeking immediate medical attention is recommended.

As for your question about whether to continue testing for pregnancy, it is generally advisable to wait a few days to a week after your missed period before taking another test. If your period does not arrive and you continue to have symptoms that concern you, such as abdominal pain or other unusual signs, it would be prudent to follow up with your healthcare provider for further evaluation.

In summary, while it is understandable to feel anxious about the possibility of pregnancy and the implications of medication, maintaining open communication with your healthcare provider is key. They can provide personalized advice based on your medical history and current symptoms. Additionally, if you have concerns about the medications prescribed, do not hesitate to discuss these with your doctor. They can help clarify any risks and determine the best course of action for your health and peace of mind.

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