It has been 20 days since sexual intercourse, and pregnancy has not been detected yet?
Hello doctor, I would like to ask, I used condoms throughout on December 30, and on January 22, I still tested negative for pregnancy.
What is the likelihood of pregnancy? I tested positive for pregnancy on January 26; when approximately did conception occur?
zhenzhu, 20~29 year old female. Ask Date: 2016/08/23
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms.
Pearl: The urine test on January 22 showed no pregnancy, but the test on January 26 indicated pregnancy.
This is commonly encountered in outpatient settings, as most cases involve late conception where the levels of hCG (human chorionic gonadotropin) in the body have not yet reached detectable standards.
It is possible that your conception occurred around two weeks prior to January 26.
Reply Date: 2016/08/23
More Info
Understanding pregnancy testing is crucial for anyone trying to conceive or concerned about potential pregnancy. Based on your timeline, it appears that you had unprotected intercourse on December 30, and you were unable to detect pregnancy until January 26. Let's break down the factors involved in pregnancy detection and the timing of conception.
Timing of Conception
Conception typically occurs when sperm fertilizes an egg, which usually happens within 24 hours after ovulation. In a regular menstrual cycle, ovulation generally occurs about 14 days before the start of your next period. If your cycle is around 28 days, ovulation would likely occur around day 14. However, cycles can vary, and ovulation can happen earlier or later depending on individual factors.
If you had intercourse on December 30 and did not detect pregnancy until January 26, it is likely that you conceived sometime shortly after your intercourse, assuming you ovulated around that time. If your menstrual cycle is longer (e.g., 34 days as mentioned in previous discussions), ovulation could have occurred later, possibly in early January. Therefore, the most probable window for conception would be between December 30 and early January.
Pregnancy Testing
Pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. This hormone can be detected in urine or blood tests.
1. Urine Tests: Home pregnancy tests (HPTs) are designed to detect hCG in urine. They are most accurate when taken after a missed period. Testing too early can result in a false negative because hCG levels may not be high enough to detect.
2. Blood Tests: Blood tests can detect pregnancy earlier than urine tests, usually about 6-8 days after conception. However, the timing of the test and the sensitivity of the test can affect the results.
Given that you tested negative on January 22 and then positive on January 26, it suggests that you may have conceived shortly after your intercourse on December 30, and it took some time for hCG levels to rise to a detectable level.
Probability of Pregnancy
Regarding the probability of pregnancy after using a condom, if the condom was used correctly and did not break or slip, the chances of pregnancy are significantly reduced. However, no contraceptive method is 100% effective. Factors such as condom integrity, timing of intercourse relative to ovulation, and individual fertility can all influence the likelihood of conception.
Conclusion
In summary, based on your timeline, it is likely that you conceived shortly after your intercourse on December 30, with a positive pregnancy test appearing around January 26. If you have further concerns about your pregnancy or testing, it is advisable to consult with a healthcare provider for personalized advice and follow-up testing. Regular prenatal care is essential for monitoring the health of both you and your developing baby.
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