Pregnancy: Signs, Tests, and What to Do Next - Obstetrics and Gynecology

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My girlfriend had her period from June 22 to June 25.
On July 20, a pregnancy test showed two lines, and a visit to the clinic confirmed the pregnancy.
We were told to come back the following week for an ultrasound, but there was no embryo and no pregnancy detected.
Her period then came on July 30.
We had unprotected intercourse around her ovulation period, and her next period was from July 30 to August 2.
Now, on August 30, her period has not arrived, and a pregnancy test shows two lines again.
Given that we had unprotected intercourse around her ovulation period, is she pregnant? What further tests should be done?

kai, 20~29 year old female. Ask Date: 2016/08/30

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Mr.
Kai: A pregnancy test result showing two lines generally indicates a confirmed pregnancy, unless the second line is faint or barely visible, in which case it's advisable to wait some time and retest to confirm whether or not there is a pregnancy.
If your girlfriend is currently experiencing no discomfort, you can wait another week and then consult an obstetrician or get an ultrasound to determine if it is a normal pregnancy.

Reply Date: 2016/08/30

More Info


Understanding pregnancy can be a complex process, especially when it comes to interpreting signs, symptoms, and test results. Based on your situation, it seems that there are several factors to consider regarding your girlfriend's menstrual cycle, pregnancy tests, and potential next steps.

First, let's break down the timeline you've provided. Your girlfriend had her last menstrual period from June 22 to June 25. A pregnancy test on July 20 showed two lines, indicating a positive result. However, when you visited the clinic for an ultrasound, there was no visible embryo, and she subsequently had her period on July 30. This suggests that the initial positive pregnancy test may have been a false positive or a chemical pregnancy, which occurs when a fertilized egg implants but does not develop properly.

Now, moving forward to the current situation: your girlfriend's period was expected around the end of August, but it has not arrived, and another pregnancy test shows two lines. Given that she has had unprotected intercourse around her ovulation period, there is a possibility of pregnancy. However, the presence of two lines on a home pregnancy test is not definitive without further confirmation.

Here are some important steps and considerations:
1. Repeat Pregnancy Test: It is advisable to wait a few days and repeat the home pregnancy test. If the test continues to show two lines, it would be prudent to consult a healthcare provider for further evaluation.

2. Blood Test: A quantitative beta-hCG blood test can provide a more accurate measurement of the pregnancy hormone. This test can confirm whether she is pregnant and help determine how far along she may be.

3. Ultrasound Examination: If the blood test confirms pregnancy, an ultrasound may be scheduled to check for the presence of an embryo and assess the viability of the pregnancy. This is typically done around 6-7 weeks of gestation.

4. Monitoring Symptoms: Pay attention to any symptoms such as cramping, bleeding, or unusual discharge. If she experiences severe pain or heavy bleeding, it is essential to seek medical attention immediately.

5. Understanding Menstrual Irregularities: Sometimes, stress, hormonal imbalances, or other factors can cause missed periods. If pregnancy is ruled out, it may be worth discussing these irregularities with a healthcare provider.

6. Consulting a Healthcare Provider: Regardless of the test results, it is always a good idea to consult with a healthcare provider for personalized advice and to discuss any concerns regarding reproductive health.

In summary, while the presence of two lines on a pregnancy test can indicate pregnancy, it is essential to follow up with further testing and medical consultation to confirm the status of the pregnancy. Given the previous experience of a potential chemical pregnancy, it is crucial to approach this situation with care and seek professional guidance to ensure the best outcome for both your girlfriend and any potential pregnancy.

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