Can I Still Get Pregnant After a Negative Pregnancy Test? - Obstetrics and Gynecology

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Is it still possible to be pregnant?


Doctor, I took a pregnancy test sixteen days after sexual intercourse and it was negative.
My period has also arrived.
Is there still a possibility of being pregnant?

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

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the onset of menstruation generally indicates that pregnancy has not occurred, and a pregnancy test confirming no pregnancy is also a good sign.
It is advisable to take preventive measures for contraception beforehand.
Wishing you good health.

Reply Date: 2016/08/30

More Info


It is understandable to have concerns about pregnancy, especially after engaging in sexual intercourse and receiving a negative pregnancy test result. Based on the information provided, if you took a pregnancy test 16 days after intercourse and received a negative result, and your menstrual period has since arrived, it is highly unlikely that you are pregnant.

Pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the lining of the uterus. Typically, hCG can be detected in urine about 14 days after conception, which corresponds to the time of a missed period for most women. If you tested negative at 16 days post-intercourse and then experienced your menstrual period, it is a strong indicator that you are not pregnant.

However, there are a few scenarios to consider:
1. Timing of Ovulation: If you have irregular menstrual cycles, it is possible that you ovulated later than expected, which could lead to a false negative result if the test was taken too early. In such cases, if you suspect you might be pregnant, you could wait a few days after your missed period and test again.

2. Chemical Pregnancy: This is a very early miscarriage that can occur shortly after implantation. In some cases, a woman may receive a positive pregnancy test followed by a negative test and then her period. If you had a very early pregnancy that did not progress, it could explain the negative test result followed by menstruation.

3. Testing Errors: Occasionally, home pregnancy tests can yield false negatives due to improper usage or expired tests. Always ensure that you follow the instructions carefully and check the expiration date.

4. Other Factors: Stress, hormonal imbalances, or medical conditions can affect menstrual cycles and may lead to unexpected bleeding or changes in your cycle.

If you continue to have concerns about your menstrual cycle or potential pregnancy, it is advisable to consult with a healthcare provider. They can perform a blood test to measure hCG levels more accurately and assess your overall reproductive health.

In summary, based on your description of a negative pregnancy test followed by the arrival of your menstrual period, it is unlikely that you are pregnant. However, if you have further questions or experience any unusual symptoms, seeking medical advice is always a good step to ensure your health and peace of mind.

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