Could It Be Pregnancy? Irregular Periods and Symptoms - Obstetrics and Gynecology

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Is it pregnancy?


The young girl has irregular menstrual cycles, and about three months after engaging in sexual intercourse with her boyfriend, she noticed brown discharge.
She took a pregnancy test, which showed a single line.
Her menstrual period did occur afterward, but two weeks later, she experienced brown discharge again.
Recently, she has been vomiting severely and unable to keep food down, but there are no other symptoms.
Is it possible that the pregnancy test was inaccurate? Could she be pregnant?

T, 20~29 year old female. Ask Date: 2017/06/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology


My menstrual cycle has always been irregular.
About three months after I started having sexual intercourse with my boyfriend, I noticed brown discharge and took a pregnancy test, which showed a faint line.
My period came afterward, but two weeks later, I experienced brown discharge again.
I've also been vomiting severely for the past two days, unable to keep anything down, but I don't have any other symptoms.
Is it possible that the pregnancy test was inaccurate? Answer: Pregnancy tests are usually quite accurate unless they are defective or expired.
Try using a different brand to test again.

Reply Date: 2017/06/04

More Info


When it comes to understanding the possibility of pregnancy, especially in the context of irregular menstrual cycles and various symptoms, it is essential to consider a few key factors. Based on your description, it appears that you have experienced some unusual symptoms, including the presence of brown discharge and significant nausea. However, the results from your pregnancy test showing a single line indicate that you are likely not pregnant at that time.

Irregular menstrual cycles can be caused by a variety of factors, including hormonal imbalances, stress, changes in weight, and underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. These factors can lead to variations in the timing and nature of menstrual bleeding, which may include lighter periods, spotting, or even brown discharge, which is often old blood that has taken longer to exit the body.

The brown discharge you mentioned could be a result of several things, including the end of your menstrual cycle or hormonal fluctuations. It is not uncommon for women with irregular cycles to experience spotting or changes in discharge. If you have had a menstrual period following the brown discharge, it is a good sign that your body is functioning, albeit irregularly.

The nausea you are experiencing could be attributed to several causes. While pregnancy is one possibility, it is not the only explanation. Stress, dietary changes, infections, or gastrointestinal issues can also lead to nausea. If you are experiencing severe nausea and vomiting, it is crucial to stay hydrated and consult a healthcare provider to rule out any underlying conditions.

Regarding the accuracy of pregnancy tests, most home pregnancy tests are quite reliable when used correctly. They work by detecting the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. However, if the test is taken too early or if there are irregularities in hormone levels, it may yield a false negative result. If you suspect you might be pregnant despite a negative test, it is advisable to wait a few days and retest or consult a healthcare professional for a blood test, which can provide more accurate results.

In summary, based on the symptoms you have described, it is unlikely that you are pregnant, especially since you have had a menstrual period following the brown discharge and a negative pregnancy test. However, if your symptoms persist or worsen, or if you have any concerns about your menstrual cycle or overall health, it is essential to seek medical advice. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging or laboratory tests, to determine the cause of your symptoms and provide appropriate treatment.

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