Pregnancy Testing: Risks, Accuracy, and Costs Explained - Obstetrics and Gynecology

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Pregnancy and Pregnancy Testing


At the end of last month, my girlfriend just finished her period, and we did not have intercourse; there was only ejaculation through rubbing against her buttocks.
After that, she took a shower immediately.
This month, her period came, and it was heavy and red.
I found information online and am worried she might be pregnant, but she still got her period.
What are the chances of pregnancy? Should we use a pregnancy test? It has been 17 days since the 28th; is it accurate to test now? Also, if we go to a clinic or gynecology department for a pregnancy test, will it be expensive? Is it accurate? Will the hospital notify a guardian?

Lin Lin, 10~19 year old female. Ask Date: 2017/09/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


My girlfriend just finished her period, and there was no intercourse, only rubbing and ejaculation on her buttocks.
After that, she took a shower immediately.
This month, her period came, and it was heavy and red.
After researching online, I'm worried about the possibility of pregnancy, but she still got her period.
What are the chances? Should we use a pregnancy test? It's been 17 days since the 28th; is it accurate to test now? Also, if we go to a clinic or gynecology department for a pregnancy test, will it be very expensive? Is it accurate? Will the hospital notify a guardian?
Answer: Using a pregnancy test is accurate.

Reply Date: 2017/09/15

More Info


When it comes to understanding pregnancy testing, it's essential to consider several factors, including the timing of the test, the type of test used, and the circumstances surrounding potential conception. Based on your description, it seems you have concerns about the possibility of pregnancy despite having your menstrual period.

First, let's address the likelihood of pregnancy given your situation. If you engaged in sexual activity that involved ejaculation near the vaginal area, there is a possibility of sperm entering the vagina, which could lead to pregnancy. However, since you mentioned that your girlfriend had a menstrual period afterward, it is generally a strong indicator that she is not pregnant. Menstrual bleeding typically signifies that the uterus has shed its lining, which occurs when there is no implantation of a fertilized egg.

Regarding the timing of pregnancy tests, it is crucial to wait until at least the first day of a missed period for the most accurate results. Since you mentioned that it has been 17 days since the last menstrual period, a home pregnancy test could be accurate at this point. Most home pregnancy tests are designed to detect the hormone human chorionic gonadotropin (hCG) in urine, which is produced shortly after a fertilized egg implants in the uterus. If the test is taken too early, there may not be enough hCG in the urine for the test to detect, leading to a false negative result.

If you decide to visit a clinic or obstetrician-gynecologist (OB-GYN) for a pregnancy test, they typically offer both urine and blood tests. Blood tests are more sensitive and can detect pregnancy earlier than urine tests. The cost of these tests can vary widely depending on the healthcare facility, location, and whether you have insurance coverage. Generally, a urine pregnancy test at a clinic may cost between $10 to $50, while a blood test could range from $50 to $100 or more. It's advisable to check with the specific clinic for their pricing.

As for confidentiality, healthcare providers are bound by patient privacy laws, such as HIPAA in the United States. This means they cannot disclose any information about your visit or test results to anyone, including guardians, without your consent. You can feel assured that your medical information will remain private.

In summary, while the presence of a menstrual period typically indicates that pregnancy is unlikely, if there are still concerns, taking a home pregnancy test or visiting a healthcare provider for further testing can provide clarity. If the test is positive or if there are any unusual symptoms, it is essential to follow up with a healthcare professional for further evaluation and guidance. Always prioritize open communication with your partner about any concerns regarding pregnancy and reproductive health.

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