Could You Still Be Pregnant After Negative Tests? Symptoms - Obstetrics and Gynecology

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Can I get pregnant?


If a pregnancy test was taken 40 days after sexual intercourse, not using first morning urine, and after eating, with two negative results, the likelihood of pregnancy is low.
However, symptoms such as frequent lower back pain, abdominal pain, and bloating could be indicative of premenstrual syndrome (PMS) or general gastrointestinal issues.
The last menstrual period was on March 6, and the most recent bleeding occurred on April 12 (uncertain if it was a menstrual period), with intercourse on April 4.

Tsai, 10~19 year old female. Ask Date: 2018/05/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1.
The possibility of pregnancy is extremely low.

2.
It is likely a general gastrointestinal issue.

Reply Date: 2018/05/15

More Info


It sounds like you are experiencing a lot of uncertainty and concern regarding your potential pregnancy and the symptoms you are experiencing. Let’s break down your situation and address your questions regarding the possibility of being pregnant despite negative tests, as well as the symptoms you are experiencing.

First, it is important to understand that home pregnancy tests (HPTs) can sometimes yield false negatives, especially if they are taken too early or not under optimal conditions. The most accurate results are typically obtained using first-morning urine, as it contains the highest concentration of the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. If you took the tests after eating and not using first-morning urine, it is possible that the results could be inaccurate.
Given that you had unprotected intercourse on April 4th and your last menstrual period was on April 12th, it is essential to consider the timing of ovulation. If you have a regular cycle, ovulation typically occurs about 14 days before your next period is due. If your cycle is longer or irregular, this could affect the timing of ovulation and conception. If you are currently 40 days post-intercourse and have had negative tests, it may be worth repeating the test using first-morning urine or consulting with a healthcare provider for a blood test, which can detect pregnancy earlier and more reliably than home tests.

Regarding your symptoms of lower abdominal pain, bloating, and lower back pain, these could indeed be related to premenstrual syndrome (PMS), especially if your menstrual cycle is approaching. PMS can cause a variety of symptoms, including cramping, bloating, and mood swings. However, these symptoms can also be indicative of other conditions, such as gastrointestinal issues or even early pregnancy symptoms, which can sometimes mimic PMS.

If you are experiencing significant discomfort or if your symptoms persist, it is advisable to consult with a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the underlying cause of your symptoms.
In summary, while it is possible to still be pregnant despite negative tests, especially if the tests were not taken under optimal conditions, it is crucial to monitor your symptoms and consult with a healthcare professional for further evaluation. They can provide guidance on the next steps, whether that involves retesting for pregnancy or exploring other potential causes for your symptoms. Remember, your health and well-being are paramount, and seeking professional advice is always a wise choice when in doubt.

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