Pregnancy Concerns: Negative Test, Delayed Period, and Abdominal Pain - Obstetrics and Gynecology

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Regarding issue #135921?


Hello doctor, I took a pregnancy test on Wednesday morning and it showed only one line, but my period still hasn't arrived.
Additionally, I've experienced a few very mild pains in my abdomen, mostly on the sides, and my abdomen does hurt as well.
What is the likelihood of being pregnant? Should I take another test, wait a few more days, or see a gynecologist? Could the abdominal pain be related to eating cold foods?

Niming, 10~19 year old female. Ask Date: 2018/05/31

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On Wednesday (5/30) morning, the pregnancy test showed only one line, but my period still hasn't arrived.
Additionally, I've experienced a few very mild pains in my abdomen, mostly on the sides, and there is also some abdominal pain.

1.
What is the likelihood of being pregnant?
Answer: The likelihood of pregnancy is extremely low.
2.
Should I take the test again, wait a few days, or see a gynecologist?
Answer: Test again on 6/6.
3.
Could the abdominal pain be due to eating cold food?
Answer: The abdominal pain may possibly be related to eating cold food.

Reply Date: 2018/05/31

More Info


When it comes to pregnancy concerns, particularly regarding a negative pregnancy test, delayed menstruation, and abdominal pain, it's essential to approach the situation with a clear understanding of the body's signals and the possible implications.

Firstly, a negative pregnancy test, especially if taken early, does not definitively rule out pregnancy. Home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced after a fertilized egg implants in the uterus. If you tested too early, there may not be enough hCG in your urine to trigger a positive result. It is advisable to wait a few days and retest, preferably with the first morning urine, which is typically more concentrated and can provide a more accurate reading.

Regarding your delayed period, it is important to note that various factors can cause menstrual irregularities, including stress, hormonal imbalances, changes in weight, and even certain medical conditions. If your period is significantly late and you are experiencing abdominal pain, it is prudent to consult a healthcare provider. They can perform a more sensitive blood test for pregnancy and evaluate your symptoms more thoroughly.

The abdominal pain you are experiencing, particularly if it is mild and located on the sides, could be related to several factors. In early pregnancy, some women experience cramping or discomfort as the uterus begins to expand and adjust to the changes. However, if the pain is persistent or severe, it could indicate other issues, such as an ectopic pregnancy or ovarian cysts, which require immediate medical attention.

As for your question about whether eating ice could cause abdominal pain, while it is less common, consuming very cold foods can lead to temporary discomfort in some individuals, especially if they have a sensitive digestive system. However, this is unlikely to be the primary cause of your symptoms.
In summary, if you suspect you might be pregnant despite a negative test, it is advisable to wait a few days and retest. If your period does not arrive and you continue to experience abdominal pain, seeking medical advice is crucial. A healthcare provider can offer a comprehensive evaluation, including a physical examination and possibly an ultrasound, to determine the cause of your symptoms and provide appropriate care.
Additionally, maintaining open communication with your healthcare provider about any concerns, including emotional well-being and physical symptoms, is vital during this time. Early pregnancy can be accompanied by a range of physical and emotional changes, and addressing these with a professional can help ensure both your health and the health of a potential pregnancy.

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