Am I Pregnant? Symptoms and Testing After Ovulation - Obstetrics and Gynecology

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Determining whether you are pregnant can be a complex process, especially when you have underlying conditions such as polycystic ovary syndrome (PCOS). Based on the timeline and symptoms you provided, let's break down the situation.

You mentioned that you underwent ovulation induction with medications and received an ovulation trigger shot. This indicates that you were actively trying to conceive, which is a positive step. You also reported having intercourse on several days around your ovulation window, which increases the likelihood of conception.

Your symptoms starting from June 7, such as breast tenderness, nipple sensitivity, and abdominal discomfort, are common early signs of pregnancy. However, they can also be attributed to hormonal changes associated with ovulation or the medications you were taking. The presence of acne and skin changes can also be linked to hormonal fluctuations.

You mentioned that your expected period is on June 19, and you took a pregnancy test on June 15, which returned negative. It's important to note that testing too early can lead to false negatives, especially if implantation has not yet occurred or if your body has not produced enough human chorionic gonadotropin (hCG) to be detected by the test. The timing of your test is crucial; typically, it is recommended to wait until the first day of your missed period for the most accurate results.

Your basal body temperature (BBT) readings show some fluctuations, but they generally remain elevated, which can be a sign of pregnancy. After ovulation, if pregnancy occurs, BBT typically remains elevated due to the hormone progesterone. However, BBT can also be influenced by various factors, including stress, illness, and sleep patterns.

Given your situation, here are some recommendations:
1. Wait a Few Days: Since your expected period is not due until June 19, it may be beneficial to wait a few more days and then retest. This will give your body more time to produce hCG if you are pregnant.

2. Consider a Blood Test: If you want a more definitive answer sooner, you can consult your healthcare provider about a blood test for hCG. Blood tests can detect pregnancy earlier than home urine tests and provide more accurate results.

3. Monitor Symptoms: Continue to monitor your symptoms. If you experience any unusual symptoms, such as heavy bleeding, severe pain, or other concerning signs, seek medical attention promptly.

4. Consult Your Doctor: Given your history of PCOS and the treatments you are undergoing, it may be helpful to discuss your concerns and symptoms with your healthcare provider. They can provide personalized advice and support based on your medical history and current situation.

In summary, while your symptoms may suggest pregnancy, the negative test result indicates that it is still too early to confirm. Waiting a few days and possibly retesting or consulting with your doctor will provide you with clearer answers. Remember that every woman's body is different, and factors like PCOS can influence both symptoms and test results.