Am I Pregnant? Symptoms and Testing Results

Are you pregnant?

Hello Doctor: I have polycystic ovary syndrome.
I took medication and administered Gonadotropin on May 26, 28, and 30.
On June 1, the doctor said there were three beautiful follicles in each fallopian tube, so I received an ovulation trigger injection along with the remaining Gonadotropin injected into my abdomen (one on each side of the navel).
I had intercourse on June 3, 5, 8, and 11.
Starting June 7, I experienced breast fullness and nipple sensitivity, with intermittent dull aches and occasional sharp pains in my lower abdomen.
I also felt occasional pain on either side of my abdomen and had a dull ache in my lower back.
My face began to break out with many pimples and acne, and I noticed light spots on my abdomen.
I expected my period on June 19.
On June 15 (experiencing insomnia and frequent urination), I took a pregnancy test but it was negative.
On the evening of June 19, I returned to the obstetrician-gynecologist, who asked me to take another pregnancy test, but the doctor said I was not pregnant and sent me home.
Early on June 20, I noticed light brown discharge with a hint of blood after using the restroom.
My basal body temperatures were as follows: June 8 - 36.76, June 9 - 36.88, June 10 - 36.73, June 11 - 36.71, June 12 - 36.76, June 13 - 36.70, June 14 - 36.79, June 15 - 36.77, June 16 - 36.78, June 17 - 36.66 (I measured my temperature at the hospital entrance around noon and it was 36.2).
I would like to ask if this indicates implantation, if I might be pregnant, or if my period is about to start.

Ami, 30~39 year old female. Ask Date: 2020/06/20

Dr. Wu Xianghui reply Obstetrics and Gynecology

For pregnancy concerns, please perform a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse.

Reply Date: 2020/06/20

More Info

Determining whether you are pregnant can be a complex process, especially when considering various symptoms and testing results. Based on the information you've provided, let's break down your situation and clarify some key points regarding pregnancy testing, symptoms, and what they may indicate.

Understanding Pregnancy Testing
1. Home Pregnancy Tests: These tests work by detecting the hormone human chorionic gonadotropin (hCG) in your urine, which is produced shortly after a fertilized egg attaches to the uterine lining. A positive result typically shows two lines, while a negative result shows one line. However, the sensitivity of these tests can vary, and testing too early can lead to false negatives.

2. Timing of Testing: You mentioned that you tested on June 15 and received a negative result. If you were expecting your period around June 19, testing a few days prior might have been too early for accurate results. It's generally recommended to wait until the first day of your missed period for the most reliable results.

3. Follow-Up Testing: If you received a faint line on a subsequent test, it could indicate early pregnancy, but it’s essential to confirm with a healthcare provider. Sometimes, a faint line can also occur due to a chemical pregnancy, where an embryo implants but does not develop.

Symptoms and Their Implications
1. Breast Changes: Tenderness or sensitivity in the breasts is a common early sign of pregnancy due to hormonal changes. However, it can also occur due to premenstrual syndrome (PMS).

2. Abdominal Discomfort: The cramping or discomfort you describe could be related to implantation, where the fertilized egg attaches to the uterine lining. However, it could also signify that your period is approaching, especially if you have a history of menstrual cramps.

3. Color of Discharge: The presence of light brown or coffee-colored discharge can sometimes indicate implantation bleeding, which occurs when the embryo attaches to the uterus. However, it can also be a sign that your period is about to start.

4. Basal Body Temperature (BBT): Your recorded temperatures show fluctuations, which can be normal. A sustained elevated BBT after ovulation is often a sign of pregnancy, but it can also vary for other reasons.

Next Steps
Given your situation, here are some recommendations:
- Wait and Retest: If your period does not arrive as expected, consider retesting a few days after your missed period for more accurate results.
- Consult a Healthcare Provider: Since you have a history of polycystic ovary syndrome (PCOS) and have undergone fertility treatments, it’s crucial to follow up with your doctor. They can provide a blood test to measure hCG levels, which is more sensitive than home tests.

- Monitor Symptoms: Keep track of any additional symptoms you experience. If you notice significant changes or have concerns about your health, seek medical advice promptly.

Conclusion
In summary, while the symptoms you are experiencing could suggest pregnancy, they are not definitive. The negative test results and the timing of your symptoms indicate that it may still be too early to confirm pregnancy. Consulting with your healthcare provider will provide you with the best course of action and peace of mind. Remember, every woman's body is different, and factors such as hormonal fluctuations and medical history can influence your experience.

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