Is it accurate to take a blood test for pregnancy 13 days after sexual intercourse?
On November 27, safe sex was practiced with a condom.
On December 1, I got my period, and the doctor said it was a light flow due to being induced.
By December 4, there were only brownish secretions left.
On December 5, I started taking the emergency contraceptive pill.
On December 10, I had a blood test for pregnancy (13 days after the sexual activity on November 27) which showed no pregnancy.
I had been taking a daily dose of estrogen (Diane) regularly.
From December 5 to December 10, I took the emergency contraceptive pill as directed, but I temporarily stopped on December 11.
On December 11, the doctor noted a thin endometrium and anovulation.
I had sexual intercourse on December 13 and 14 (after taking 8 pills of the emergency contraceptive) with a condom.
After the sexual activity on December 14, I experienced breast tenderness, which slightly improved by December 17.
On December 16, I noticed a small amount of blood in my discharge when wiping after using the restroom.
On December 17, there were occasional blood streaks and sometimes brownish discharge.
I took a urine pregnancy test on December 17, which was negative, and I had a blood test for pregnancy, but the results are not yet available (20 days after the sexual activity on November 27).
I started measuring my basal body temperature on December 11, and it has been around 36.8-37.0°C since then.
I apologize for having many questions, and I appreciate your responses:
1.
Is the blood test and urine test reliable 13 days after sexual activity? Is it possible that implantation had not occurred or had just occurred and was undetectable at that time?
2.
Why is there breast tenderness? Is it related to sexual activity? My boyfriend was not very rough.
3.
Are the blood-streaked and brownish secretions related to sexual activity or the emergency contraceptive pill and stopping estrogen? Could it be implantation bleeding from November 27 or December 13-14?
4.
Does taking the emergency contraceptive pill cause an increase in body temperature? Should I be concerned about pregnancy with a negative urine test 20 days after the sexual activity on November 27, or should I wait for the blood test results?
5.
If I have missed my period, can I accurately determine pregnancy after sexual activity by taking a pregnancy test?
A-Dan, 10~19 year old female. Ask Date: 2021/12/17
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the response to your inquiry is as follows: 1.
The accuracy of the test at this time is not reliable.
2.
It may not necessarily be related.
3.
Both possibilities exist.
4.
The levels will not increase; it is recommended to wait a week after the expiration date to retest.
5.
It is advised to wait a week after the expiration date to retest.
The failure rate of using condoms as a sole method of contraception is over 5%, making it less reliable compared to other methods.
Therefore, it is generally not recommended to rely solely on condoms for contraception.
If your menstrual period is more than a week late, it is still advisable to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang
Reply Date: 2021/12/17
More Info
When it comes to the accuracy of blood pregnancy tests conducted 13 days after intercourse, several factors must be considered. Generally, a blood test for pregnancy, which measures the levels of human chorionic gonadotropin (hCG), can provide reliable results about 10 to 14 days after conception. This timeline is based on the fact that it takes about 6 to 12 days for a fertilized egg to implant in the uterus after fertilization, and hCG levels begin to rise shortly after implantation. Therefore, a blood test conducted 13 days after intercourse can be considered fairly accurate, but there is still a possibility that it may yield a false negative if implantation has not yet occurred or if it has just occurred.
1. Accuracy of the Test: In your case, since the blood test was conducted 13 days after the sexual encounter, it is possible that the test could miss a pregnancy if implantation had not yet occurred. If the fertilized egg has not implanted, hCG levels would not be detectable in the blood. However, if you had a negative result, it is more likely that you are not pregnant, especially if you have been consistent with your contraceptive methods.
2. Breast Tenderness: Breast tenderness can be influenced by hormonal changes, which can occur due to various factors including the use of hormonal contraceptives, changes in your menstrual cycle, or even stress. It is not uncommon for women to experience breast tenderness around the time of their menstrual cycle, and it may not necessarily be related to sexual activity.
3. Discharge with Blood Tinge: The presence of brown discharge or spotting can be attributed to several factors, including hormonal fluctuations, the effects of hormonal contraceptives, or even the onset of menstruation. It is also possible for implantation bleeding to occur, but this typically happens around the time of expected menstruation and is usually lighter than a regular period. Given your timeline, it seems more likely that the discharge is related to hormonal changes rather than implantation bleeding.
4. Effect of Birth Control on Body Temperature: Hormonal contraceptives can affect your basal body temperature, but they typically do not cause a significant increase in temperature. If you are tracking your temperature and noticing a slight elevation, it could be due to the hormonal effects of the contraceptive you are taking. However, it is important to note that a consistent rise in temperature can also indicate ovulation or other hormonal changes.
5. Timing of Pregnancy Tests: If you are experiencing a delay in your menstrual cycle, it is advisable to wait at least a week after your expected period to take a pregnancy test for the most accurate results. Testing too early can lead to false negatives. If you have had unprotected intercourse or are concerned about the possibility of pregnancy, it is always best to consult with a healthcare provider for further evaluation and testing.
In conclusion, while a blood test 13 days after intercourse can provide useful information, it is not infallible. If you continue to have concerns about pregnancy or experience unusual symptoms, it is advisable to follow up with your healthcare provider for further assessment and guidance.
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