Should You Take Another Pregnancy Test After a Missed Period? - Obstetrics and Gynecology

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Do you need to test again?


Doctor, I apologize for bothering you again.
I am #199195, and today marks the seventh day since my period was due.
I had intercourse on July 13, and I took a pregnancy test on August 1, which was negative.
Should I take another test, or is it more likely that I am experiencing a menstrual irregularity?

Xiao Kai, 10~19 year old female. Ask Date: 2023/08/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Wait another week, and if your period still hasn't arrived, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2023/08/04

More Info


When it comes to missed periods and the possibility of pregnancy, it’s understandable to feel anxious and uncertain. In your case, since you have missed your period for seven days and had a negative pregnancy test on August 1st, there are several factors to consider before deciding whether to take another pregnancy test.

Firstly, it’s important to recognize that home pregnancy tests are generally quite accurate, especially when taken after a missed period. Most tests can detect the hormone hCG (human chorionic gonadotropin) in urine, which is produced shortly after a fertilized egg attaches to the uterine lining. If you took the test correctly and it was negative, it is likely that you are not pregnant. However, there are a few scenarios where a false negative could occur:
1. Testing Too Early: If you tested before your missed period or too soon after conception, the levels of hCG might not have been high enough to detect. Since you missed your period, this is less likely to be the case for you.

2. Diluted Urine: If you took the test at a time when your urine was diluted (for example, after drinking a lot of fluids), it could affect the accuracy of the test. Morning urine is usually the most concentrated and is recommended for testing.

3. Irregular Cycles: If you have a history of irregular menstrual cycles, it’s possible that your period is simply delayed. Stress, changes in weight, exercise, and hormonal imbalances can all contribute to missed or delayed periods.

Given that you had unprotected intercourse on July 13 and tested negative on August 1, it might be prudent to wait a few more days and take another test if your period still hasn’t arrived. Testing a week after your missed period can provide a more definitive answer. If you choose to test again, make sure to use first-morning urine for the best results.

If you continue to experience a missed period along with other symptoms such as nausea, breast tenderness, or fatigue, it may be worth consulting with a healthcare provider. They can perform a blood test, which is more sensitive than home urine tests and can provide a clearer picture of your pregnancy status. Additionally, they can help assess any underlying issues that may be causing your missed period.

In summary, while it is possible to take another pregnancy test after a missed period, the negative result you received on August 1st suggests that pregnancy is unlikely. However, if your period does not arrive soon, retesting or consulting with a healthcare professional would be advisable to rule out any other potential issues. Remember, your health and peace of mind are important, so don’t hesitate to seek medical advice if you have concerns.

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