Can You Still Be Pregnant After Negative Tests a Month Later? - Obstetrics and Gynecology

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Is it still possible to be pregnant if a pregnancy test is negative after more than a month?


Hello! The last menstrual period started on May 28 and ended on June 4, but I have a history of irregular cycles, typically ranging from one to two months.
The last sexual intercourse was on June 5, without protection and with ejaculation outside.
Pregnancy tests on June 28 and July 12 were both negative.
However, I am currently experiencing gastrointestinal discomfort and bloating in the lower abdomen.
What is the likelihood of pregnancy? As a student, I am not considering carrying a pregnancy to term.
Am I required to inform my parents since I am under 20? What is the approximate cost of a miscarriage?

Alic, 10~19 year old female. Ask Date: 2024/07/13

Dr. Lin Manying reply Obstetrics and Gynecology


Hello: Please take the test again.
If you are not pregnant, we recommend that you see a gastroenterologist.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2024/07/13

More Info


It's understandable to feel anxious and uncertain when dealing with potential pregnancy, especially after experiencing irregular menstrual cycles and negative pregnancy tests. Based on the details you've provided, let's break down your situation and address your concerns.

Firstly, it is indeed possible to experience symptoms of pregnancy even after receiving negative test results. This phenomenon can occur for several reasons. One possibility is that you may have conceived but are experiencing a very early miscarriage, which can lead to symptoms such as nausea and abdominal discomfort. Another possibility is that your body is experiencing hormonal fluctuations that can mimic pregnancy symptoms, especially if your menstrual cycle is irregular.

In your case, since you had unprotected intercourse on June 5 and have had negative pregnancy tests on June 28 and July 12, it is important to consider a few factors. Home pregnancy tests are generally reliable, but they can sometimes yield false negatives, particularly if taken too early or if the urine is diluted. If your menstrual cycle is irregular, it may be difficult to determine the exact timing of ovulation and conception, which can further complicate the situation.

Given your symptoms of gastrointestinal discomfort and abdominal bloating, it would be advisable to consult with a healthcare professional. They can perform a more sensitive blood test for pregnancy (beta-hCG) and possibly conduct an ultrasound if necessary. These tests can provide more definitive answers regarding your pregnancy status.

Regarding your question about whether you need to inform your parents, this is a personal decision. However, if you are considering your options, it may be beneficial to discuss your situation with a trusted adult or healthcare provider. They can offer guidance and support, especially if you are feeling overwhelmed.

As for the costs associated with a potential miscarriage, these can vary widely depending on where you live and the healthcare facilities available to you. In general, if a miscarriage occurs naturally, there may be minimal costs involved unless medical intervention is required. If you need to undergo a procedure, such as a dilation and curettage (D&C), the costs can be higher and may depend on your insurance coverage.

In summary, while it is possible to experience pregnancy symptoms after negative tests, it is crucial to seek medical advice for a proper evaluation. A healthcare provider can help clarify your situation and guide you through your options. Remember, you are not alone in this, and there are resources available to support you during this time.

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