Question
Hello Dr.
Chen,
I would like to ask about my girlfriend.
She did not get her period last month, and a few days ago she bought a pregnancy test kit, which showed two lines indicating a positive result for pregnancy.
The next day, she went to the hospital for a check-up, and the urine ultrasound results indicated that she was not pregnant.
As a result, she received an injection to induce her period and was prescribed medication.
However, since taking the medication, she has been feeling unwell, experiencing headaches and nausea, and she vomits shortly after eating.
She finished the medication yesterday, but today she still feels the same.
Could the side effects of this medication cause such symptoms?
Additionally, I would like to understand why the pregnancy test showed a positive result while the doctor’s examination indicated otherwise.
The pregnancy test is based on detecting a hormone in the urine; what could cause the presence of that hormone? She is not ill and is generally healthy.
This situation has been quite distressing for us.
Thank you for your assistance.
Xiao Yi, 20~29 year old female. Ask Date: 2004/07/12
Dr. Chen Nengjin reply Obstetrics and Gynecology
Hello, Xiao Yi: A positive result on a urine pregnancy test indicates that you are likely pregnant.
An abdominal ultrasound is used to confirm the growth, location, and gestational age of the gestational sac.
If the gestational sac is not visible on the ultrasound, it may be an early pregnancy, as it might not be detectable before six weeks of gestation.
If you have received a medication to induce menstruation and your period still does not arrive, along with symptoms such as vomiting, it suggests the possibility of pregnancy.
You should follow up with an obstetrics and gynecology clinic for further evaluation.
Thank you for your inquiry.
Dr.
Chen Neng-Jin, Deputy Director, Hualien Hospital.
Reply Date: 2004/07/12
More Info
Hello! Thank you for your question regarding false pregnancy tests and medication side effects. This is a common concern for many women and their partners, and I’m glad to provide some clarity on the matter.
First, let's address the issue of false pregnancy tests. Home pregnancy tests work by detecting the presence of human chorionic gonadotropin (hCG), a hormone produced during pregnancy. However, there are several reasons why a test might show a positive result even when a woman is not pregnant.
1. Chemical Pregnancy: This occurs when a fertilized egg implants in the uterus but does not develop properly, leading to a very early miscarriage. In such cases, hCG may still be present in the urine, resulting in a positive test.
2. Recent Pregnancy Loss: If a woman has recently been pregnant, her body may still produce hCG for a short period, leading to a positive test.
3. Hormonal Imbalances: Certain medical conditions, such as ovarian cysts or tumors, can produce hCG, leading to false positives.
4. Improper Test Use: Sometimes, tests may be used incorrectly, or they may be expired or faulty, leading to inaccurate results.
Now, regarding the medications your girlfriend has taken after the doctor's visit, it’s important to know what medications were prescribed. If she received medication to induce menstruation (often referred to as a "menstrual induction" or "abortifacient"), side effects can include nausea, vomiting, headaches, and dizziness. These symptoms can occur as the body reacts to hormonal changes or the medication itself. If she is experiencing persistent nausea and vomiting, it’s crucial to consult her healthcare provider, as they may need to adjust her medication or provide additional support.
As for the discrepancy between the home pregnancy test and the doctor's examination, it’s essential to understand that medical professionals often use more sensitive methods to detect pregnancy, such as blood tests or transvaginal ultrasounds. If the ultrasound did not show a pregnancy, it could indicate that she is not pregnant or that it is too early to detect a pregnancy via ultrasound.
In summary, the positive home pregnancy test could be due to a variety of factors, including a chemical pregnancy or hormonal imbalances. The side effects from the medication could indeed be causing her discomfort, and it’s advisable for her to communicate these symptoms to her healthcare provider for further evaluation.
Lastly, if she continues to feel unwell or if her symptoms worsen, it’s essential to seek medical attention promptly. It’s always better to err on the side of caution when it comes to health concerns. I hope this information helps clarify your concerns, and I wish you both the best in navigating this situation.
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