Pregnancy Test Results: What to Do When You're Disappointed - Obstetrics and Gynecology

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Concerns about pregnancy test strips?


Hello Dr.
Jan: I'm sorry to bother you again.
A few days ago, my period was late by three days, and when I took a pregnancy test, it showed two lines, with the second line being very faint but visible.
I tested multiple times because I thought I was pregnant, but today my period unexpectedly arrived, and I am really disappointed.
Could it be that the pregnancy test is not accurate? Also, since my miscarriage in April, I have not used any contraception for several months and have not become pregnant.
Could this be related to my previous miscarriage? Should I get checked? I really want to become pregnant soon! Thank you again for your response.

nancy, 30~39 year old female. Ask Date: 2004/08/24

Dr. Zhan Deqin reply Obstetrics and Gynecology


Sometimes early miscarriage can occur during pregnancy, and hormonal interference can lead to false results on pregnancy tests, but this is generally rare.
Typically, infertility is defined as not achieving pregnancy after one year of unprotected intercourse.
You might consider waiting a few more months, and if you still have not conceived, it would be advisable to consult a physician.

Reply Date: 2004/08/24

More Info


Dear Patient,
I understand that you are feeling disappointed and confused about your recent pregnancy test results, especially after experiencing a miscarriage in April. It’s completely normal to feel this way, and I’m here to help clarify some of your concerns.

First, let’s address the issue of the pregnancy test. Home pregnancy tests work by detecting the hormone human chorionic gonadotropin (hCG) in your urine. When you see two lines on the test, it typically indicates a positive result. However, if the second line is faint, it could mean that the level of hCG is low, which can happen in very early pregnancy or if there has been a chemical pregnancy (a very early miscarriage). The fact that your period arrived a few days later suggests that you may not have been pregnant, or that it was a very early loss.

It’s important to note that home pregnancy tests are generally reliable, but they can sometimes yield false positives or negatives, especially if taken too early or if the test is not used correctly. If you suspect you might be pregnant, it’s advisable to wait a few days after your missed period to take the test again for a more accurate result. If you continue to get faint lines or negative results but still suspect pregnancy, a blood test at a healthcare provider’s office can provide a more definitive answer.

Regarding your concern about not being able to conceive since your miscarriage, it’s understandable to be worried. After a miscarriage, it can take some time for your body to return to its normal hormonal balance, which can affect ovulation and your menstrual cycle. It’s also possible that other factors could be influencing your ability to conceive, such as stress, changes in weight, or underlying health conditions.

If you have been trying to conceive for several months without success, it may be beneficial to consult with a healthcare provider. They can perform a thorough evaluation, which may include blood tests to check hormone levels, an ultrasound to assess your reproductive organs, and possibly other fertility tests. This can help identify any potential issues that may be affecting your ability to conceive.

In the meantime, it’s essential to take care of your overall health. Maintaining a balanced diet, managing stress, and ensuring you are at a healthy weight can all contribute positively to your reproductive health. Additionally, consider tracking your menstrual cycle to identify your fertile window, which can increase your chances of conception.

Lastly, remember that you are not alone in this journey. Many women experience similar challenges, and it’s okay to seek support from friends, family, or support groups. If you feel overwhelmed, talking to a counselor or therapist who specializes in reproductive health can also be helpful.

In summary, while it’s disappointing to see your period arrive after a positive pregnancy test, it’s essential to understand that this can happen for various reasons. If you have concerns about your fertility or your menstrual cycle, please consider reaching out to a healthcare provider for further evaluation and support.
Take care, and I wish you the best on your journey to conception.

Sincerely,
Doctor Q&A Teams

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