Early Pregnancy Testing and Brown Discharge Concerns - Obstetrics and Gynecology

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Blood test for pregnancy, brown discharge?


Doctor, I'm sorry to ask, but I had my last sexual intercourse on July 12, and my expected period was on July 31.
I used a pregnancy test on the afternoon of July 26, and accidentally touched the display window.
The result showed one dark line and one faint line.
I opened the pregnancy test stick and it was quite wet.
Later that evening, I noticed a bit of light brown discharge in the bathroom (just that one time).
However, on the morning of July 27, I tested again with the first morning urine, and the result was a very clear single line.
Then, at noon, I went to a lab to have a blood test for pregnancy (on an empty stomach), and in the evening, I received the report showing less than 1.2.
I would like to ask if the accuracy of the blood test at this time is 100%.
Why did I get one dark and one faint line on July 26? Is it possible to get a false positive result on a pregnancy test stick before my period? Does the light brown discharge indicate that my period is coming soon? Is there a discrepancy between the blood test results from the lab and those from a major hospital? Can I rule out pregnancy? About a week ago, I experienced breast tenderness similar to what I feel before my period, but it has been less painful recently.
My menstrual cycle is irregular; I had been taking menstrual regulation medication for three consecutive months but did not take it last month.
I saw a doctor the day before yesterday, and he said it was due to hormonal imbalance, which caused the brown discharge (with some blood).
He prescribed medication for me, saying that after taking it for four days and then stopping for three days, my period would come.
I would like to ask if this brown discharge could possibly be early pregnancy bleeding.
Additionally, how many days after sexual intercourse should I have a blood test for pregnancy to ensure 100% accuracy? I had another blood test for pregnancy on July 31, which also showed less than 1.2.
When I went for the test, the blood tube was placed directly on the rack without a cap, exposed to the air.
Would this affect the pregnancy test results? I'm sorry for being a bit worried.

Nìmíng, 20~29 year old female. Ask Date: 2015/08/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a blood test is the most accurate method for detecting pregnancy.
Urine tests can sometimes yield false positives or false negatives.
If the blood test shows no pregnancy, then it is likely that you are not pregnant.
Wishing you good health.

Reply Date: 2015/08/01

More Info


In addressing your concerns regarding early pregnancy testing and the presence of brown discharge, it’s important to understand the nuances of pregnancy testing, the implications of your symptoms, and the potential causes of brown discharge.

Firstly, regarding the pregnancy test results you obtained on July 26, the appearance of one dark line and one faint line can indicate a very early pregnancy. However, the accuracy of home pregnancy tests can vary based on several factors, including the sensitivity of the test and the timing of the test relative to your menstrual cycle. Generally, home pregnancy tests are most accurate when taken after a missed period. Since your expected period was on July 31, testing five days prior may yield less reliable results, especially if the hormone levels (hCG) are still low.

The blood test you took on July 27, which returned a result of less than 1.2 mIU/mL, indicates that you are not pregnant, as this level is below the threshold typically associated with pregnancy. Blood tests are generally more accurate than home urine tests, especially when conducted after a missed period. However, for the most reliable results, it is recommended to wait at least one week after a missed period to allow hCG levels to rise sufficiently for detection.

As for the brown discharge you experienced on July 26, this can have several explanations. Brown discharge often indicates old blood that is being expelled from the body, which can occur at various times in the menstrual cycle. It is not uncommon for women to experience brown discharge before their period starts, as the body sheds the lining of the uterus. However, in early pregnancy, some women may also experience light spotting or brown discharge due to implantation bleeding, which occurs when a fertilized egg attaches to the uterine lining. Given that your blood test indicated you are not pregnant, it is more likely that this discharge is related to hormonal fluctuations or the onset of your menstrual cycle.

Regarding your concerns about the accuracy of the blood test results and the handling of the blood sample, it is crucial to ensure that blood samples are processed correctly. Leaving a blood sample exposed to air without a cap can potentially lead to contamination or degradation of the sample, which could affect the results. However, most laboratories have protocols in place to minimize such risks, and the impact on the accuracy of your test results would depend on the specific circumstances of the sample handling.

In summary, based on your blood test results, it appears that you are not pregnant. The brown discharge you experienced is likely related to your menstrual cycle or hormonal changes rather than early pregnancy. If you continue to have irregular cycles or experience unusual symptoms, it would be advisable to follow up with your healthcare provider for further evaluation and management. They can provide guidance tailored to your specific situation, including addressing any concerns about hormonal imbalances or menstrual irregularities.

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