Missed Period but Negative Pregnancy Test: What Should I Do? - Obstetrics and Gynecology

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Doctor, my period is late, but the pregnancy test shows I'm not pregnant?


Doctor, I was supposed to get my period today, but I took a pregnancy test (using morning urine) 18 days after my last sexual intercourse, and it showed negative.
Can I feel reassured?

Niming, 20~29 year old female. Ask Date: 2015/10/20

Dr. Lü Lizheng reply Obstetrics and Gynecology


You can rest assured with the response.
If you still have concerns, you can seek medical examination.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/20

More Info


If you have missed your period but received a negative pregnancy test, it is understandable to feel anxious and uncertain about your situation. Here are some steps and considerations to help you navigate this experience.

First, it's important to recognize that home pregnancy tests are generally quite accurate, especially when taken correctly and at the right time. Most tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If you tested 18 days after your last sexual encounter and received a negative result, it is likely that you are not pregnant, especially if you used first-morning urine, which is the most concentrated and ideal for testing.

However, there are several reasons why you might miss your period even if you are not pregnant. Stress is a significant factor; emotional or physical stress can disrupt your hormonal balance, leading to delayed or missed periods. Other factors include significant weight loss or gain, excessive exercise, hormonal imbalances, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. If you have experienced any significant changes in your lifestyle, health, or stress levels, these could be contributing to your missed period.

If your period does not arrive within a week or so after your expected date, it would be advisable to take another pregnancy test. Sometimes, testing too early can lead to false negatives, particularly if your body has not yet produced enough hCG to be detected. If you continue to receive negative results but still do not get your period, it would be wise to consult with a healthcare provider. They can perform more sensitive tests and evaluate your overall health to determine the cause of your missed period.

In the meantime, consider tracking your menstrual cycle and any other symptoms you may be experiencing. Keeping a record can help your healthcare provider understand your situation better. If you have any other symptoms, such as unusual pain, heavy bleeding, or significant changes in your health, do not hesitate to seek medical attention.

Lastly, if you are actively trying to conceive, it may be helpful to discuss your menstrual cycle and any concerns with your healthcare provider. They can provide guidance on optimizing your chances of conception and help address any underlying issues that may be affecting your menstrual cycle.

In summary, while a negative pregnancy test after a missed period can be reassuring, it is essential to monitor your body and consult with a healthcare professional if your period does not return or if you have any concerns. Taking proactive steps can help ensure your reproductive health and overall well-being.

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If sexual intercourse occurred on February 21 and a pregnancy test taken on March 1 was negative, but menstruation is already 7 days late, how can one confirm whether there is a pregnancy?


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Please wait for a week. If you get your period, it is likely that you are not pregnant. However, if your period does not come or if the flow is light, it is recommended to take a pregnancy test again. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.

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