HCG Test Showing Negative. Suffering From Tiredness, Cold And Vomiting Sensation. Experiencing Delay In Periods. Advise?

Brief Answer:
Blood Test Is Confirmatory For Pregnancy.

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us on XXXXXXX

Here, I suggest to undergo one blood test for beta-hCG to rule out late conception. It is more confirmatory than usual home pregnancy test.

In absence of pregnancy, there are some other reasons which are associated with above said clinical features like progesterone hormone deficiency, mental stress, existing ovarian cyst, over weight/ rapid loss, improper diet habit, pelvic infection, certain medication etc.

If blood test is negative, some basic investigations are required under the guidance of your gynecologist to identify the possible causes. Here, you would need a complete health check up along with pelvic ultrasound scan, complete hormone assay, blood prolactin level etc to reach in the diagnosis.

Proper treatment can only be made after diagnosis of the case. I usually treat my patient with progesterone supplement (like norethisterone) to induce period in the absence of pregnancy & specific pathology. Kindly, procure a complete prescription from your doctor after clinical evaluation.

In the interim, you can do the following things:

1) Take healthy diet with low carbohydrate & more vegetables. Avoid all junk/ fast/ spicy food stuffs. Control body weight.

2) Try to avoid stress/ depression (it has great impact on delaying period) by yoga or meditation or deep breathing exercise (15-20 minutes) regularly.

3) Iron supplements may be needed. Drink plenty of water/ fluid and always take sound sleep.

Hope, I have answered your query. Let me know if you need clarifications or have any other query.

Wish your good health and take care yourself.

Regards,
Dr Soumen.

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Brief Answer:
Blood Test Is Reliable On 37th Day.

Detailed Answer:
Hello XXXXXXX

Thanks for follow up query.

Blood test for beta-HCG is most reliable to rule out pregnancy. Best result is obtained after 7 days of missed period. Therefore, you can undergo this test on 37th day.

On negative test, you may wait for one week to get your period normally. Otherwise, you have to consult with gynecologist to proceed above mentioned investigations and take suggestive treatment.

Hope, I have answered your query. If you do not have any other query, you can close the discussion.

Good luck. All the best.

Regards,
Dr Soumen

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Brief Answer:
Treatment Is Needed On Negative Test.

Detailed Answer:
Hello XXXXXXX

Thanks for additional queries. Followings are my comments:

1) If you get negative result again, you have to undergo above mentioned tests & treatment after consultation with your gynecologist. Seeing a gestational sac on ultrasound is confirmatory for pregnancy.

2) False negative pregnancy test occurs due to low concentration of pregnancy hormone (beta hCG) in urine in very early days. Pregnancy test kit may not be able to detect due to low sensitivity or missed reaction time. However, it is seen that most pregnancy test kit gives 99% positive result after 1 week of missed period with morning urine sample preferably.

Hope, it will help to clear your confusion. Best wishes to you.

Regards,
Dr Soumen

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