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What Does Negative Blood Serum Beta HCG Despite Having Positive UPT Indicate?

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Posted on Sat, 25 Jul 2015
Question: Hi i am having some symptoms my breast is soar and nipples especially when i go i freezer at work i am fatigue i have head achs all the time urinating all the time light headed every night and sick feeling in the morning and in the middle of the night hungry all the time i take tegrotol and topamax for sezures i took a home pregnancy test it said positive and then i went and took a blood test it came out neg im confused my period is not dew for another 7 are 8 days i have a period that will start any time a month not just the same time can u tell me what to do next thanks
doctor
Answered by Dr. Sameer Kumar (3 hours later)
Brief Answer:
TO CONFIRM OR RULE OUT PREGNANCY FIRST...explained

Detailed Answer:
Hello,
As your home pregnancy test was positive but your blood serum beta hcg test was negative , so there is unlikelihood that you may be pregnant. Though a repeat confirmation with a repeat serum beta hcg after 48 hrs , to check for any serial hcg rise in values ( which would indicate pregnancy) may be undertaken and also a transvaginal ultrasound pelvis to check for any intrauterine gestational sac to rule out pregnancy confirmatively.
If the test is negative then you should just safely wait for your menses to return naturally.
Thirdly you seem to be suffering from a UTI , considering increased frequency of urine and pain in lower abdomen and back and lethargy setting in, so get a urine culture test to isolate the organism and a course of antibiotics may be undertaken for the same.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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What Does Negative Blood Serum Beta HCG Despite Having Positive UPT Indicate?

Brief Answer: TO CONFIRM OR RULE OUT PREGNANCY FIRST...explained Detailed Answer: Hello, As your home pregnancy test was positive but your blood serum beta hcg test was negative , so there is unlikelihood that you may be pregnant. Though a repeat confirmation with a repeat serum beta hcg after 48 hrs , to check for any serial hcg rise in values ( which would indicate pregnancy) may be undertaken and also a transvaginal ultrasound pelvis to check for any intrauterine gestational sac to rule out pregnancy confirmatively. If the test is negative then you should just safely wait for your menses to return naturally. Thirdly you seem to be suffering from a UTI , considering increased frequency of urine and pain in lower abdomen and back and lethargy setting in, so get a urine culture test to isolate the organism and a course of antibiotics may be undertaken for the same. Regards