Hi,
According to your description, it is difficult to tell whether it is delayed period or
miscarriage. The factors favorable for delayed period are:
-In the middle of the cycle spotting can be seen during ovulation.
-Sometimes fluctuations in the menstrual cycles can be seen due to different reasons ranging from psychological to
hormonal.
-
Pregnancy test is negative.
-You started having bleeding.
The factors favorable for miscarriage are:
-You are not using any
contraception.
-Previous cycles were regular.
-Sometimes urine pregnancy test kit can give false negative results.
You better go for
blood test for pregnancy, which can give a more accurate diagnosis compared with urine test. If the beta HCG levels are above 5 mIU/mL, it is more possible miscarriage, above 25 mIU/mL is confirmation of miscarriage. If less than 5 mIU/mL, it is delayed period.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sree Gouri S. R., OBGYN