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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Delayed Periods But Negative Home Pregnancy Test Indicate?

hi I have missed my periods this month. normally it should have happened on 21st of this month. It is already 5 days late. I am married and did have xxx last month. I did urine test today and it showed negative. how should i go about this? still worried.
Wed, 20 Apr 2016
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OBGYN 's  Response
Hallow Dear,

The first cardinal symptom of pregnancy is missing a period. Whenever any woman in reproductory age group who is sexually active misses her period, the dictum is to consider her as pregnant unless and until proved otherwise.

Please also look for the other cardinal symptoms of the early pregnancy. They are:
1. Nausea, vomiting and pica
2. Frequent urination
3. Breast Symptoms: Engorgement with tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery's tubercles under the areola and secretions through the nipples.

Even if these symptoms are present, pregnancy needs to be confirmed.

You have performed the pregnancy test on the urine rather too early; i.e. just 5 days after missed period. These tests are reliable about 8-10 days after the missed period. Done earlier, they may report false negative. So please repeat the test on the overnight first morning urine sample after one week. If still it reports negative, you are not pregnant. Alternatively you may opt for Beta hCG test which gives reliable results even few days before missing a period.

If by either of these tests you are diagnosed as 'non-pregnant', you may expectantly wait for the menses to appear or take Tab. Deviry for 5 days and then you should get withdrawal bleeding within 4-7 days.

Please get rid of the worries. Worry may further delay the menses. There are scientific ways to help you.

Dr. Nishikant Shrotri
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OBGYN Dr. Nishikant Shrotri's  Response
Hallow Dear,

Your concern is a valid concern and I do appreciate it. However, I would like to assure you that there is nothing to worry in this situation.

Urine pregnancy test done within first week of the missed period may report false negative results. You may wait for 4 more days and then perform pregnancy test on the overnight first morning urine sample. Such urine sample has concentrated hCG in it. Alternatively you may choose Beta hCG test which is reliable even few days before missed period.

If either or both tests reveal that you are not pregnant, you may take Tab. Deviry for 5 days; within 4-7 days you would get withdrawal bleeding.

If you are proved to be pregnant, then you have to start your antenatal care right from the day of detection of pregnancy.

I hope this takes away your worry.

Dr. Nishikant Shrotri
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What Could Delayed Periods But Negative Home Pregnancy Test Indicate?

Hallow Dear, The first cardinal symptom of pregnancy is missing a period. Whenever any woman in reproductory age group who is sexually active misses her period, the dictum is to consider her as pregnant unless and until proved otherwise. Please also look for the other cardinal symptoms of the early pregnancy. They are: 1. Nausea, vomiting and pica 2. Frequent urination 3. Breast Symptoms: Engorgement with tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery s tubercles under the areola and secretions through the nipples. Even if these symptoms are present, pregnancy needs to be confirmed. You have performed the pregnancy test on the urine rather too early; i.e. just 5 days after missed period. These tests are reliable about 8-10 days after the missed period. Done earlier, they may report false negative. So please repeat the test on the overnight first morning urine sample after one week. If still it reports negative, you are not pregnant. Alternatively you may opt for Beta hCG test which gives reliable results even few days before missing a period. If by either of these tests you are diagnosed as non-pregnant , you may expectantly wait for the menses to appear or take Tab. Deviry for 5 days and then you should get withdrawal bleeding within 4-7 days. Please get rid of the worries. Worry may further delay the menses. There are scientific ways to help you. Dr. Nishikant Shrotri