OB-GYN (Obstetrician-Gynecologist) Questions OB-GYN

Pregnancy possibility?

I missed my period in January 2022 I thought I was going to get it but it was just like chocolate-looking discharge. February 1, 2, 3, I usually get my period those days, I took a pregnancy test it came out positive. I took another it came out negative. I went to the doctor and I did a pee test negative again. She did an ultrasound and there was nothing. I have been getting symptoms here and there. Throwing up, being tired more tired than usual.

Female | 22 years old

3 Answers

The gold standard for a pregnancy test is a quantitative beta HCG serum pregnancy test. It will give you a number. If it’s<<2 ( or whatever level the lab uses as negative) there was no pregnancy in the last 6 weeks ( approximately 6 weeks). Urine pregnancy tests are accurate down to 25 mIU. They are very good, but if you’re still concerned ask her to run the blood test. If you had been within the first few days of pregnancy, it could have happened the way you described, but, really, it’s unlikely, but don’t be afraid to ask for a definitive answer that satisfies you.
Get a blood test for quantitative HCG. If the result is less than 5, then pregnancy is very very unlikely. On the other hand, anything over 5 should be monitored with repeat blood testing within a few days. If you had a tubal pregnancy, for example, you might have a very low HCG value. Watching the values go up or down over time could tell you a lot about what might be happening. The pee tests are unreliable and one positive result might have been a false positive. You gotta see your doctor.
It could be an early pregnancy either too early to detect by the urine test or early miscarriage. I would get a blood test to be sure. You also need to check & see if you are RH positive or negative. If negative, you may need a Rho Gam shot to prevent future problems.