I used to have regular periods. This time, my menstrual period has got delayed by at least 10-12 days. I am worried that I may be pregnant since I had unprotected sex. Though I did pregnancy test at home, but the result was negative. Is this test conclusive test? Can I still have pregnancy even after the test shows negative result? Please advise me whether I should conduct any other investigation for pregnancy? Due to this anxiety, I am restless for last few days.
Answer (by Dr. Neelam Dhamija): Missing the period by few days does not always mean that you are pregnant. Though it is correct that when you are pregnant you miss your period. But at the same time negative urine pregnancy test does not confirm that you are not pregnant. Urine pregnancy test can be negative in a pregnant woman, if the pregnancy is very early. If such is the case, then pregnancy test can be repeated after 7-10 days. Blood test for hCG is more confirmatory and it is very sensitive test. Blood test for hCG is first to become positive and can detect pregnancy as early as 11 days after conception.
If you are highly anxious to know, whether or not you are pregnant, it is preferable to go for blood test for hCG. A value < 5mIU/ml is taken as negative for pregnancy and a value > 25mIU/ml is taken as positive for pregnancy. You have not mentioned whether you want to become pregnant or not. However, it appears from your anxiety that you do not want to become pregnant.
Consult a gynaecologist.
(i) In case your report confirms that you are not pregnant then she may give you medicines for period to come. For this she will prescribe you some hormone preparation for few days. You will get periods after few days (5-7days) of stopping the hormone tablet. Once you have periods and if you do not want to become pregnant it is advisable to avoid unprotected sex. You can use various available contraceptive (methods to avoid pregnancy) methods like oral contraceptive pills, Copper-T insertion, condom and injections etc. to avoid pregnancy.
(ii) If the report confirms your pregnancy and you want to continue it, then she will advise you few medicines and few blood tests and ultrasound from time to time.
(iii) But if you do not want to continue pregnancy, then your gynaecologist will explain you in detail the pros and cons of termination of pregnancy, various methods for termination of pregnancy and will advise you which method will be better in your case looking to the weeks of gestation of pregnancy and your health and then you can decide accordingly.
*Dr. Neelam Dhamija Dr. Neelam Dhamija is a qualified Obstetrician and Gynaecologist [M.B.B.S., M.S. (Gynae. & Obst.)] and has about 25 years of experience in the medical profession.