A. Not necessarily. Premenstrual-type symptoms often occur during the early days of a pregnancy as a result of hormonal patterns which are quite similar for a brief while. Wait a few more days, then begin testing for pregnancy.
A. When women miss periods but are not pregnant, it usually means that they have failed to ovulate, which is not unusual or worrisome. What happens then is that the ovary releases estrogen, but not progesterone. That imbalance may stimulate skin cells to produce melanin, which is a brown pigment. That is likely the explanation.
A. Yes, you can. A relatively small ovarian cyst accompanies all pregnancies during the first trimester. This is what keeps the pregnancy going until the placenta takes over later on.
A. Pregnancy tests are extremely reliable nowadays, so you may be assured that you are not pregnant. Abdominal muscle spasms as well as intestinal movements are likely causes of what you are noticing.
A. Clearly, there needs to be more follow-up here, as you are showing mutually exclusive results. This may represent a very early miscarriage in which the hormone level has remained too low to turn the less sensitive urine test reliably positive. A repeat of the blood test should clarify things.
A. It is very unlikely that you are pregnant, but you definitely do need a gynecologic evaluation. Most likely, your high level of anxiety is causing some hormonal disturbances, which are causing the symptoms you describe. From this point onward, be sure to use reliable protection against pregnancy.
A. Theoretically, it is possible to conceive more than one embryo if more than one ovum has been released from the ovary. If this were to happen, however, it would not be from having frequent intercourse.
A. While you may have conceived 7 days ago, there are no symptoms which would occur this early. Be aware, however, that ovulation is often hard to pinpoint, so you might be further along. Pregnancy tests these days are accurate and show pregnancy before a period is missed, so you should know in the next few days.
A. Irregular flow is more often due to hormonal imbalance than pregnancy. That imbalance can readily cause lightheadedness and dizziness, but these are not dangerous and normally correct themselves.
A. It sounds to me like the only thing you can say for sure at this point is that if this is a period, it certainly isn’t a normal one. It’s a fundamental tenet of gynecology that when a woman has periods which she doesn’t consider normal, she is pregnant until proven otherwise. Your doctor can resolve this situation by runningblood tests for the pregnancy hormone, HCG, possible is a serial fashion so as to evaluate the changes going on.
A. Yes, you will, as pregnancy tests measure HCG levels.
A. If pregnancy turns out not to be the case, then the most likely scenario is failure of ovulation, which is not at all uncommon. In most cases, it resolves itself. Most important at this point is to be sure about the pregnancy possibility, as spotting and cramping can reflect miscarriage or ectopic pregnancy.
A. If I’m understanding your question, you have had your Implanon removed even though your pregnancy test was negative, which is a decision which I do not understand. Now your test is positive. That indeed does indicate that you are pregnant.
A. Yes, a blood test is more accurate, buy why not just wait until you miss a period? If you go a few days past, a urine pregnancy test will be accurate.
A. That’s not at all likely. It often takes several months to resume ovulating on a regular basis after a miscarriage, especially if you took the pill for a while thereafter.
A. Absence of a menstrual period is always pregnancy until proven otherwise. By now, a pregnancy test should show positive.
A. Assuming that “dpo” means days post-ovulation, then it is much too early to be testing for pregnancy as you are not even late for menses. You may expect a positive test by another 7 or 8 days. At 11 dpo, it is not possible to detect any changes on exam.
A. That’s an excellent possibility as what you saw could have been what we call “implantation,” a process by which a fertilized egg works its way into the wall of the uterus, often releasing a small amount of blood. A pregnancy test should be positive by now if that’s the case.
A. It’s possible, but very unlikely. Today’s pregnancy tests are extremely sensitive. Far more likely is that you’ve failed to ovulate this month, which is not unusual in stressful circumstances. This situation should resolve itself within a couple of weeks. If not, see your ob/gyn.
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