Despite negative pregnancy tests, are there chances of pregnancy in case of missed periods?

Question

Hello doctor,

I missed my periods last month and this month and my last period were before 36 days. I did three pregnancy blood tests and they were all negative. The first test was done two days after missing my periods, the next was done 10 days later and the third test was done 20 days later. I am really scared. Is it possible for me to be pregnant? I did not take any contraceptives. I did an infection swab test and urine test. All are negative. I complained but they said it was probably stress or anxiety because of my exams which were four to five months back. I do not feel any signs of pregnancy. I feel normal. I do not know what is the problem with me. I have just entered my twenties and I weigh about 100 kilograms.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query.

Many factors can delay menses in addition to pregnancy. Stress, anxiety, workload, hormonal imbalance, weight gain or sudden weight loss, contraceptives, illness, and medications also can lead to delayed periods. Most of the time in very early pregnancy, a urine pregnancy test is unable to detect pregnancy. I suggest you to follow a few instructions mentioned below:

Have serum beta-hCG (beta-human chorionic gonadotropin) which is a blood pregnancy test to check your pregnancy status.
If serum beta-hCG comes positive, then get a transvaginal scan done. Have folic acid daily.
If it comes negative you can have menstrual induction (tablet Primolut-N 10 mg twice daily for five days) and then wait for bleeding for one or two weeks.
Have combined oral contraceptive pills for three months.
Have blood tests on the second day of periods (progesterone, prolactin, testosterone, insulin, FSH (follicle-stimulating hormone), LH (luteinizing hormone), and thyroid function test).
Collect all laboratory reports and discuss them here.
Your weight and BMI (body mass index) is high. It is better to have serious control over it.
Try to have a daily exercise and diet chart with less salt, sugar, oil, and spice.
Involve in recreational activities and reduce or try to quit recreational drugs.

Kindly consult a specialist, talk to them and take the medications with their consent.

I hope this has helped you.

Thank you.