HomeAnswersObstetrics and Gynecologypregnancy testI am worried because I took a pregnancy test in the afternoon without urinating for two hours and it came negative. Please help.

Are pregnancy tests done at home reliable?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 8, 2023
Reviewed AtJanuary 17, 2024

Patient's Query

Hello doctor,

I was diagnosed with PCOS or PCOD at the age of 14 years, and my age is 20 years now. I took contraceptives for three years, with breaks in between. For the last few months, I am taking homeopathy. My periods have become pretty regular since I started homeopathy. Eight days ago, my boyfriend and I were fooling around. First, I was giving him an oral. He may or may not have touched the tip of his penis. We are not sure if he had precum on his fingers. Rest assured, he did not cum. Now after about three to four minutes, he fingered me. I cannot say how deep because it was the first time he did it. Now my periods were due three days before that incident, and it has been eight days since the incident happened. I have not yet had my periods. Naturally, I was worried and so I took a pregnancy test as the due date of my period got exceeded. It came negative. The thing is, I took it in the middle of the day (after not peeing for about two hours) and I read on the internet that it should be taken in the morning, or the results may vary. Now, I am pretty worried. What are the chances that I am pregnant? And should I take the test again?

Thank you.

Answered by Dr. Balakrishnan R

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Hope you are doing fine. I do not see any reason for you to worry, let me explain. PCOD (polycystic ovarian disease). This is a congenital condition, I mean it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, you have not seen obese men developing breasts? And in young obese girls who develop periods at a younger age as they all have high levels of estrogen hormone also known as a female hormone). In your body too, when the fat that is stored for tomorrow is more than normal, this excess fat is converted to the hormone which tips the balance between the follicle-stimulating hormone (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates follicles from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused and follicle growth stops early at a smaller follicle size and will not rupture, in the next scan, you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular menstrual cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. You may have a family history of diabetes, especially from your father's side. This will not allow ovulation to occur at any time and so you cannot get pregnant, till it is treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be 118 to 123 lbs and your height has to be three feet two inches. Once you maintain your weight to the normal range, you would not need any medicine to get periods. To reduce weight follow the tips given below:

  1. Do not fast, say no to junk food, fast foods, or red meat, and reduce snacking in between meals.

  2. Have low-calorie-containing food, have high amounts of proteins.

  3. Exercise regularly (especially for the waist and the hip area). You can do aerobics, yoga, brisk walking (swing your hands well), and try to reduce four to eight lbs per month. Do not hurry on weight reduction, it will be difficult to maintain.

  4. As soon as you reduce at least 10 to 15 pounds of weight, you will see changes.

Even if you are in the normal weight range, try this schedule, it will help. In your case, with all due respect to homeopathy, PCOD is born with you and will stay lifelong. You have reduced weight and it got resolved. Homeopathy acts with your faith. If you believe in it, the disease will get cured. Homeopathy is good for allergies, joint pains, and so on, but do not waste time on such hormonal problems. Understand that it is your weight reduction that has controlled PCOD, not cured.

Next, for a young lady like you, ovulation should occur around the 12 to 16th day of periods. The life of an egg is 24 hours and that of sperm is 72 hours. So if your periods are due on some day and you had sex three days after that, there is no chance of the egg being available and sperm will not be alive till the next ovulation. The following are the other reasons for no periods:

  1. Anxiety about sex and doubt if pregnant, any severe depression, happiness, extremes of physical or mental stress.

  2. A recent sudden increase in weight - PCOD features can reappear.

  3. Any recent hormone intake.

  4. Thyroid or prolactin abnormality.

Anyway, have a urine pregnancy test with early morning first sample of urine. Confirm pregnancy is negative (am sure it will be negative) and then have any of the birth control pills or packet of 21 pills, have one tablet twice a day for 10 days (throw away the 21st pill). Consult your specialist doctor, talk to them, and take the medications after their consent. Tablet Novelon (Ethinyl Estradiol and Desogestrel) or tablet Ovral-G (Norgestrel and Ethinylestradiol) or tablet Duoluton-L (Levonorgestrel) or tablet Dear 21 (Ethinylestradiol and Levonorgestrel) or tablet Intimacy plus 3 (Desogestrel and Ethinyl Estradiol) can be used. No matter what the cause is (except pregnancy) you will have periods within seven to ten days of the last pill. Hope I have clarified your query, do write back to icliniq.com if you have any more queries

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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