HomeAnswersObstetrics and Gynecologypregnancy

Why do I feel pregnant even though my hCG levels are low and my tubes are tied??

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 25 years old old woman who is 5 feet 10 inches in height and 270 lbs by weight. I delivered my son and had a tubal ligation done. I also have been exclusively breastfeeding and pumping as needed this whole time. I have had bad nausea and severe aversions to food for the past two weeks. I have been having cramps on and off and a frequent need to use the restroom. I had a blood test done last week, which came back negative. I tried pumping milk a few days before, and I suddenly felt pain. Today I have been having some discomfort in my uterus. I am always tired. At-home pregnancy tests are either coming back with a very faint line or nothing at all. I take tablet Cymbalta 60 mg (60 mg of Duloxetine) once a day. I have been prescribed an Ozempic injection (1.34 mg of Semaglutide), but I want to wait and see what is going on with my body before starting it. In a recent blood test, hCG levels were less than 1 per milliliter of blood. Please advise.

Thank you.

Answered by Dr. Manwani Saloni Dilip

Education:

MBBS

Professional Bio:

Dr. Manwani Saloni Dilip is a practicing Obstetrician and Gynecologist specializing in minimally invasive surgery and managing high-risk pregnancies. With expertise in laparoscopic procedures and advanced prenatal care, she is dedicated to ensuring the health and safety of both mother and baby. Dr. Manwani provides compassionate, personalized care, focusing on the latest evidence-based treatments to support women through all stages of pregnancy and gynecological health.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

So after having a tubal ligation, your chances of having an intrauterine pregnancy (failure of the procedure) are significantly less. An ectopic pregnancy (pregnancy outside the uterus) is more likely. It is surprising that your blood hCG (human chorionic gonadotropin) levels are less than one per milliliter of blood in the urine test that does not even have a faint line. I suggest repeating the test. If that is negative, then you need not worry. Because you have a frequent need to use the restroom, you could do a urine analysis test to rule out urinary infection. You have not had your periods because the Cymbalta 60 mg tablet (60 mg of duloxetine) causes changes in the period cycle. I hope this helps.

Thank you.

Medically reviewed by Dr. Meera Premanand
Published At February 2, 2022
Reviewed At December 26, 2023

Education:

MBBS

Professional Bio:

Dr. Manwani Saloni Dilip is a practicing Obstetrician and Gynecologist specializing in minimally invasive surgery and managing high-risk pregnancies. With expertise in laparoscopic procedures and advanced prenatal care, she is dedicated to ensuring the health and safety of both mother and baby. Dr. Manwani provides compassionate, personalized care, focusing on the latest evidence-based treatments to support women through all stages of pregnancy and gynecological health.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Meera Premanand is a dedicated Dentist known for providing comprehensive dental care with a focus on patient comfort and oral health. She combines modern dental techniques with personalized treatment plans to ensure healthy smiles and long-term dental well-being for her patients.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Manwani Saloni Dilip is a practicing Obstetrician and Gynecologist specializing in minimally invasive surgery and managing high-risk pregnancies. With expertise in laparoscopic procedures and advanced prenatal care, she is dedicated to ensuring the health and safety of both mother and baby. Dr. Manwani provides compassionate, personalized care, focusing on the latest evidence-based treatments to support women through all stages of pregnancy and gynecological health.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.