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Pregnancy a problem as the periods are missed and the urine test shows negative - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Hi, I am a 27 year old and i just missed my period. Its been a week now. The pregnancy testing kit (urine) shows a negative result. What is the best clinical diagnostic test to confirm pregnancy? Also should i consult a gynaecologist before going through any further diagnostic test?
Doctor :   Hi
User :   hello doctor
Doctor :   The next best to the urine test would be a blood HCG test
User :   ok.
User :   Is that done at any laboratory or there are specific labs conducting these tests?
Doctor :   It is done in most of the laboratories , like Ranbaxy , Metropolis and RV labs
Doctor :   If that test turns to be negative then you may need to be examined by a gynecologist to find the exact cause
User :   Ok. but is that a sensitive test and gives a sure result?
Doctor :   yes, it is very sensitive than the routine urine test
User :   Also its just a week above my period date.. so which test would be best in this case?
Doctor :   the urine test would be able to detect here , but if it fails the next resort would be the blood HCG to rule out pregnancy
User :   All right. I would also like to know, that keeping in mind that i am 27, and its just been 5 months that i am married, is it advisable to terminate pregnancy if it comes out to be positive?
Doctor :   May i know the reason for the same ?
Doctor :   I am sorry , i meant to ask whether if you are not planning to the pregnancy now
User :   Just that both me and my husband are not at all ready for a family right now.
User :   Yes, we are not planning a family currently.
Doctor :   yes, that can be a choice . if positive it would be not more than a 3 weeks POG . Hence MTP could be a option
User :   What is a POG?
Doctor :   Period of Gestation ( age of the fetus)
User :   oh. Ok.
Doctor :   or age of the pregnancy
User :   i understand that.
User :   And the pregnancy would be terminated medically? Are there any ill effects of that on body, as in future conception problems etc?
Doctor :   No , can consider to be very minimal risk as the POG is less
Doctor :   More the POG more will be the risk involved
User :   Ok.
User :   Could you please recommend a good and trustworthy gynaecologist in Noida?
Doctor :   sure please wait a minute while i will get you the address
User :   Sure
User :   Ok.
User :   Is that her clinic's phone number?
Doctor :   yes , it is
User :   Thankyou.
User :   There is one more query that i have
Doctor :   Please proceed
User :   A negative Blood HCG surely means that you are not pregnant? Any chances of false negative results?
Doctor :   No , the test is very sensitive
User :   Ok. The second problem i want to discuss is about the skin rash.
Doctor :   yes , please
User :   I developed a skin rash on leg and back which i percieved to be because of dryness beacuse of its patchy white appearance
Doctor :   ok,
User :   Though it improved on application of oil but it use to itch and become dry soon again
User :   Slowly the affected skin became darker in color and patchy
User :   I had consulted a skin specialist for the same but was simply told to apply oil or creame on a regular basis
Doctor :   ok,
User :   But the condition persists
Doctor :   ok does the lesion produce any kind of discharge ?
User :   No there is no discharge
Doctor :   and does it scale on scratching ?
User :   But a thickened and darkened skin
User :   yes the skin has become scaly
User :   also there is a red rash on itching
Doctor :   Ok , what other medications have used other than oil ?
User :   None
Doctor :   ok, the dry skin is due to decreased sebaceous secretions due to the weather , and the dry skin will have crevices through infections can enter in , And the darkening and other features give me a clue of possible fungal infection
Doctor :   i would ask you to apply MOIZEN / Aquaderm lotion in the early morning and Micanazole oint in the night times after through washing
User :   Ok.
User :   Will the skin come back to its normal color after treatment?
Doctor :   yes, avoid the skin exposure to sunlight
User :   Ok . Thankyou Doctor. Your advice was helpful.
Doctor :   You are welcome
Doctor :   thanks for consulting me
Doctor :   Kindly provide your feedback
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