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Serum Hcg Test to confirm pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
Doctor :   hi
Doctor :  
how can i help u?
User :   Hello
User :   I am having a lot of pregnancy symptoms, and my pregnancy tests are coming back negative. I have PCOS, and just started the NuvaRing about 13 days ago. I have had unprotected sex with my fiance for about 9 months, and I was curious as to if I could actually be pregnant or if my body just isn't used to the hormones.
Doctor :   give me some time to read
Doctor :   what are the symptoms u have?
User :   for the past week and a half, nausea and vomiting every morning, and sometimes in the afternoon. I hate the smell of my favorite perfume. my pelvic area is constantly sore, as well as my lower back. I have had frequent urination, heartburn, just lately some random food cravings. My breasts are sore, and I've experienced a lot of excess gas.
User :   as well as a roller coaster of emotions
User :   im not sure if it is relevant or not, but I have also gained about 10 pounds in the past couple of weeks.
Doctor :  
are ur periods regular?
User :   no, I haven't had a period in quite some time. I do have PCOS, and I started the NuvaRing in hopes to start my periods agian.
Doctor :  
Doctor :  
have u taken pregnancy home kit test
Doctor :  
User :   yes, just before starting the nuvaring, and then once right after. All were negative.
Doctor :   ok

User :   I also just had an ultrasound, and I saw a black dot in the middle of my uterus, but the tech said she couldn't tell me anything, and I am not able to see my doctor until December.
Doctor :   ok

Doctor :  
its not about black dot
Doctor :   mostly u might not be pregnant as ur home kit tests are negative
User :   I guess I was trying to ease my mind a bit, because right now the chances seem kind of 50/50
Doctor :  
in order to confirm it u take one SERUM HCG TEST WHICH WILL CONFIRM UR PREGNANCY
Doctor :   ultrasound takes time to get positive
User :   The doctor said she was going to do a complete work up on me, so she did take about 9 vials of blood, do you think she would do such a test with the blood?
Doctor :  
Doctor :  
she will do it

User :   Should I keep the NuvaRing in until I know for sure? Is is true that women with PCOS get such low HCG levels that it doesn't show up well on a home pregnancy test?
Doctor :  
nuvaring itself is a contraceptive pill.
Doctor :  
if it is still there how will u become pregnant?
User :   I just started it 13 days ago. I have had unprotected sex about every other day for several months before starting the NuvaRing.
Doctor :  
Doctor :   but still if u are pregnant the home kit test would be positive
User :   So you are saying that me having PCOS won't affect the HCG levels?
Doctor :   give me 2 minutes time i will clear ur doubt
Doctor :  
Doctor :  
still there is no clear cut evidence stating that hcg levels are effected by pcos
User :   okay, so should I take another home test then?
Doctor :  
User :   and if this test is negative, it should be safe to assume that I am not pregnant.
Doctor :  
u take one more test and even then if it is negative,go for SERUM HCG TEST
Doctor :  
User :   okay. I suppose that is all I was wondering about. I will just go take another test and hope for some answers.. It's the waiting that's driving me crazy.
Doctor :  
i can undeerstand ur anxiety
Doctor :  
whats ur age?
User :   22
Doctor :   you are young
Doctor :   no worries ,u will become pregnant
Doctor :  
but u should have patience
User :   yeah.. Thanks for trying to answer my questions. It is I'm sure hard without knowing me or my background. I appreciate it.
Doctor :   welcome

Doctor :  
Is there any thing else I can help you with?
User :   no, that is my only real concern.
Doctor :   Please fill the feedback form say done when done.
User :   okay.
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