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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Delayed Periods, Negative Pregnancy Test, Blood And Protein In Urine, Anemic. Could I Still Be Pregnant?

Hi, I am about to be 25 and had my first child back in April. My menstrual cycle has been spot on since then with my first one coming just 7 weeks after having her via c-section. I am however now 2 weeks late for my period. My last one was July 31st. I have taken several home pregnancy tests , all of which have been negative. I also made an appointment with my OBGYN and they did a blood test which was also negative. The same day I had the blood test done at the OBGYN I had a follow up appointment with the lab at my internal medicine doctor to check several things because since pregnancy I have had high blood pressure. They called today and said I was anemic slightly, just like .20 under 12 I believe is what she said. They also said I had a trace of blood and protein in my urine but the coulture came back negative. I guess my question is, could I actually be pregnant and these tests be negative as I have a history of my HCG not being high enough and having to take progesterin during the 1st trimester?
Mon, 17 Sep 2012
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OBGYN,  's  Response
Hi,
Thanks for the query.

The chance of pregnancy is less as your blood test for pregnancy is negative.
Usually the blood test is said to be negative when the HCG levels are below 5.
The low HCG levels you had in the previous pregnancy could be less for expected gestational age but may not be as low as below 5.
After delivery the menstrual cycle may take some time for regularization and that depends on factors like lactation, hormones, Hb level etc.
So as you are having anemia start taking iron supplementation, and take tablets for withdrawal bleeding with your doctor's advice.


Take care.
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Delayed Periods, Negative Pregnancy Test, Blood And Protein In Urine, Anemic. Could I Still Be Pregnant?

Hi, Thanks for the query. The chance of pregnancy is less as your blood test for pregnancy is negative. Usually the blood test is said to be negative when the HCG levels are below 5. The low HCG levels you had in the previous pregnancy could be less for expected gestational age but may not be as low as below 5. After delivery the menstrual cycle may take some time for regularization and that depends on factors like lactation, hormones, Hb level etc. So as you are having anemia start taking iron supplementation, and take tablets for withdrawal bleeding with your doctor s advice. Take care.