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Delayed periods, spotting. History of tubal pregnancy miscarriage. Worried

Hi, I am just kind of worried cause i am now on Day 50 of my menstrual cycle and my period has not started. I do remember that on March 7 and 8 i did see some light red-brownish spotting when i wiped myself. So that weekend on Saturday i went and did a Pregnancy test and it came back negative. Should i do another pregnancy test? Back in September of last year i had a tubal pregnancy miscarriage . so i am a bit worried
Asked On : Sun, 31 Mar 2013
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OBGYN 's  Response
Mar 2013
thank you for your query.
A previous tubal pregnancy ( ectopic pregnancy ) places you at increased risk for further ectopic pregnancies.
Urine pregnancy tests are not always reliable for diagnosis of ectopic pregnancies as the circulating hormone levels ( B - HCG ) levels are quite low.
I would advise you to consult a gynecologist and have a transvaginal pelvic ultrasound.
That would clinch the diagnosis.
Please do the needful at the earliest.
Take care.
Answered: Sun, 31 Mar 2013
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