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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Endometriosis, Had Sex During Periods Due, Missed Periods, Nausea, Abdominal Pain. When Should I Take Pregnancy Test?

Hi, So the last time I had sex I was due for my period on that day. I only had sex once in the last month and I ve had an ultrasound and pregnancy test during the last six weeks. My period was due 15 days ago and I ve had some nausea and some lower back pain as well as some right side abdominal pain . The lower right abdominal pain is not new but the pain has changed. I have had endometriosis since I was 17 and I m now 22. Should I wait longer to take a pregnancy test? I don t want a false negative. I m a little concerned that I might be having an ectopic pregnancy . I m concerned about what to do..
Wed, 2 Jan 2013
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OB & GYN Specialist,  's  Response
hello,
If you have previous regular cycle,then sex on due date is very much safe and chance of pregnancy is almost nil. Endometriosis may cause lower abdominal pain prior to period.
But to clear doubt, confirm your pregnancy by blood test for B-hcg /USG lower abdomen. Check the result and if you got negative again,then do the following things.
Other reasons of delayed period like hormonal imbalance,stress/anxiety,ovarian cyst/PCOD, thyroid problem,wt gain/extreme loss,irregular eating habits etc.
Need to investigate properly to rule out underlying pathology by other test like Thyroid profile, LH/FSH,blood estrogen & progesterone level etc.So consult with your doctor and take suggestive measures.
Control body wt,take healthy diet,avoid stress with treat endometriosis properly.
Be well.
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OBGYN,  Dr. Aarti Abraham's  Response
Hello
Thanks for your query.
If you had regular periods, and you are late by two weeks, you should take your pregnancy test.
False negatives at two weeks overdue are rare, however to be completely sure, consult your gynecologist for an ultrasound / blood pregnancy test.
Also, with endometriosis, to rule out the possibility of an ectopic pregnancy, you should go for ultrasound with blood pregnancy test , as a home test would not differentiate between the two.
Even if your home pregnancy test is positive, you would ultimately need the consultation.
Take care.
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Endometriosis, Had Sex During Periods Due, Missed Periods, Nausea, Abdominal Pain. When Should I Take Pregnancy Test?

hello, If you have previous regular cycle,then sex on due date is very much safe and chance of pregnancy is almost nil. Endometriosis may cause lower abdominal pain prior to period. But to clear doubt, confirm your pregnancy by blood test for B-hcg /USG lower abdomen. Check the result and if you got negative again,then do the following things. Other reasons of delayed period like hormonal imbalance,stress/anxiety,ovarian cyst/PCOD, thyroid problem,wt gain/extreme loss,irregular eating habits etc. Need to investigate properly to rule out underlying pathology by other test like Thyroid profile, LH/FSH,blood estrogen & progesterone level etc.So consult with your doctor and take suggestive measures. Control body wt,take healthy diet,avoid stress with treat endometriosis properly. Be well.