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PCOS, trying to conceive, had positive hpt following spotting. Later negative blood test, bleeding. Any thoughts?

Hi, I am a 30 year old with PCOS . I do have one daughter who is 4 years old and she was a wondrerful surprise as it can be hard to track my cycles. My periods have been mostly regular for the past 8 months while taking Metformin and losing 30 lbs. I have been ttc this entire time, using an ovulation predictor kit and timing intercorse during my positive ovulation/sticky mucus days. I think I had one very early miscarriage during this time and going through something odd at the moment. Last Friday I started having very light spotting with dark brown blood, with light cramping. (Not enough to need a liner or tampon ) This lasted through Tuesday.However, on Sunday I was curious that this could be implantation bleeding since we ttc during my fertile time12-14 days before. I took a at home urine pregnancy test, it came back positive. The next day, Tuesday, I went into my Dr s office to have a blood pregnancy test done. It came back same day negative with a HCG quant. 2. I know it should have been at least 30-1000 by this time. So my Dr advised I come back in on Friday and have another blood test done. I did so and it also came back negative for pregnancy. ( 2) So here I am thinking that was a chemical pregnancy or a evap line. Then today I used the restroom on Sunday and I am bleeding. This time more red blood and I would say it is in between spotting and regular bleeding. What are your thoughts on this?
Asked On : Thu, 31 Jan 2013
Answers:  1 Views:  49
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OBGYN 's  Response
Mar 2013
Thanks for writing to us with your health concern.
My thoughts are that you have experienced a chemical pregnancy.
This is because urine pregnancy tests are almost 97 % reliable in diagnosing a pregnancy.
If yours was positive, then you HAD mostly conceived.
However two negative blood HCG tests conclusively rule out a pregnancy now.
The next step is logical -
please have a pelvic scan done transvaginally.
This will reveal if there are any telltale signs of a miscarriage, such as retained products of conception ( they might require evacuation if you havent bled through ).
Please get a scan done ASAP.
take care.
Answered: Sat, 30 Nov 2013
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