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Delayed Period With Nausea, Brown Spotting, Urine Pregnancy Test Negative. Should I Go For Blood Test?

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Posted on Thu, 13 Jun 2013
Question: my period is late for one day, I have nausea after eating and around noon from past week; I was supposed to get my period yesterday (and from two, three weeks ago I have period like cramps) but I have brown spotting instead.I took a pregnancy test 3 days ago and today but it was negative, I am not sure if is it still too soon for hCG hormone to be shown in my urine? or it will be other issues. If I get blood test does it show the hormone level now?My period is so irregular and sometimes I get it very late but normally as soon as I get brown discharge it will start. This time though I got that spotting exactly at correct time but for two days only very little spotting happened and no blood.
P.S: around three weeks ago I had ultrasound and hystonography from abdomen, pelvis and uterus and they told me it was clear(negative).
I am not sure but I think recently I have a little bit intolerance from some specific smells.
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Answered by Dr. Jorge Brenes-Salazar (2 hours later)
Hi,

Thank you for your health concerns.

It is reasonable still to consider early pregnancy in the differential. Since you have urine HCG (human chorionic gonadotropin ) would detect hormone starting the day after you miss a period, but this is not perfect.

A reasonable course of action would be to wait a bit more (eg. 1 week) and obtain a serum HCG instead of urine at that time.

Hope this is helpful, wish you the best, blessings,

Dr Brenes-Salazar MD
Mayo Clinic MN USA

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Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Jorge Brenes-Salazar

Cardiologist

Practicing since :2007

Answered : 1198 Questions

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Delayed Period With Nausea, Brown Spotting, Urine Pregnancy Test Negative. Should I Go For Blood Test?

Hi,

Thank you for your health concerns.

It is reasonable still to consider early pregnancy in the differential. Since you have urine HCG (human chorionic gonadotropin ) would detect hormone starting the day after you miss a period, but this is not perfect.

A reasonable course of action would be to wait a bit more (eg. 1 week) and obtain a serum HCG instead of urine at that time.

Hope this is helpful, wish you the best, blessings,

Dr Brenes-Salazar MD
Mayo Clinic MN USA