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What causes delayed menstruation with negative UPT?

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Posted on Sat, 12 Dec 2015
Question: I usually have a rear 24-26 day cycle occasionally it has been 28 days (6 months ago). I am currently on day 33 and no signs of a period. I am actively trying to get pregnant. Urine pregnancy tests are negative. Could I still be pregnant? I have been trying to conceive for 2 years and had no success. I really am scared that I am not pregnant and this will be a real heartbreaker for me.
I am scared to let my husband near me as I worry intercourse will bring my period on. Please help do I have any chances of pregnancy? If not what could it be?
Thank you
doctor
Answered by Dr. Nidhi Setia (27 minutes later)
Brief Answer:
Go for blood beta HCG levels.

Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.

In my opinion, You should go for blood beta HCG levels. This test is a better predictor of pregnancy than urine pregnancy test.

I think it is too early for UPT to come positive.

Intercourse will not cause your periods to start. Neither will it affect chances of pregnancy.

With your details, there appears no other cause of delayed periods at this moment.

Hope this helps.
I wish you good luck.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (13 minutes later)
So you really do think I could be pregnant when should a urine pregnancy test come positive please
doctor
Answered by Dr. Nidhi Setia (3 hours later)
Brief Answer:
There is no reason that you could not be pregnant.

Detailed Answer:
Yes you can.

UPT usually comes positive after around two weeks after unprotected intercourse.
But there can be false negative urine pregnancy tests.

Blood beta HCG levels are more reliable indicator of pregnancy.

Hope this helps.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (2 hours later)
I had intercourse over 2 week ago and test still negative thats what worries me. And makes me think I not pregnant. I have no symptoms when people are pregnant they said they had this that and the other.
Do you really think I am pregnant?
doctor
Answered by Dr. Nidhi Setia (14 hours later)
Brief Answer:
Take another UPT after 1 week.

Detailed Answer:
The symptoms are not necessarily present so early.

The UPT may be false negative in many cases.
It's better that you go for blood beta HCG levels to confirm.
It I would suggest you to take another UPT after a week or so.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Nidhi Setia (7 hours later)
Please see my period tracking below and please comment if you do think pregnancy is possible. I have taken a test today still negative. Don't want to get my hopes up to be let down:

JANUARY 2015
23rd January - 27th January (5 days bleeding)
Cycle 24th December – 22nd January = 30 days

FEBRUARY 2015
NO PERIOD

March 2015
4th March – 8th March (5 days bleeding)
Cycle 23rd January – 3rd March = 41 days

April 2015
9th April – 13th April (5 days bleeding)
Cycle 4th March – 8th April = 31 days

MAY 2015
8th May – 12th May (5 days bleeding)
Cycle 9th April – 7th May = 29 days

Started Acupuncture
XXXXXXX 2015
3rd XXXXXXX – 8th XXXXXXX (6 days bleeding) 2nd XXXXXXX spotty pink, cycle day 1,2 only pink when wipe, cycle day 3,4 red bleeding but only requiring 1 towel, cycle day 5,6 pink/brown discharge
Cycle 8th May – 2nd XXXXXXX = 26 days

16th XXXXXXX – 21st XXXXXXX (6 days bleeding)
Cycle 3rd XXXXXXX – 15th XXXXXXX = 13 days

JULY 2015
1ST July – 5th July (5 days bleeding)
Cycle 16th XXXXXXX – 30th XXXXXXX = 15 days

Finished Acupuncture

JULY 2015
22nd July – 26th July (5 days bleeding)
Cycle 1st July – 21st July = 21 days

AUGUST 2015
11th August – 15th August (5 days bleeding)
Cycle 22nd July – 10th August = 20 days

SEPTEMBER 2015
4th September – 8th September (5 days bleeding)
Cycle 11th August – 3rd September = 24 days

SEPTEMBER 2015
30th September – 4th October (5 days bleeding)
Cycle 4th September – 29th September = 26 days

OCTOBER 2015
23rd October – 27th October (5 days bleeding)
Cycle 30th September – 22nd October = 23 days

NOVEMBER 2015
NO PERIOD CURRENT DAY 33

I am no longer having acupuncture please see start and finish as it messed my cycles completely
doctor
Answered by Dr. Nidhi Setia (23 hours later)
Brief Answer:
Ultrasound to rule PCOS.

Detailed Answer:
hello again.

Sorry for late response,
I have through your details.

As you told that your cycles are irregular since one year.

I advise that you should go for ultrasound to rule out PCOS.

PCOS can cause irregular periods, infertility.

You should go for lifestyle changes like healthy diets, morning walk and exercises.

As you have been trying for 2 years to conceive, this may be the cause.

And I would still recommend that serum beta HCG levels will confirm the pregnancy.

Hope this helps.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (40 minutes later)
Everything is clear no pcos infertility specialist has no concern
I think I pregnant
I am not pregnant period has arrived.
Do you believe I can conceive naturally using clearblue fertility monitor?
doctor
Answered by Dr. Nidhi Setia (19 hours later)
Brief Answer:
Fertility monitor should help.

Detailed Answer:
Unfortunate that you are not pregnant this time also.

Yes, I think clear blue fertility monitor should help you in conceiving. It can help you to know the right time for intercourse.

Also, keep a pillow below your legs after every intercourse for some time.

I hope your husband's semen report is normal.

Wish you luck.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Nidhi Setia

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What causes delayed menstruation with negative UPT?

Brief Answer: Go for blood beta HCG levels. Detailed Answer: Hello Welcome to HCM. I can understand your concerns. In my opinion, You should go for blood beta HCG levels. This test is a better predictor of pregnancy than urine pregnancy test. I think it is too early for UPT to come positive. Intercourse will not cause your periods to start. Neither will it affect chances of pregnancy. With your details, there appears no other cause of delayed periods at this moment. Hope this helps. I wish you good luck. Take care.