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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Pregnancy Test. Was Positive, Found Bleeding The Same Day. Concerned About The Findings?

Hi Doc, My wife is 24 yrs old. Her period was due on 16th of Apr. On 24 Apr morning we had pregnancy check through preganews and its was found positive. Thereafter on same day in the afternoon she found slight bleeding. On 25th Apr we went to the doc and after chekup through ultrasound it reported negative about pregnancy and doc advised to have 2 spoons of Mentone Syrup. Pl advise something....
Mon, 29 Apr 2013
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General & Family Physician,  's  Response
Hello,
thanks for using health care magic.

Pregnancy test is high highly sensitive after missing
menses on the expected date of menses. Early diagnosis
relies more on blood or urine HCG testing which is what is
done on home pregnancy testing strips. Ultrasound in such
an early stage has to be endovaginal ( that is the probe of
the ultrasound has to be put inside the vagina) else there
will be a fair chance of missing to see the gestational sac.

However, it is possible to have a false positive pregnancy test
but that is in the case of a history of fertility drugs that contain
HCG or tumours like ovarian tumors.

So in a nut shell, the most sensitive test now is the blood or urine
HCG strip rather than ultrasound. Redo the pregnancy testing and if
its still positive you could do your ultrasound in 2 weeks time.

Hope this helps you.
Dr Achuo
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OBGYN,  Dr. Rishma Lakhani's  Response
Hello,

This might be what is called biochemical pregnancy, which means that the pregnancy test is positive but ultrasound is negative.

If you had only spotting I would advice you to wait for a few days and repeat a HPT or an
ultrasound.
But if you have normal bleeding as your periods no need to do anything.

Don't worry, all The best.
Take care.

Dr. Rishma Lakhani
I find this answer helpful
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Had A Pregnancy Test. Was Positive, Found Bleeding The Same Day. Concerned About The Findings?

Hello, thanks for using health care magic. Pregnancy test is high highly sensitive after missing menses on the expected date of menses. Early diagnosis relies more on blood or urine HCG testing which is what is done on home pregnancy testing strips. Ultrasound in such an early stage has to be endovaginal ( that is the probe of the ultrasound has to be put inside the vagina) else there will be a fair chance of missing to see the gestational sac. However, it is possible to have a false positive pregnancy test but that is in the case of a history of fertility drugs that contain HCG or tumours like ovarian tumors. So in a nut shell, the most sensitive test now is the blood or urine HCG strip rather than ultrasound. Redo the pregnancy testing and if its still positive you could do your ultrasound in 2 weeks time. Hope this helps you. Dr Achuo