Could
I be pregnant?
Absolutely!
It is not uncommon for a woman to get a negative test result,
when she is indeed pregnant, even when testing after her period
is due.
The biggest
reason for getting a negative test result is miscalculating
your period. The average menstrual cycle is 28 days. If you
are fortunate enough to have a regular 28 day cycle, you would
count 28 days from the start of your last menstrual cycle
to determine when your next period is due. The problem with
this method is two-fold. One, many women do not have a 28
day cycle and two, this does not account for variations in
ovulation dates and more importantly the date of implantation.
Some
basic physiology
Your menstrual
cycle is divided into two phases. The first half is called
the follicular phase and lasts from the start of menstruation
until ovulation. The second half is called the luteal
phase and starts at ovulation extending outward
until pregnancy or until menstruation begins again. During
the follicular phase of your cycle you will produce hormones,
specifically LH (luteinizing hormone) and FSH (follicle stimulating
hormone). After ovulation occurs it triggers a rise in a second
set of hormones, progesterone and estrogen. The length of
the follicular phase can vary greatly. The luteal phase, from
ovulation onward, is typically 13 to 14 days. So let's say
a woman's typical cycle is the standard 28 days, but for this
cycle our hypothetical woman's follicular phase is 16 days
instead of her typical 14 days. This would mean if she tested
the day her period was "due", she would actually
be testing at 12 days past ovulation verses what she is assuming
to be 14 days. The two day difference could be the difference
between a negative and a positive pregnancy test.
Implantation
and pregnancy tests
Another
factor to consider is when implantation occurs. You will not
get a positive pregnancy test until after implantation occurs.
Although hcg is produced almost from conception, it is not
until the egg implants that the hcg can be released into the
woman's blood stream in sufficient quantities to result in
a positive pregnancy test. The time implantation occurs varies.
Implantation can occur anywhere from 6-12 days past ovulation.
Other
causes for a pregnancy test to not detect pregnancy
Other
causes for a negative test include diluted urine,
expired test, improper testing, and ectopic
pregnancy. If you have received a negative
test result a day or two after your period is due,
it may be as simple as testing too early. Retest again
in a week, and if still negative consult your doctor.