Irregular Spotting

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QUESTION

Dear Midwife,
I been married for about two years and my husband and I have been trying to conceive. Nothing has happened.

I was using the Nuva ring for about two months where I skipped my period. So the third time I tried to skip it I started with UTI's and tons of discharge so I stopped using the ring.

My first period was out of whack. I had really weird brown discharge and painful intercourse. The next period was normal but the this month I was three day late. Now I am just wondering. I started having really light spotting about a week ago and it's only when I clean myself after going to the bathroom.

Intercourse is really painful and my back ache seems to get worse. I have done urine pregnacy tests and are negative. Is there any chance I could be pregnant and would not show in a urine pregnancy test?

ANSWER

Good quality urine pregnancy tests are as accurate as blood tests these days, so it is extremely unlikely that you are pregnant.

If you have been trying for two years, it is time to see a provider who can take a good history and maybe run some basic tests to make sure everything is okay. If not, often very simple things can be done that incrase your chances of conceiving a lot, and it would be better to consider these options sooner rather than later.

Good luck!
~Cynthia