
Confidential pregnancy testing is offered at Sindecuse Health Center by nursing appointment. An appointment is made with a nurse who is experienced in helping students confronted with a planned or unplanned pregnancy. Call 387-3290 to schedule your appointment.
Counseling occurs in a non-judgmental and caring way and is designed to help a student explore personal values, beliefs and options. All options available are discussed and appropriate referrals are made.
Pregnancy can occur when a man and woman choose sexual intercourse without effective contraceptive protection. Because the time of ovulation or production of an egg in the woman usually varies from month to month and because a man’s sperm can live for several days inside a woman’s body, pregnancy can occur more easily than is often thought. Without effective contraceptive protection, 60% of sexually active women will become pregnant within six months and 90% will become pregnant within a year. In fact, it is not unusual for pregnancy to occur even if the man and woman have experienced sexual intercourse only once; and contrary to popular belief, pregnancy may also result if intercourse occurs during the woman’s menstrual period.
The Facts About Urine Pregnancy Testing
The Hormone Pregnancy testing involves a simple
laboratory procedure to detect the presence of a hormone
called Human Chronic Gonadotropin (HCG) which is produced
by the developing placenta in a pregnant woman. HCG production
begins within the first week following implantation of
a fertilized egg and gradually reaches its highest concentration
during the third month of pregnancy. As HCG production
increases, this hormone enters the blood stream and filters
through the kidneys into the urine. The most common test
used for confirming pregnancy is one developed to detect
HCG levels in the urine.
Timing of the Test
In the first several weeks of pregnancy the level
of hormone production is too small to result in a positive
pregnancy test. To be accurate, a pregnancy test should
not be performed until HCG levels have risen to at least
50 mlU/ml. This level is generally achieved about the
time a pregnant woman misses her first menstrual period.
Accuracy of the test increases with each passing week.
If the first pregnancy test performed after a missed menstrual period is negative, a second test is recommended one to two weeks later. Any urine specimen is appropriate for HCG testing, but the first morning urine is optimal because HCG is more concentrated and is therefore more measurable. A diluted urine specimen obtained during the day may not contain sufficient HCG to be detected by this test.
Pregnancy tests can give false negative results when: 1. The test has been performed before HCG levels are high enough to be detected. 2. The urine is too diluted to contain sufficient HCG.
Are Home Test Kits Accurate?
Home pregnancy testing kits are easily available
and often used by young women to detect pregnancy in its
early stages. Most home pregnancy tests are reliable when
performed and interpreted accurately. However, these kits
are not reusable and they can be expensive. In addition,
if pregnancy is suspected and medical care is needed,
a second pregnancy test from a licensed clinical laboratory
will be required, making home pregnancy testing often
more expensive than a clinical evaluation from the Health
Center.
Signs of Pregnancy
The most commonly noticed symptom of pregnancy
is missing a menstrual period. Missing a period, however,
can also occur for other reasons, such as feeling increased
stress or tension, or from trying to diet severely to
lose weight. A period may also be delayed or missed if
a woman fears becoming pregnant, if she wants to become
pregnant, or if she becomes physically ill. Another early
symptom of pregnancy is morning sickness, nausea and vomiting.
Morning sickness usually appears a week or two after a
menstrual period is missed and continues until about the
10th or the 12th week of pregnancy. Morning sickness occurs
in about half the women who are pregnant, but may also
occur in a woman who is not pregnant.
To confuse things more, it is also possible for a woman to have a fairly normal appearing menstrual period when in the early stages of pregnancy. Enlargement and tenderness of the breasts can be another early sign of pregnancy. This is similar to the monthly breast tenderness many women experience just before their menstrual period, but this tenderness may be more intense than usual. In addition, there may be a more frequent urge to urinate.
There may be changes in appetite or in the kinds of foods
that seem appealing. There may also be a change in mood,
a feeling of fatigue, or simply somehow feeling different.
A woman may, however, experience none of these physical
symptoms and still be pregnant. Remember, too, that these
changes can also occur as a result of other physical or
emotional problems. A woman should not rely solely on
physical signs to determine whether or not she is pregnant.
A pregnancy test is a more reliable method of determining
pregnancy in its early stages so that medical attention
may be sought as soon as possible.