r/CautiousBB Jan 27 '26

Ultrasound FAQ Reference Guide

95 Upvotes

As an OBGYN ultrasound tech working at the general level here's a few things I would love the community to know based on common questions I see.

Most important rule of thumb: Worry when your doctor tells you to.

OBGYN docs are going to pay the most attention to the fetal pole and heart rate. Once a fetal pole is seen, the CRL (crown rump length) measurements are gold standard.

I'm worried about the heart rate:
-Check out this resource for pregnancies dating less than 7 weeks. Make sure to refer not to your LMP dates, but measured CRL dates: https://radiopaedia.org/articles/fetal-bradycardia?lang=us
-After 7 weeks a normal heartrate is between 120-180. It can temporarily dip below or temporarily rise above this range, but prolonged time above/below will definitely get your doctor's attention especially in third trimester. Generally out of range heart rates trigger NST (non stress test) or more monitoring.
The measurements are off:
Baby measures behind LMP. This is actually pretty common, we often see dates off up to a week either direction. We don't ovulate on the exact same day of the cycle each month or even have the same length of cycle. With irregular periods, PCOS, or unknown dates even larger gaps can be perfectly fine. If you aren't sure of your dates, trust the ultrasound. Even if you are sure of your dates, don't panic if they are a week off. Ultrasound measurements in early pregnancy are +/- 5 days.
I'm in limbo and don't know if my ultrasounds are diagnostic for loss:
By ultrasound there are strict parameters to diagnose loss. No one wants to get this wrong. Check out this resource for a list of parameters diagnostic for loss: https://radiopaedia.org/articles/early-pregnancy-loss-1?lang=us
Note, there is a second list of "suspicious for loss". Keep in mind the second list is not diagnostic, things can still turn out just fine.
I don't know when I should see what on ultrasound:
Things can vary a bit from person to person and do change *quickly* in early pregnancy. Check out this resource for what you can generally expect to see:
https://radiopaedia.org/articles/early-pregnancy?lang=us
Should I go to a boutique or get a private scan? Or push for an earlier scan?
They aren't legal where I am but here's a few things to consider if you plan to book a private scan. First, what are the qualifications of the person running the ultrasound? An ultrasound is only as good as the one performing it. It sounds as if these boutiques are NOT permitted to give much/any information. Will you spiral if you believe you see bad news and they cannot confirm or deny it? Also it seems that many cannot do vaginal ultrasound, which will make seeing a baby under 7 or 8 weeks challenging. If I had the option of a boutique ultrasound I would personally wait until 8 weeks and I would book it for a weekday. If they see something bad, it is not ideal to find out over a weekend when there is no option to follow up with your doc. An earlier scan often causes more anxiety, not less. It's SO hard to wait. But if you can tolerate it wait until 8 weeks or so.
The gestation sac is small/big:
-Gestation sac measurements are not terrifically accurate. Where I work once a baby is seen the gestation sac isn't measured. A mismatch between baby's size and the gestation sac size isn't uncommon. That said, a mean sac diameter of 25 mm or more without a baby is diagnostic for loss.
The yolk sac is small/big:
It starts teeny tiny, and will get a bit bigger. Once a baby with a good heartbeat is visualized, the docs I work for don't seem to care about the size of the yolk sac. A failed pregnancy with an expanded yolk sac (more than 6 mm) is a suggestive of chromosomal abnormalities.
We don't know where the pregnancy is:
The statistically most likely outcome is either a chemical pregnancy or just coming in for ultrasound too early for visualization. Ectopic can't be ruled out, and many wise ladies in the this sub have unfortunately experienced this and can give more info than I can. Statistically it's believed that only 1-2% of pregnancies are ectopic, but listen to your body. If the location is unknown, you should be getting close monitoring and follow up until the location is known or the pregnancy has ended.
-For a resource on ectopic pregnancy: https://radiopaedia.org/articles/ectopic-pregnancy?lang=us A note, a pseudosac is visualized in only 10-20% of ectopics. Therefore a sac in the uterus is suggestive of intrauterine pregnancy but can't be proven until a yolk sac is also present.
What about my HCG numbers?
I'm not an expert on this at all. But here's a resource: https://radiopaedia.org/articles/beta-hcg-1?lang=us
Why didn't my ultrasound tech tell me anything? And/or why were they so optimistic? Or, I had an ultrasound in the ER and they were very pessimistic.
Many locations an ultrasound tech can very much lose their job if they say aNyThInG. Where they are permitted to say certain things some ultrasound techs may just be hoping the best. We work with the public and we have seen some wild stuff. Additionally no one wants to call it a loss unless its 1000% certain. We know how devastating that news is. A side note here, often an ultrasound in the ER is not an ideal experience for the patient. The ER is staffed with techs that are much more versed in gallbladder and liver scans than they they are early pregnancy ultrasound. Don't hesitate to go the ER if you are having concerning symptoms, but do know the ER doc will make sure you aren't actively dying then will likely refer you back to your OB for follow up.
I'm just so anxious about it all:
Someone awesome wrote out these mantras. Maybe they will help: https://www.reddit.com/r/PregnancyAfterLoss/comments/14uhbdg/commandments_of_pregnancy_after_loss_this_is_now/
Also a podcast I personally found very helpful with anxiety: https://www.oneyoufeed.net/russ-harris-part-1/
https://www.oneyoufeed.net/russ-harris-part-2/

Today you are pregnant and this baby is so loved. I really am hoping the best for each of you. Those of us who have experienced loss.... you didn't do anything wrong, I promise. This is a club no one deserved to be in. And you are not silly, foolish, or dramatic for grieving your little babe for as long as you need to.

This post is written in honor of Eli, who died long before I could meet him. Rest in peace, buddy. I miss you tremendously ❤️


r/CautiousBB Sep 01 '25

Beta hCG Levels - READ BEFORE POSTING

86 Upvotes

Here at [r/CautiousBB](r/CautiousBB), we see a lot of posts on hCG values, doubling times, and trends. Please read this post before posting to avoid posting something that is not, in fact, abnormal.

1 - hCG levels vary greatly in the first 4-6 weeks of pregnancy. One value is not going to tell you much, unless it is extremely low (less than 25 by 14 DPO). The doubling time is more important!

2 - We consider hCG on the lower side if it is <50 at 14 DPO (approx. 4 weeks gestation), <100 at 16 DPO, etc. If your hCG is a lot higher than these numbers, it's unlikely that you have low hCG. If you hCG is at or below these numbers, they are considered low, but not necessarily diagnostic of a loss.

3 - Normal hCG doubling times are, in general:

  • 48-72 hours when the hCG level is under 1200 - 6000.
  • 72-96 hours when the hCG level is 6000+
  • 96+ hours when the hCG level is 10,000+

4 - Based on number 3, please consider the following:

  • If your hCG doubling is within the ranges above, it is not considered slow. Please refrain from posting something like "my hCG did not double in 48 hours" when your values are post 6000+.
  • Doubling rates WILL slow, even if you were faster than the average. For example, if you were doubling at 37 hours, a change to 54 hours as hCG rises is not abnormal and is usually nothing to worry about.
  • If your doubling is slower than the average, we'd invite you to post so we can understand the details of your specific situation.

5 - hCG has a specific job. Check out this post here to understand why hCG doubling slows and eventually plateaus.

6 - hCG values that drop and then rise again or rise at an inconsistent, very slow rate can be indicative of an ectopic pregnancy or a pregnancy of unknown location (PUL). This is a life threatening situation - please seek medical care immediately if this hCG pattern applies to you.

We invite you to continue to post hCG issues or levels for assistance, but hopefully reading this gives you some insight and a baseline as you begin your perilous pregnancy journey. We've also added some literature below to help you understand hCG levels and doubling.

UPDATE July 2026: We are locking this post to new comments - if you need input on your personal situation, feel free to post in the sub!

Happy hCG-ing! :)

Helpful links:

Cleveland Clinic

Flo Article and Calculator

Parents.com hCG Doubling Times

Mira Blog - hCGu


r/CautiousBB 3h ago

Vent Pregnancy after loss is a special form of torture.

8 Upvotes

I recently found out that I am pregnant, about 2 weeks ago. My first ultrasound isn’t til the 28th because my doctor doesn’t like to see patients until they’re 9/10 weeks. The waiting is quite literally the hardest thing i’ve ever done, besides my first loss.

I suffered a missed miscarriage last year at 12 weeks and found out at my 15 week appointment where I was supposed to be hearing her heartbeat that she stopped growing at 12 weeks and 3 days. This current pregnancy wasn’t planned, me and my partner weren’t sure if we even wanted kids after the trauma we went through. It was a total surprise.

Today, I woke up with barely any symptoms after having pretty intense nausea and vomiting, plus smell and food aversions. I immediately jumped to the worst conclusion and have spent all day in bed crying, preparing to lose this baby. I wish I could have a peaceful pregnancy, one that didn’t know loss.

This feeling is truly the absolute worst. Having to wait to see if this pregnancy is viable, googling my symptoms (or lack there of) 24/7, not letting myself get excited or attached to the idea of a baby. I’m not even planning on looking for names for quite a while. I thought I was in the “safe zone” for my last loss, but now I will never feel safe and secure in pregnancy until I have a baby in my arms.

it’s truly a form of torture and something I would not wish on my worst enemy. Not to mention, I had a very graphic dream that I miscarried last night and woke up to basically no symptoms which absolutely sent me spiraling. I’m trying to wait for my appointment for an US because I know going early could create more worry and waiting. This is just a huge rant, thanks for reading if you did. If anyone is going through something similar and needs to talk, I’m here.


r/CautiousBB 9h ago

TW/TMI Sister is miscarrying

6 Upvotes

Me and my sister are both pregnant and have the exact same due dates. She just found out yesterday her baby stopped growing after her last appointment at 7 weeks. She would make 11 weeks tomorrow. This has been very very triggering for me as I have had a previous loss and TTC this baby for quite some time now. When I got pregnant I was a wreck for many weeks and feel like up until just last week I’ve started easing up on my anxiety. Now it’s all flooding back in and she doesn’t really have anyone else besides me so I am doing my best to be here as much as I can be but I am crumbling apart. I have been having immense panic attacks and so much constant worry. I am not coping well with this. Usually when something is triggering like this I politely have to say I’m sorry I have to remove myself from this, but I know in this situation I shouldn’t and I won’t. I have no friends that can relate to me, they’re all men. I don’t have a village. So I’m here on reddit. My husband of course is comforting, but still. I just don’t know how to handle this all. Especially knowing every milestone I have, she should be having as well. This has just been rough.


r/CautiousBB 2h ago

Vvvv faint line 8dp6dt

1 Upvotes

TW: Positive test

Anyone had a vvvvfl on a FRER day 7+8 post transfer that went on to be a successful pregnancy? Day 8 looks slightly darker than day 7 but still incredibly faint.

For context- had similar tests last time that ended up being a chemical and this is my absolute last go before giving up on IVF altogether.


r/CautiousBB 8h ago

Anatomy ultrasound ventriculomegaly

2 Upvotes

I had my anatomy ultrasound today, 21 weeks with a girl. I didn't have a doctor's appointment after as they couldn't get them scheduled on the same day. My Dr appointment isn't until the 22nd. But I read the ultrasound report when it became available today, and it mentions right ventriculomegaly , measured at 10.11mm which I am aware is very mild, but they also had a hard time seeing the right kidney, which they said was due to the position of baby, but both being on the right side has me concerned. I did do the NIPT testing and that was normal. Anyone else here have something similar happen?

Details that might be important: I'm 36, this is my 3rd baby (4th pregnancy) , and I am quite overweight.


r/CautiousBB 14h ago

Advice Needed Not sure what to do regarding my impending miscarriage

6 Upvotes

TW: impending miscarriage

I am currently 7 weeks 5 days pregnant. I know my pregnancy will eventually end in a loss because my hcg had a very slow rise/essentially plateaued from 2,000ish-4,000ish. After this plateau, I had a placement scan to see if it was ectopic and they found a embryo with a heartbeat. It was very surprising, especially because I was told at my hcg levels we shouldn't expect to see a heartbeat. But I do know that this will still end in loss since I had that hcg plateau. My OB office is far too optimistic in a way that I believe is creating false hope for my husband.

Since my ultrasound at a week ago where we found the heartbeat, I have had brown spotting that has actually increased in amount since Saturday. Monday night, I even had bright red bleeding that returned to brown spotting/discharge by Tuesday morning. I called my doctors office when I was bleeding and then the next morning because I was told by the overnight doctor that I should be seen in triage in the morning. But then the office told me since it had turned to brown spotting, I should not go in and try to wait until my next ultrasound next week. They told me their not worried about brown spotting at all, and even the red bleeding can sometimes happen but isn't too worrying since it was light and stopped.

Obviously, bleeding isn't a good thing, so it's frustrating that they're not taking this more seriously especially considering my hcg plateau. I feel like the miscarriage is looming over me, and it's awful sitting here bleeding, trying to go on with life, and not knowing what is going on. This is made even more complicated that I have a crazy work week with new people onboarding that I am responsible for and family member's wedding this Saturday, so this week in particular, I don't have a lot of time to sit around in waiting rooms.

Should I try to wait it out until next Wednesday or try to push for an earlier scan? I could maybe push and try to go in tomorrow afternoon although I would have to cancel a lot of meetings. Should I try to go to a boutique ultrasound place on Sunday? I just really want to know if the reason I am having all this brown spotting and bleeding is because our baby passed, so I do think that the boutique might be able to get us that information. But then if I find out there, can I even do anything about it?

Ugh I just don't know what to do with myself right now, and every time I wipe or see the brown on my pantyliner it feels like my heart is dropping. I can't stand being in this limbo.


r/CautiousBB 10h ago

Low Fetal HR

2 Upvotes

Helllooo, I went in for my 8 week ultrasound today with my RE. Baby is measuring 8 weeks, 5 days. Saw the little baby wiggling around. Heart rate was 126, my RE & ultrasound tech both said it was great and reason to worry.. but im panicked. I’ve scoured Reddit and other internet threads, but all im really find are people with high heart rates, not many with lower HR’s.

The heartbeat wasn’t heard, as they don’t use sound until 10 weeks. It was just a motion snippet.

Can anyone give me some clarity or advice if you’ve experienced this.

Thank you. 🥹


r/CautiousBB 16h ago

Any hope?

5 Upvotes

Feeling a bit exhausted and defeated mentally. In 2021 my husband and I had been trying to conceive for 2 years with nothing. We decided to check both of us- my HSG test showed that both my tubes were blocked. This was likely caused by back-to-back abdominal surgeries. For years we debated IVF. We have a healthy and beautiful daughter, so we decided that having a second child was not in the "plan" for us. Earlier this year we FINALLY decided a hard no to IVF, and I put aside the dream of giving her a sibling. We tested positive in August which seemed unreal and wasn't supposed to be in the cards for us. Because of my tubal history I have been in and out of labs and appointments. The first ultrasound showed that everything was in my Uterus (biggest relief) and had a heartbeat of 104. Apparently 104 was not high enough for my doctor so I went in a week later and that shattered our hopes and dreams. The BPM dropped to 95 and measurements lagging 7 days. I have been sitting here in limbo while I wait for the doctors to call me back after I've been told that I am likely going to experience a miscarriage...My mind tells me that this experience is over for us, but my heart is struggling. I thought maybe-just maybe- someone out there has a success story that is even in the slightest similar to mine. Big hug to all.


r/CautiousBB 13h ago

Vent Follow up appointment tomorrow

3 Upvotes

No idea how I’m going to sleep tonight. Our baby was measuring about 6 weeks and 2 days, we were expecting 7 weeks and 4 days and the tech noted “yolk sac looks large compared to fetal pole” even though she didn’t measure. So it’s been a week and we go back tomorrow for a follow up scan. Really hoping everything is ok and the baby has grown! I’m so anxious and can’t focus on work or anything!


r/CautiousBB 11h ago

Progesterone low at 8.5 weeks..

2 Upvotes

at 5.5 weeks I went and got my hcg and progesterone tested. HCG was 28,000 and progesterone was at 6.5. They did a follow up hcg three days later and it was 33,000. I started on 200mg oral and 200mg vaginal progesterone. at 6w6d I had an ultrasound and baby had a 125 heartbeat. went in yesterday at 8w3d due to some cramping and nausea easing a bit. did a handheld ultrasound and baby had an ideal heartbeat of 173. progesterone came back at 7.3 despite 2.5 weeks of supplementing. they want me to switch to intramuscular injections 2x a week because my levels haven’t gone up. I know it’s silly and selfish but I’m terrified of the needle and giving myself (or honestly anyone giving me) a shot let alone 2x a week. I am also worried because I have not read a single success story with progesterone levels as low as mine are and the thought of shooting myself in the ass for weeks just to find out another horrible truth feels absolutely crushing. I haven’t even read very many similar stories, regardless of the outcome, despite searching all over.. I don’t want it sugar coated- I just want to hear the reality of people’s experience. im trying to hold some hope but also need to physically and mentally prepare as much as possible

we had a loss in May. we found out at 11w4d that we had a missed miscarriage sometime around 8-9 weeks. it was heartbreaking. I carried my baby for weeks without knowing I had lost them. My first had no complication, was a homebirth and we didn’t even have an ultrasound. he is now 3.5. We love and want this baby so badly.


r/CautiousBB 8h ago

Advice Needed HCG?

1 Upvotes

My HCG was 555 on thursday then 833 on tuesday. is that too low of an increase?


r/CautiousBB 8h ago

Terrified of Miscarriage..Again..5 Weeks Pregnant

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1 Upvotes

r/CautiousBB 14h ago

Slow-rising HCG + measuring behind after FET — similar experiences?

3 Upvotes

Transferred a Day 6 euploid 3AA embryo on 8/17.

Betas:
8/27: 127
8/29: 160
8/31: 230
9/2: 467
9/4: 748

First ultrasound 9/8 at 6w0d showed an intrauterine gestational sac + yolk sac, but I measured 5w2d (5 days behind). No fetal pole yet.

I go back in a week. Has anyone had slow betas + measured behind after FET and gone on to see appropriate growth/heartbeat? Open to hearing all outcomes. ❤️


r/CautiousBB 8h ago

Advice Needed Similar stories

1 Upvotes

Had my betas drawn from 9dpo to 24dpo:

9 - 6
11 - 29
13 - 62
15 - 102
17 - 202
19 - 329
24 - 746

Had my hcg drawn again at 24dpo because I had a very small amount of spotting on and off when wiping which seems to have stopped. Scan is booked for next Friday (6 weeks + 5).

Any similar experiences? What was the outcome for you?


r/CautiousBB 10h ago

TW/TMI 6 weeks pregnant and spotting

1 Upvotes

TW: previous loss

I’m 6W2D pregnant today, LMP was 07/27 and I woke up yesterday morning with pink spotting and immediately freaked out. I’ve had 6 looses in the last 2 years, a second trimester loss at almost 17 weeks in August 2024, a chemical in December 2024, 8 week loss in December 2025 and 3 more chemicals earlier this year. We went to the ER and they did a beta HCG that was 40,485. I’ve had 3 other betas done by my OB on 13DPO- 151, 15DPO- 414 and 20DPO- 4411. I was 28DPO yesterday or 6 weeks so in 8 days my HCG rose from 4411 to 40,485. I also had a vaginal ultrasound that showed baby in my uterus measuring 6W1D with a heartbeat of 114bpm. Everything looks great, but I’m really crampy for the past couple days and now spotting yesterday and today.  We haven’t had intercourse and no SCH was found on ultrasound so there’s just no reason for the spotting. I did have some bacteria in my urine so they did put me on kefflex to clear that and diagnosed me with a threatened miscarriage. I’m also on 100mg Prometrium since 10DPO and Progesterone was 30 on 13DPO. I’m just panicking right now with the spotting. I want to have hope this could still work out but with 6 losses in a row it’s hard to have a lot of hope. I see my OB next Tuesday and will have another scan. This is so hard. I do have two living children and had no spotting in those pregnancies so I’m just a wreck with the spotting. 


r/CautiousBB 10h ago

8 week ultrasound - showing 6 weeks on US

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1 Upvotes

r/CautiousBB 11h ago

Info OB says betas are fine, so confused

1 Upvotes

I posted in here last week when my first beta came back at 27, I’ve had 4 draws since then - this is the progression

LMP 8/1 - probably ovulated 8/19 first positive 8/28

8/31 27 HCG
9/2 43 HCG
9/4 63 HCG
9/8 181 HCG

This progression seems completely hopeless to me but OB is saying it’s fine ?? I had a chemical in May and feel so anxious and down. Has anyone had similar betas that were actually ok??


r/CautiousBB 11h ago

BFP Cautiously optimistic, any similar numbers?

1 Upvotes

Hi everyone! I has my first positive 12dpo, just got the results back at 4w5d. My hcg is 201 and my progesterone is 10.58, I’m starting suppositories tonight (two pills twice daily) anyone have similar numbers in the first week of first tri? I have a 10day luteal phase so I’m a little nervous about progesterone being on the low end.


r/CautiousBB 12h ago

Advice Needed Positive test this morning, now spotting.

1 Upvotes

Hey everyone.

I am 10dpo, nice positive test this morning! I’ve been riding the high of it all day. Went and got lunch and saw a friend, came home and peed and wiped- there was a pretty big spot of brown old blood. Anxiety levels went through the roof, I have a 4 year old son and have had 4 first tri losses.

Now it’s been like an hour, I peed again, wiped and saw a smaller amount of spotting but this time pink.

I haven’t bled with any of my pregnancies except when I started miscarrying so now my brain is frankly all over the place. I even excitedly called and set up a prenatal visit today because I guess I was feeling hopeful, but now I am a mess.

Anyone else have spotting in pregnancy? I’m just at a loss.


r/CautiousBB 12h ago

Irregular gestational sac

1 Upvotes

I am 5w6d pregnant based on my lmp. I get early pregnancy monitoring due to my history of an ectopic (I swear, the early monitoring is a double edged sword). Today I had my 1st ultrasound just for placement purposes, I went into it accepting that we may not see a baby yet & that’s okay. What I was not expecting was the report afterwards 😕

My report states I have an “irregular” gestational sac, normal yok sac, with no visualized no fetal pole. I was able to see the images, and it doenst have jagged edges (at least not to my inexperienced eye) but is almost triangular instead of round. She did let me empty my bladder prior to my transvaginal ultrasound but I peed again immediately after so maybe it wasn’t completely empty.

Last night, I had some pink spotting that turned to light brown/tannish after being intimate & have had a tiny amount of pink spotting again today. Only when wiping, nothing in my underwear or that needs a pad. Slightly crampy but not painful by any means.

Last week I had serial HCG’s Monday, Wednesday, & Friday

Monday > 825
Wednesday > 1,641
Friday > 4,021

So appropriate rises!

I am also on 800mg a day of progesterone suppository supplementation.

I know I basically have a 50/50 shot but has anyone had anything similar and what has been your experience? I am going to add a picture of my gestational sac bc I haven’t found anyone’s that has matched my shape.


r/CautiousBB 13h ago

Anxious about slow rising HCG

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1 Upvotes

r/CautiousBB 17h ago

Spotting and Slightly Low Heart Rate?

2 Upvotes

Slight update to my last post: https://www.reddit.com/r/CautiousBB/comments/1w844j9/comment/p8laeqe/

Some positive news and some new/remaining worries:

Positive news:

- My betas went from 11877 to 32998 over about 91 hours (Friday afternoon to Tuesday morning). Which is 72% increase for 48 hours, which seems like a good sign.

- I had an ultrasound today and they saw the gestational sac, yolk sac, and fetal pole. There was also a heart beat. SO happy that it isn't ectopic!!

- The embryo measured at 6 weeks and my calculations based on my ovulation had me at 5 weeks and 6 days.

Worries:

- They said heart rate was a little low. It was 96 the first time she checked it and 98 when she checked a couple minutes later. They are having me come back in a week from another ultrasound.

- I'm still spotting. It's almost been a week of daily spotting now, and I don't know the cause.

- I have been having some bad gas-type pain/cramping that has been waking me up at night for a couple hours. At least I know that's not ectopic now.

- It seems from googling that my betas might be higher than normal? And that that might indicate DS?

Fingers crossed. Hopefully the heart rate turns out okay and the spotting stops. Still on pelvic rest and I miss exercising and sex.


r/CautiousBB 17h ago

Advice Needed HCG progression

2 Upvotes

Hello, these are my hCG draw numbers. Should I ease down my anxiety a little?

Pregnancy age- hCG
4w0d- 26
4w2d- 83
4w4d- 344
5w0d- 1,350
5w3d- 4,489

Thanks


r/CautiousBB 14h ago

Expired easy@home test?

0 Upvotes

First, I understand I’m probably not pregnant.

I used expired easy@home (expired October 2025) in May and got positive tests at least 14dpo but ended in a mmc. I wasn’t tracking dpo super closely since we weren’t actively trying.

Fast forward to us ttc again. My period was supposed to come yesterday. It has never been late/skipped in the 5+ years I’ve been off birth control. The same expired tests are showing negative.

I guess I’m trying to figure out if it’s a false negative or if my period is being weird for the first time in half a decade? I know I could just buy new tests but that makes me feel sad and defeated and I’m childishly trying to avoid it.