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- From: jsmith@unixg.ubc.ca (JR Smith)
- Newsgroups: sci.med
- Subject: Re: general questions(pregnancy)
- Date: 21 Jan 93 08:02:49 GMT
- Organization: The University of British Columbia
- Lines: 48
- Message-ID: <jsmith.727603369@unixg.ubc.ca>
- References: <jsmith.727423562@unixg.ubc.ca> <1993Jan19.135006.27460@news.acns.nwu.edu> <jsmith.727499343@unixg.ubc.ca> <1993Jan20.203939.8749@beaver.cs.washington.edu>
- NNTP-Posting-Host: unixg.ubc.ca
-
- In <1993Jan20.203939.8749@beaver.cs.washington.edu> neville@cs.washington.edu (Dorothy Neville) writes:
-
- >In article <jsmith.727499343@unixg.ubc.ca> jsmith@unixg.ubc.ca (JR Smith) writes:
- >>
- >>These pregnancy tests detect human chorionic gonadotrophin (HCG) by
- >>using monoclonal antibodies and as mentioned are very sensitive (some
- >>argue too sensitive). They are also very specific. If the test detects
-
- >Some argue that they are too sensitive? Why? I cannot possibly
- >see a reason not to have a test as sensitive as possible. Care to
- >elaborate?
-
- It could be a long discussion as there are some definite pros but some
- cons that should be considered. The arguement for one of the cons might go
- something like this...
-
- I have had unprotected intercourse (purely hypothetical case obviously)
- and of course when day 28 roles around nothing is happening. So I'm
- understandably concerned. Before these tests I would have to stay
- concerned for sometime longer but today I go out and get the test and
- do it as directed. Now if it's negative I'm relieved but then I read the
- part where it says I maybe should repeat the test or see my doctor if I
- have concerns. Well now I'm concerned again. If it's positive and
- tomorrow I start to bleed them I'm pregnant and bleeding and that can't
- be good so I rush into the nearest ER or to see my doctor and am
- subjecting myself to who knows what and costing myself or someone else
- some money that might be better spent elsewhere (like on contraception).
- If I hadn't done the test my period would just have come one day late
- and I never would have been pregnant (well I wouldn't have known) and I
- may have been happier for it. So what used to be late periods now
- become pregnancies and miscarriages and very stressful...
-
- Or so I've heard one arguement go. The tests aren't free either and some
- aren't that easy to interpret so one could be falsely reassured by a
- false negative test. (A false negative more due to the interpreter of
- the test than the test itself) In this situation the reassurance of a negative
- test is very often gladly accepted and if the test happens to be in error
- the consequences can be grave.
-
- So more sensitive isn't always better but I think the arguement I hear more
- often is making the test available over the counter where there is no room
- for discussion surrounding the need for a test or the implications of the
- results.
-
- JR
-
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