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False Positive Pregnancy Test: What Causes It & Is It Cancer?
No, a false positive pregnancy test does not indicate cancer. Home pregnancy tests detect human chorionic gonadotropin (hCG), a hormone produced by the syncytiotrophoblast after implantation. Cancer does not produce hCG (except rare germ cell tumors or choriocarcinoma, which would cause a true positive).
Causes of False Positives
- Chemical Pregnancy: Very early loss (<5 weeks); hCG rises then falls.
- Recent Pregnancy: hCG persists 1–6 weeks after delivery, miscarriage, abortion.
- Medications: hCG trigger shots (fertility treatment), some antipsychotics, anticonvulsants.
- Test Error: Expired test, improper use, evaporation line misread.
- Medical Conditions: Ovarian cysts (rarely produce hCG), pituitary hCG (perimenopausal), renal failure (reduced clearance).
Next Steps
Repeat test in 48 hours (hCG should double in viable pregnancy). Confirm with quantitative serum β-hCG and transvaginal ultrasound. Consult OB/GYN.
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