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Welcome!

This blog addresses various emotional aspects of experiencing infertility. It is written by a clinical psychologist who specializes in infertility counseling. Thank you for reading, and best of luck with your journey!

Thursday, February 10, 2011

To "POAS" or not to "POAS": psychological implications of home pregnancy tests in infertility treatment

As every person whose ever done an infertility treatment cycle knows, the two weeks spent waiting to see if it worked or not are often excruciating. For the woman involved, the constant self-monitoring of her physical sensations can be overwhelming. Was that a cramp? If so, was it a "good cramp" or a "bad one"? Are my breasts hurting? Do they hurt more than yesterday? And what about that toe-itching? Does that mean anything? Add into the mix the fact that infertility medications usually taken during the two week wait, like progesterone, have their own slew of pregnancy-mimicking side effects, and that early pregnancy symptoms are themselves notoriously fickle, coming and going with no rhyme or reason--and you've got all the makings of a very stressful time.

Enter the home pregnancy test--loved by some, hated by others, and feared by most. Some women swear by them, saying that they give them the soonest possible information--good or bad. To these women, tolerating the anxiety of not knowing is so difficult that testing seems like the best option. Others regard them as "evil"--whom among us has not seen them referred to as the "evil pee stick" online? These women argue that "POASing' (peeing on a stick) can drive you crazy--test too early, and you've convinced yourself that you aren't pregnant when perhaps you are. If you test at the right time and get a negative result, it might be inaccurate. Regardless, even with a negative, you will still be hoping it is wrong, and then will be just as crushed when the clinic calls to say that your pregnancy test was negative. And regardless of what you feel about the idea of taking HPT's during a treatment cycle, we all share the experience that the few minutes it takes for the test results to appear are some of the longest-seeming minutes of our lives!

From a psychological perspective, is taking home pregnancy tests a good idea or a bad one during infertility treatment? To me, there isn't one right answer to that question. Rather, I think it depends on what I like to call your "defensive style"--the usual methods you use to cope with stress and anxiety.

When POASING may be helpful

If you tend to deal with stress by thinking about the stressful situation frequently, you are probably a person who, for better or worse, tends to experience your anxiety consciously. You may repeatedly go over the situation in your mind, trying to come up with a solution--even when there really isn't one sometimes. You may tend towards impatience, and dislike surprises or the feeling of being taken off guard. In this case, I think that you may find using home pregnancy tests (with a few caveats, listed below) will be helpful in managing your emotions during the two-week wait.

When POASING might not be for you

If you tend to deal with stress by focusing on things other than the stressful situation, and if you find thinking about or talking about them to be difficult, you may want to avoid home pregnancy tests. For you, they might just stir things up too much,causing you to feel unnecessarily traumatized. You may be better off dealing with the results, whatever they are, just once, when you hear them from the doctor's office.

If you are going to POAS--POAS "smart!"

If you find that you are the type of person who may want/need to use home pregnancy tests, I offer the following advice to minimize the chances of getting inaccurate information and the level of emotional turmoil involved. My first suggestion is that before you go to the drugstore or start running to the bathroom, you need to decide, in advance, what your POAS strategy will be for this cycle. What is more comfortable for you--testing as early as is feasible to get information as soon as possible, or waiting to make sure you don't get a false positive or negative? Figure this out, make a plan, and stick to it. Decide what day you might start testing, and how you will proceed depending on the type of results you get. Some women feel most comfortable waiting until the morning of their beta to test--others may prefer to start as soon as possible.

You also must promise yourself that no matter what the results are, you will not stop your medications, or stop following your doctor's orders, until your official test results come back--no matter how hopeless you feel the situation may be. Even if there is only a slim possibility that a home pregnancy test may be wrong, it still exists--and you don't want to have to live with lingering regrets about such a decision later in life.

If you are in the "start as soon as possible" camp, then keep in mind that if you took an HCG trigger shot, it can give you a false positive as the HCG remains in your system for several days until it washes out. So you probably need to wait at least 10-12 days from when you took your trigger shot to start testing. (Although, as a client of mine pointed out, you could POAS every day after the trigger shot, and wait for it to turn negative, and then if it starts turning positive again, you know you might be pregnant. While scientifically interesting, this method is definitely not for the feint of heart!)


Regardless of when or how often you decide to test, you should use a consistent method of urine collection and test administration in order to assure the most accuracy in the results. Take the test at the same time every day--most people find their first morning urine to have the highest concentration of HCG. If your urine isn't very concentrated, you may have to "hold it" for a while and test several hours later in order to get accurate results. Some women find peeing in a cup, and then holding the test stick in the cup for the number of seconds designated in the test instructions, to be more accurate.

Also, please be aware that different brands of pregnancy tests have different levels of sensitivity. If you are wanting an early result, you will probably need to buy one of the more sensitive tests. A list of tests and their HCG sensitivity levels can be found at several sites on the internet, including here.

Regardless of whatever strategy you choose, please keep in mind that a pregnancy test is just one piece of data from one point in time, and it may or may not tell the whole story. Like anything else in life, there are emotional risks involved in using them--but if you keep to your strategy, stay on your medications no matter what, you will hopefully find that there will be no lasting damage to your psyche.

38 comments:

  1. I am not one for POASing. I have peed on pregnancy strips only twice in my 1.5 yrs of TTC. Needless to say they were negative, and the feeling of doom that set in after was too hard for me to handle.
    I'd much rather wait for my period to show up. That way, I get to hold on to the hope and dreams for just one more day.
    One other problem I have with POAS is that if it turns out to be a chemical pregnancy, then you feel worse, having known that at least briefly, you were pregnant. For some, this may give a sense of hope that maybe things are working ok, for others it could produce a feeling of guilt that they were somehow responsible for the pregnancy not sticking.

    Thanks for sharing ur thoughts on POAS!

    ReplyDelete
    Replies
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      GREAT THANKS TO LORD JUMA THAT HELPED ME GET PREGNANT WITH A FERTILITY SPELL.

      I'm WAYNE CHARLOTTE from UK, for over 12 years now of my marriage i have been trying to get pregnant. My husband and I have been seeing a fertility specialist. We have done one IUI with no luck. My husband has a sperm count which goes up and down,the doctor has recommended him taking the Proxeed supplement which he is doing over 3 years with no change in the situation my husband who has low sperm count? It just seems to me that if the sperm are unable to fertilize the egg it will not matter how many are produced. I am was so confused until i contacted this powerful spell caster online who I saw a number of testimonies of how he has help so many of them so I sent LORD JUMA a mail and I told him all my sorrows and pain he replied me and ask me not to cry any more that he will help, he sent me some instructions and caution, LORD JUMA (the spell caster) performed the ritual rights and I bought some items to complete the rights and he told me to have sex with my husband within 2 weeks of doing this I felt dizzy and I went to the doctor and it was confirm that I was pregnant thanks to LORD JUMA spell temple now am a mother of a bouncing baby boy and joy has been restored to my marital life and am happy ,if any one needs such help don’t wait all life time to get help in getting pregnant contact LORD JUMA now on his personal email : mercyfullsolutionhome@yahoo.com
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  2. Always enjoy your posts. Looking forward to the one on disclosure. See you in a couple weeks.
    CB

    ReplyDelete
  3. In the UK we don't have a beta test. I don't even know what one is. I find out if my IVF had worked by POAS and then call the clinic to tell them.

    ReplyDelete
  4. I, for one, am terrified of POAS. I've seen 3 positive only to lose all 3 pregnancies. I think I am actually terrified of getting pregnant again for fear of another loss. Fear sucks...

    ReplyDelete
  5. I am definitely a POAS addict and appreciate someone who understands that this can be beneficial or detrimental dependign on your defensive style- not a one size fits all thing!

    ReplyDelete
  6. Thank you Dr Rouff for this incredibly helpful, informative, yet funny post! Haven't decided my POASing strategy yet, but just reading your thoughts on the subject is making my FET1 5dp5dt anxiety fade away. Thanks for making my day :)

    ReplyDelete
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  25. My husband left me for another girl. I needed him back desperately because i loved him so much. I became very worried and needed help. as i was browsing through the internet, I came across a particular testimony about this good Dr Akughe help get ex back fast and stop a divorce or breakup and so on , So I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (return Love spell) for me. 24 hours later, my husband came back to me crying and begging for my forgiveness. Today I’m so happy and i want to recommend this great spell caster to anyone that truly needs an urgent solution to his or her broken relationships and marriage email him at: akughesolutionhome@gmail. com Simply contact the great “Dr Akughe” If you have any problem contact him and i guarantee you that he will help you., do not cry anymore-contact this powerful spell caster now. Thank you Dr Akughe for saving my broken relationships and brought my husband back to me!” email him at: akughesolutionhome@gmail. com,you can also call him or add him on WhatsApp: +2348162219339

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  26. Hey,I'm so excited my broken Marriage has been restored & my husband is back after he left me and our 2 kids for another woman. After 8 years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to California to be with another woman. i felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband. Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr Kemi can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (Love spell) for me. 28 hours later, my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and the kids. Then from that day,our Marriage was now stronger than how it were before,All thanks to Dr Kemi. he is so powerful and i decided to share my story on the internet that Dr Osaka real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: kemilovespelltemple@gmail.com , you can also call him or add him on Whats-app: +2349036055364

    ReplyDelete
  27. What a beautiful and wonderful testimony, sometimes things you don't believe can just happen. My name is Adams Vera, from U.S.A am 28 years old i got married at the age of 24 i have only one child and i was living happily. After three years of my marriage my husband behavior became so strange and i don't really understand what was going on, he packed out of the house to another woman i love him so much that i never dreamed of losing him, i try my possible best to make sure that my husband get back to me but all to no avail i cry and i cry seeking for help because i was heart broken until i coincidentally came across an online spell caster called Dr. Osasu , i contacted him and explained to him what i have been going through in my marriage and he gave me the full assurance that my husband will come back to me and my marriage will be restored, He told me what to do to get my husband back and i did, he said after 3days my husband will come back to me and start begging, it really happen it was so surprising and everything was just like a miracle, ever since my family have been living with so much happiness and our relationship was now very tight because of this great and powerful spell caster.he is a very great and powerful spell caster that can be trusted and there is nothing concerning life issues he cannot solve because i am a living testimony. i know there are so many people out there who are going through similar problems in one way or the other, believe me this is the right spell caster to contact and all your problems will be forgotten. contact Dr. Osasu viaWhatsapp: +2347064365391 Email:Account drosasu25@gmail.com

    ReplyDelete
  28. HOW DR. UNEME brought back my ex lover unemespellben@gmail.com
    Am DONNA, am from UK. After been in a relationship with my Boyfriend for 1 year now and we were planning to get married soon and all of a sudden he left me for another girl. of a truth, I really love this guy and never can I imagine life without him. I further tried all my best to get him back but all my effort to get him back in my life did not work out. It was on this faithful day, I came across some Testimonies on a website about this great spell caster called (Dr. UNEME) any persons claimed that he help them to renew their relationship and bring their ex lover back, I had to contact him because he was my last hope. I contacted him through his email and he assured me that in three days time my boyfriend is going to leave the other girl and come back to me and it was a very great surprise to see my boyfriend coming back to me after three days the spell was done. I am so very happy today that he came back to me and i achieved this with the help of Dr UNEME I equally want to use this opportunity to Tell/Advice to as many who need their ex back, if you need his help you can Contact him through
    EMAIL: unemespellben@gmail.com WHATSAPP HIM @ +2348143813120


    Thank You Once Again Dr.UNEME

    ReplyDelete
  29. am delighted by the incredible love Spell of Dr Azaka, which had lead to the reunity of me and my husband after he left me and our 2 kids for another woman. After 3 years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to Seattle to be with another woman. i felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband,  Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr Azaka can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do,  he casted a love spell charm on him , and within 24 hours. my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back the next day with lots of love and joy, and he apologized for his mistake, and for the pain he caused me and the kids. Then from that day our Marriage was now stronger than how it used to be , All thanks to Dr Azaka. He is a real  powerful spell caster who is always ready and willing to help you, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact:  him at:  you can also call him or add him on WhatsApp +2349059389105 or email via azakaspelltemple@gmail.com

    ReplyDelete
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  33. Hi all I am 36 i was diagnosed with PCOS/insulin resistance, me and my husband have been trying for more than 12years so we went to the obgyn and he put me on metformin 500mg 1x a day progesterone, Clomid 50 mg first month no ovulation 2nd month he upped the dosage on clomid to 100 that didn't make me ovulate either i am not on my last day of progesterone and will be taking clomid 150mg i am also taking dexamethasone and pregnitude to help me ovulate. my next step was the injections and looking into them they are very costly and steel no positive result then i saw on the internet how people uses herbal herbs from Dr James herbal made medicine to get pregnant and cures all kinds of diseases so i gave a try and here 2017 i got pregnant and got a baby girl and i decided to try again and i contacted Dr James again earlier this year and I'm now 5weeks pregnant thanks  DR James.. if you are in my situation and you are suffering from such diseases like dont go and wast your money on drugs and injections  Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Fibromyalgia,Fluoroquinolone Toxicity
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  35. I am very happy to be posting on this blog on how a great spell caster helped me to bring back the love of my life. I know there are lots of women like me out there who have done so much to have their Husband back, I am here to tell you the answer is right here. I sincerely believe if there are up to five spell casters like Dr Alusi  this world would be a better place, I have seen people complaining about how fake spell casters promised to help them but couldn't. with Dr Alusi I tell you your problem is already solved because i experienced alot when my Husband and I had been apart for 2years and I couldn't bear living without him, I have tried everything to have him back but nothing was working until I saw MARIAM NELSON  testimonies about a spell caster call Dr Alusi on how great his work is. I contacted him immediately and followed the steps that he asked and in the next 48 hours my husband called me and was eager for my forgiveness and that he wished nothing more than to have me in his arms forever. I felt so much joy and happiness that I found Dr Alusi. I hope you all here will find this testimony of mine and get your husband back in just 48 hours. Contact Dr Alusi via email  {great.voodoospellsolution@gmail.com} you can also call or whatsApp him on +2347061865209.

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