Can routine physical examination detect pregnancy

Routine physical examination itself does not include required items related to pregnancy test. Whether pregnancy can be detected depends entirely on the selected physical examination package items and the duration of pregnancy. There is no unified conclusion.

In the four years I have been working as a counselor in a public physical examination center, I have met too many people asking this question. Last month, a newly married girl had her annual basic physical examination, which included blood and urine routine, liver and kidney function, electrocardiogram and chest X-ray. She was already 3 weeks pregnant at that time, and no abnormalities were found after the entire physical examination. After ten days, my aunt postponed the test and found out the parallel bars. She rushed over in a panic to ask if the chest X-ray would affect the child.

In fact, if the physical examination package you choose happens to include a blood HCG test, you can detect pregnancy in about 10 days after intercourse. If you choose a transabdominal gynecological B-ultrasound, you can see the gestational sac at about 6 weeks of pregnancy. If you do a vaginal ultrasound, it can be about a week earlier. However, these two are not required for routine physical examinations. Many units do not even include gynecological B-ultrasound in the basic physical examination packages for employees, let alone a specialized pregnancy test. Even if it is a urine routine, the routine tests are only for urine protein, urine sugar, and white blood cells. The HCG concentration in the urine will not be specifically measured. Even if you are pregnant, if the concentration is not enough for a short period of time, you will not be able to detect it.

Some people say that they were pregnant during a physical examination without deliberately adding any extra items. Most of the time, they were already a long time pregnant. During the abdominal B-ultrasound, the doctor scanned the gestational sac in the enlarged uterus, and specifically mentioned it. Otherwise, according to the scope of routine physical examinations, ordinary abdominal B-ultrasounds will only look at the abdominal organs such as liver, spleen, and kidneys, and will not specifically scan the uterine appendages, so naturally there will be no signs of pregnancy.

To be honest, if you have had unprotected intercourse recently or are preparing for pregnancy, you must tell the front desk or the doctor who issued the order before going for a physical examination. Either add a pregnancy test for more than ten yuan, or skip the radiology examination directly. Don’t hold the mentality that "it is safe if you do not get pregnant after the physical examination." If you wait until you have a radiation test by mistake and then debate whether to keep the child, it will only cause more trouble.