Unless you've had a definate confirmed pregnancy and miscarriage, I wouldn't call it one. People can get worked up when there's nothing going on. Your other symptoms sound a concern and I recommend seeing a PCOS specialist.
It is hard to confirm a pg via a POAS test with a feint line as it could be an evap line, like you said. Unless you can get a blood test (HCG) and u/s I'd rule out a pregnancy at this stage.
You really need to get a second opinion/referral for your PCOS b/c your AF or lack of is a concern. Don't be scared to challenge your GP, I've done it many times & by being a little more assertive/vocal I have gotten referred for blood tests and various other things that I might not have if I just went with the flow.
I have PCOS. My AF was always the same. 2-3 days of light bleeding followed by spotting for up to a week. I haven't had AF since DD was born. My cycle was irregular often over 90days. While TTC, I took metformin as prescribed by my dr along with a low GI diet (I wasn't overly strict on that though) and that regulated my to around 35 - 45 days give or take. I never had any reason to suspect that I might be pg as I never POAS prior to AF being due as I never really knew when it was due IYKWIM. I did have one AF that was much heavier while TTC DD & I did wonder if maybe it was a M/C but since I didn't have any reason to consider the possibility of being pg, I chose to believe it was just a random heavy cycle. I never had any pg symptoms early on for either pregnancy.
The ache you described sounds like it could be ovulation. I felt dull pains on one side sometimes and it corresponded with when I "should" have ovulated based on when AF arrived. I have heard that some people can bleed a little as a result of ovulation. It didn't happen to me personally though. What is the discharge like? If it's a similar consistency to egg-white (EWCM) and really stretchy, it can be a sign of ovulation. (Sorry if you know all this already).
My experience with AF & pg is this (I have PCOS).....
Usually my cycles were 35 days sometimes more, it actually shortened when I lost weight (low GI diet) and exercised regularly. No spotting during my cycle at all. When AF showed it started as brown blood first day then red blood for approx. 3-5 days. I occassionally had dull O type pains, no EWCM. But given I only fell pg three times (without IVF) I highly doubt it was ovulation and also I had blood tests to check for ovulation with both tests coming back negative, so my cycles were often 'annovulatory' (ie no ovulation). When I have fallen pg, I have taken FMU (first morning urine, midstream) tests and they have shown positive lines (ie: pregnant) approx. 1 week after AF should be due (ie: at 42 days). All my m/c's occured in the first trimester with spotting type red blood then heavy bleeding pretty much straight away.
I woke up early this morning and TIM - wiped once bright red *blood* thin though, if that makes sense. A couple hours later CM with red streaks and twice more, increasing but not enough to need a pad.... Also have slight diarrhoea.
Am going to try to get in with my dr as I can't wait until tomorrow, this is doing my head in.
for me, differentiation after the fact is kinda easy - af, when she arrives, is a constant pain for up to three or four weeks, stop start flow, spotting, flow again. no pain. early miscarriage is heavier bleed, constant, short period of time - and lots of pain. that's how i know
i sometimes wonder if maybe/maybe not - i can never be sure without a positive pee stick - until the bleed. it's just very different.
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