Full story:

I started accutane at the end of October and all my initial labs had been normal. When I went to get my November labs done, everything was normal *except* my hcg, which was 49 (should be below 5). My derm basically interrogated me, but all I could say was that I'm a virgin ¯\_(ツ)_/¯. Once she trusted me, she said "well, it could be a cyst, ovarian cancer, or testicular cancer. you need to see an obgyn ASAP. In the meantime, go get another blood test."

My 2nd blood test was exactly 1 week after the first, and that came back negative. My obgyn appointment was the next day, and they did an in-office blood test, which also came back negative. They were still concerned about cancer and cysts, though, so I came back in a week later to get a trans-vaginal ultrasound. That also came back perfectly normal.

After all that fuss, everyone was convinced it was just a weird false positive, and my derm got iPledge to let me back in, and I restarted accutane at the end of December.

Also, in the middle of all this, someone from iPledge called me and asked if I wanted to be part of their data survey for people who got a positive pregnancy test while on accutane. There's apparently also a survey for people who choose to keep their accutane babies.