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How pregnancy tests work
Getting Pregnant

How pregnancy tests work

2 min readWeek 3
Key takeaways
2 min
  • Take pregnancy tests after missing your period for most accurate results, as hCG hormone levels need time to build up in your system.
  • Follow test instructions carefully, since home pregnancy tests are accurate only when used correctly and at the right time.
  • Choose tests based on their hCG sensitivity levels, which are printed on the package and determine how early they can detect pregnancy.
  • Consider blood tests for exact hCG levels if you're undergoing fertility treatment or have a history of pregnancy complications.
  • If a test is negative but your period still doesn't come, test again a few days later: hCG rises quickly in early pregnancy, so a later test may be positive.

Pregnancy tests work by detecting human chorionic gonadotropin (hCG), a hormone your body starts making around 6 days after fertilization, which doubles every few days. Used correctly after a missed period, home tests are accurate: a positive result is almost certainly right, but a negative one can be wrong if you test too early.

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How pregnancy tests work

Even if you are not a parent yet, chances are you know what a pregnancy test looks like.  Let's find out how they work. 

Pharmacies carry different types of home pregnancy tests. However, they all work much the same way, by looking for the human chorionic gonadotropin (hCG) hormone which starts to develop in a woman’s system from the beginning of pregnancy and doubles every few days in the first weeks [1, 2]. 

At-home pregnancy tests are accurate when used correctly: a positive result can be trusted, but a false negative is possible, most often when the test is done too soon after conception or not as the instructions say [3]. A person’s best bet is to closely follow the instructions on the test and wait until they miss their period; if the result is negative and the period still doesn’t come, they can test again a few days later and see a doctor if the second test is also negative. Keep in mind that some tests can detect lower levels of hCG than others; that information is usually printed on the package. 

Pregnancy can also be confirmed via a blood test. These are usually ordered if the doctor needs to know the exact levels of hCG, or if they don’t want to wait until a missed period to know if conception was achieved. These situations can be common in couples undergoing fertility treatment or who have a history of miscarriages [2]. 


When can you take a pregnancy test?

Find the day a home test is most reliable, from your period or the date you had sex.

Open the test calculator
Frequently asked questions

Most home pregnancy tests can detect pregnancy after a missed period when hCG levels are high enough. Some very sensitive tests can detect pregnancy a few days before a missed period, but waiting until after your missed period gives more accurate results.

Pregnancy tests detect the hCG hormone that doubles every few days during early pregnancy. They're accurate when used correctly and after sufficient hCG has built up in your system, typically after a missed period. A positive result is almost certainly right; a negative one is less reliable, so if your period still doesn't come, test again a few days later.

Blood tests are recommended when you need exact hCG levels or are undergoing fertility treatment. For most women, home pregnancy tests are sufficient and more convenient.

False negatives occur when testing too early before hCG levels are detectable, or when not following instructions properly. Testing too soon after conception is the most common cause of inaccurate results.

Your body starts making hCG around 6 days after fertilization, and in early pregnancy the level doubles every few days. A home test shows only whether hCG is there: a positive result almost certainly means you're pregnant, but it can't tell you how the pregnancy is developing.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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