Pregnancy Test: Types, Accuracy, and When to Take It

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14 Oct, 2025

Dr. Nikunj Jain

Dr. Nikunj Jain

Co-Founder and HOD - Nuclear Medicine ,

MBBS, DRM, DNB, FEBNM, FANMB, Dip. CBNC

Pregnancy Test: Types, Accuracy, and When to Take It

Discovering whether you’re pregnant can be one of life’s most emotional moments — exciting for some, nerve-wracking for others. Thanks to modern diagnostics, pregnancy tests today are simple, fast, and highly accurate.

But do you know how pregnancy tests actually work, when you should take them, or what might cause a false result?
Let’s explore the science and truth behind pregnancy tests in a simple, conversational way.

What Is a Pregnancy Test?

A pregnancy test detects a hormone called human chorionic gonadotropin (hCG) in your body.
This hormone is produced by the placenta shortly after a fertilized egg attaches to the uterine lining — usually about 6–10 days after conception.

When hCG is detected in your urine or blood, it’s a strong sign that pregnancy has begun.

How Pregnancy Tests Work

Pregnancy tests are designed to detect the presence of hCG — often called the pregnancy hormone.
When fertilization occurs, hCG levels rise rapidly, doubling every 48–72 hours in the early weeks.

Tests use antibodies that bind specifically to hCG. When the hormone is present, a visible line or signal appears on the test — confirming pregnancy.

Types of Pregnancy Tests

There are two main types of pregnancy tests: urine tests and blood tests.

Let’s understand the difference.

1. Urine Pregnancy Test (Home Pregnancy Test Kit)

The most common type — and the one you can do privately at home.

  • How it works: You place a few drops of urine on the test strip or dip the strip into a urine sample.
  • Timing: Best done after you miss your period (usually 10–14 days after ovulation).
  • Accuracy: Up to 99% accurate when used correctly.

Pros:

  • Easy and quick
  • Affordable
  • Gives results in 1–5 minutes

Cons:

  • May give false negatives if taken too early
  • Accuracy depends on test timing and urine concentration

2. Blood Pregnancy Test

Done in diagnostic laboratories or clinics, this test measures exact hCG levels in your blood.

There are two types:

  • Qualitative hCG test: Simply detects the presence of hCG (positive/negative result).
  • Quantitative hCG test (beta-hCG): Measures the exact amount of hCG in your blood.

Pros:

  • Detects pregnancy earlier than urine tests (as early as 7–10 days post-ovulation)
  • Helps monitor pregnancy health, especially in IVF or high-risk pregnancies

Cons:

  • Requires a lab visit and professional analysis
  • Results take a few hours to a day

When Should You Take a Pregnancy Test?

Timing matters!
The best time to take a pregnancy test is after you miss your period.

  • Urine test: Do it first thing in the morning — urine is most concentrated then, making hCG easier to detect.
  • Blood test: Can be done even before your missed period (about 10 days after ovulation).

Taking the test too early may result in a false negative, as hCG levels might not be high enough to detect yet.

What Can Affect Pregnancy Test Results?

Sometimes, pregnancy tests can show false positives or false negatives. Here’s why:

False Negative Causes:

  • Testing too early
  • Diluted urine (drinking too much water before testing)
  • Faulty or expired test kit

False Positive Causes:

  • Certain fertility medications containing hCG
  • Medical conditions like ovarian cysts or rare tumors
  • Recent miscarriage or abortion (hCG may still be in your system)

How Accurate Are Pregnancy Tests?

Most home pregnancy kits claim to be 99% accurate when used correctly after a missed period.
However, real-world accuracy depends on:

  • Timing of the test
  • Test sensitivity
  • Correct usage (follow instructions closely)

Blood tests are the most reliable method — nearly 100% accurate — since they measure exact hCG levels.

What to Do After a Positive Pregnancy Test

If your test is positive:

  1. Confirm with a doctor or diagnostic lab.
    • A blood test or ultrasound can confirm the pregnancy and check its location.
  2. Start prenatal care early.
    • Early check-ups help monitor your baby’s development.
  3. Avoid alcohol, smoking, and certain medications.
  4. Begin a healthy prenatal diet and supplements (especially folic acid).

What If It’s Negative?

A negative test doesn’t always mean you’re not pregnant.
If your period still doesn’t start within a few days:

  • Wait 3–5 days and test again.
  • Consider a blood test for more accuracy.
  • If missed periods continue, consult your gynecologist — hormonal issues, thyroid imbalance, or stress can also affect your cycle.

Emotional Health Matters

Taking a pregnancy test can bring many emotions — hope, anxiety, or confusion.
No matter the outcome, remember: you’re not alone.
Speak to a healthcare professional for guidance, support, and next steps.

Key Facts About Pregnancy Tests

  • hCG hormone rises rapidly after implantation.
  • Home tests are accurate if used correctly.
  • Blood tests detect pregnancy earlier than urine tests.
  • A false result is rare but possible if tested too soon.
  • Regular prenatal testing ensures a healthy pregnancy journey.

Trusted Health Sources

  • World Health Organization (WHO) – Maternal and Reproductive Health
  • Centers for Disease Control and Prevention (CDC) – Pregnancy Health
  • Mayo Clinic – Pregnancy Testing Guidelines
  • National Institute of Health (NIH) – hCG and Fertility Research

FAQs About Pregnancy Tests

How soon can I take a pregnancy test?

You can take a blood test about 10 days after ovulation or a urine test after a missed period.

Are home pregnancy kits accurate?

Yes. When used correctly after a missed period, they are up to 99% accurate.

Can a pregnancy test give a false result?

Yes, if taken too early or incorrectly. Always follow instructions and confirm with a lab test.

What time of day is best for a pregnancy test?

Early morning urine gives the most accurate results since it’s more concentrated.

What does a faint line on a test mean?

Even a faint line often indicates pregnancy — test again in 2–3 days to confirm.

Can medications affect test results?

Yes. Fertility drugs containing hCG can cause false positives.

When should I see a doctor after a positive test?

Immediately — early prenatal care is crucial for a healthy pregnancy.

Can stress delay my period or affect test results?

Yes. Stress can delay your cycle but doesn’t affect hCG production once pregnant.

Can I use a pregnancy test at night?

Yes, but morning testing is more accurate.

What should I do if I get mixed results?

Consult your doctor and get a blood test for confirmation.

Final Thoughts

A pregnancy test is more than just a simple diagnostic tool — it’s the first step in your motherhood journey or fertility awareness.
Whether taken at home or in a lab, accurate testing and medical follow-up ensure your safety and peace of mind.

At Molecular Diagnostics, we provide precise, lab-based pregnancy tests and other fertility diagnostics to support your reproductive health every step of the way.

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