Accuracy of a urine test in early pregnancy.

Accuracy of Urine Pregnancy Tests

Typical Accuracy: Most home pregnancy tests are 99% accurate when used on or after the first day of a missed period.

Sensitivity to hCG: These tests detect human chorionic gonadotropin (hCG) in urine, which is produced after a fertilized egg implants in the uterus.

Early-detection tests can detect lower levels of hCG and may work several days before a missed period.

Standard tests require higher hCG levels and are more accurate after a missed period.

Factors Affecting Accuracy

Timing:

Testing too early may give a false negative because hCG levels might not be high enough yet.

Testing after a missed period increases accuracy.

Diluted Urine:

Testing with first-morning urine is recommended as it contains the highest concentration of hCG.

Drinking large amounts of fluid before testing can dilute hCG levels and lead to false negatives.

Improper Use:

Not following the instructions can lead to inaccurate results.

Medications:

Fertility treatments containing hCG can cause false positives.

Other medications (e.g., antibiotics or pain relievers) typically don’t affect the result.

Health Conditions:

Rare conditions like ectopic pregnancy or ovarian tumors can cause misleading results.

When to Confirm Results

If you get a positive test, it’s likely correct, but you should confirm with a blood test or an ultrasound.

If you get a negative test but still suspect pregnancy, retest a few days later or consult a healthcare provider