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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 99% accurate 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.
  • Wait at least one week after a missed period to avoid false negative results and ensure your healthy pregnancy is properly detected.

Pregnancy tests work by detecting human chorionic gonadotropin (hCG), a hormone that develops immediately after conception and doubles every few days. Home tests are 99% accurate when used correctly after a missed period, providing reliable confirmation of healthy pregnancy.

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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]. 

Most at-home pregnancy tests are up to 99% accurate and will give a false negative result only if done incorrectly or too soon after conception [3]. A person’s best bet is to closely follow the instructions on the test and wait until they miss their period. 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]. 


Frequently asked questions

Most home pregnancy tests can detect pregnancy after a missed period when hCG levels are high enough. Some sensitive tests may detect pregnancy 6-12 days after conception, but waiting until after your missed period ensures more accurate results.

Pregnancy tests detect the hCG hormone that doubles every few days during early pregnancy. They're 99% accurate when used correctly and after sufficient hCG has built up in your system, typically after a missed period.

Blood tests are recommended when you need exact hCG levels or are undergoing fertility treatment. For most women starting their healthy pregnancy journey, 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.

HCG hormone starts developing immediately after conception and doubles every few days in early pregnancy. Rising hCG levels detected by pregnancy tests indicate successful implantation and early healthy pregnancy development.

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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Medically reviewed content

Reviewed by healthcare professionals · Updated August 11, 2025

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