How Accurate Are Pregnancy Tests? Your Results - Obstetrics and Gynecology

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How accurate are pregnancy tests?


I had unprotected intercourse with my girlfriend on February 7, 2019, and that was our last sexual encounter.
The likelihood of pregnancy is high since her ovulation date was February 14.
When I took a pregnancy test on February 23, it showed only one line, indicating a negative result.
Is this accurate?

Huang, 20~29 year old female. Ask Date: 2019/02/24

Dr. Lin Manying reply Obstetrics and Gynecology


Hello Mr.
Huang: Regarding your inquiry, we need to know when your last menstrual period was.
Typically, if your period is more than 3 days late, you can take a pregnancy test.
If the result is negative, you can wait another week.
If your period still does not arrive, please seek medical attention.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2019/02/24

More Info


When it comes to understanding the accuracy of pregnancy tests, several factors come into play, including the timing of the test, the type of test used, and the hormonal levels in the body. Based on your timeline, it appears that you had unprotected intercourse on February 7th, and your girlfriend's ovulation was expected around February 14th. This places your sexual activity within the fertile window, which typically spans a few days before and after ovulation, making the likelihood of conception possible.

Pregnancy tests work by detecting the presence of human chorionic gonadotropin (hCG), a hormone produced shortly after a fertilized egg attaches to the uterine lining. The levels of hCG can be detected in urine or blood, with urine tests being the most common. Generally, urine pregnancy tests are most accurate when taken after a missed period, as this allows enough time for hCG levels to rise to detectable levels.

In your case, if the pregnancy test taken on February 23rd showed only one line (indicating a negative result), it is likely accurate, especially if it was taken before the expected date of the menstrual period. Most home pregnancy tests are designed to be used after a missed period for the best accuracy. Testing too early can result in a false negative because the hCG levels may not be high enough to detect.

To further clarify, if your girlfriend's menstrual cycle is regular and her period was expected around the end of February, testing on February 23rd may have been too early. The recommendation is to wait until at least one week after a missed period for the most reliable results. If she has not had her period by that time, it would be advisable to retest or consult a healthcare provider for a blood test, which can detect lower levels of hCG than urine tests.

In summary, the accuracy of pregnancy tests is influenced by timing, the sensitivity of the test, and the individual's hormonal levels. If your girlfriend's test was taken before her expected period and showed a negative result, it is likely accurate. However, if there is still concern about a potential pregnancy, waiting a few days and retesting or seeking medical advice would be prudent.
Additionally, if there are any symptoms such as missed periods, unusual bleeding, or other signs of pregnancy, it is essential to consult a healthcare professional for further evaluation and guidance.

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