Pregnancy Test Results: Timing and Accuracy Explained - Obstetrics and Gynecology

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Pregnancy test questions?


Hello doctor, my girlfriend's last menstrual period was from January 21 to 25, and her cycle is very regular.
Her next period is expected around the 18th.
Today, on February 15, she used a Mentholatum pregnancy test and got one line.
Does this mean she is not pregnant? (The test was done in the evening.)
Additionally, the packaging states to test after the missed period.
Will testing at this time affect the results? Thank you, doctor.

Mao Nu, 20~29 year old female. Ask Date: 2021/02/16

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Cat Owner: When using a pregnancy test, it is important to wait until after your missed period for accurate results.
It is recommended that you wait until after February 18th to take the test again for more reliable results.

Reply Date: 2021/02/16

More Info


When it comes to understanding pregnancy test results, timing and accuracy are crucial factors. Based on your question, it appears that your girlfriend's last menstrual period was from January 21 to January 25, and her next expected period was around February 18. You conducted a pregnancy test on February 15, which resulted in one line, indicating a negative result. Let's break down the factors that could influence this outcome.

1. Timing of the Test: The most reliable time to take a pregnancy test is after a missed period. Since your girlfriend's next expected period is around February 18, testing on February 15 is relatively close to that date. However, it is still possible that the hormone levels (hCG) in her urine may not be high enough to be detected by the test at this point. Most home pregnancy tests are designed to detect hCG levels around the time of a missed period, which typically occurs about two weeks after ovulation. Testing too early can lead to a false negative result.

2. Type of Test: The accuracy of the pregnancy test can also depend on the brand and type of test used. Some tests are more sensitive than others and can detect lower levels of hCG. If the test you used is less sensitive, it may not pick up a pregnancy if it is very early.

3. Time of Day: You mentioned that the test was taken in the evening. For the most accurate results, it is generally recommended to use the first morning urine for testing. This is because the first urine of the day is usually more concentrated and contains higher levels of hCG, making it easier to detect.

4. User Error: It is also important to follow the instructions on the pregnancy test carefully. Any deviation from the recommended procedure, such as not waiting the appropriate amount of time to read the results, can lead to inaccurate readings.

5. Other Factors: Various factors can influence the accuracy of a pregnancy test, including certain medical conditions or medications that may affect hormone levels. If your girlfriend has been taking any medications or has underlying health issues, it might be worth discussing these with a healthcare provider.

In conclusion, while a single line on the pregnancy test typically indicates that she is not pregnant, it is essential to consider the timing of the test, the type of test used, and the method of testing. Since her expected period is still a few days away, it would be advisable to wait until after February 18 to retest, preferably using the first morning urine for the best accuracy. If her period does not arrive as expected, or if she experiences any unusual symptoms, it would be prudent to consult a healthcare provider for further evaluation and possibly a blood test, which can provide a more definitive answer regarding pregnancy.

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