How long does it take to tell if youre pregnant

Y​ou may suspect that you are pregnant when you have unusual symptoms of pregnancy or if you have missed your period. If you have regular periods and have missed your period by a week, it is likely that you are pregnant. However, if you have irregular menstrual cycles, look out for other symptoms of pregnancy​. 

For a start, confirm your suspicion by buying an over-the-counter urine pregnancy test kit. There are many brands of pregnancy test kits available in the market, which are quite reliable. These are available at our local pharmacies. Alternatively, you could go to your doctor for a test.​ 

What is a Pregnancy Test Kit? 

During pregnancy, a hormone called human chorionic gonadotrophin (hCG) is produced, which circulates in the blood and is also present in the urine. 

The pregnancy test kit detects the presence of hCG in your urine. It is a qualitative test. Some pregnancy test kits are more sensitive than the others but most will be​ ​​​able to detect hCG between the fourth to fifth week of your pregnancy. This means that for those with regular cycles, the test should be positive once you have missed your period by a few days. 

Although almost all over-the counter pregnancy test kits detect pregnancy by measuring hCG in the urine, you have to read the instructions for the test kit because instructions for usage are different for different test kits. 

An indicator will show if you are pregnant. For example, some kits will show two bold lines if positive (Figure 6.2) and one bold line if negative (Figure 6.3). These indicators are different for various kits.​

​How Accurate are the Pregnancy Test Kits? 

Pregnancy tests are rarely wrong. It is more than 99% accurate. Thus, if your test is negative, it means that you are not pregnant; However, if you are very early in your pregnancy and the test is done too early, there could be insufficient amount of hCG in the urine for the test to detect. 

So, if a test comes back negative but you strongly suspect that you are pregnant, repeat the test in a few days’ time. 

There are rare examples when the hCG level is raised transiently and then drops to zero. This is known as “biochemical pregnancy” and could be the cause of a false positive result of the test kit. This initial rise of hCG levels would soon drop in “biochemical pregnancy” and result in a negative test result. Vaginal bleeding occurs soon after, which would coincide with “delayed menses”. Also rarely, there could be occasional ovarian tumors which secrete hCG and the false positive result could be wrongly interpreted as a pregnancy.​ 

​​​Frequently Asked Questions

1. Do I have to test with first morning urine? 

Although you can test any time of the day, your first morning urine specimen is usually the most concentrated of the day and would have the most pregnancy hormones in it. 

2. When should I take the test if I suspect that I am pregnant? 

You can test your urine as early as six days past ovulation but the first day of your missed period is recommended for greatest accuracy. 

3. Do I need a blood test for hCG to confirm my pregnancy? 

Blood tests for hCG are more accurate in detecting HCG and they can also measure the actual levels of the hormone. These tests may be useful to differentiate a miscarriage when the blood hCG will drop with time or a healthy pregnancy when the blood hCG level will double every two days. Occasionally, we need to follow-up the hCG levels to help us diagnose an early ectopic pregnancy (pregnancy that is ​outside the womb), which could be potentially life-threatening or confirm a miscarriage.

Acknowledgement

Source: Dr TAN Thiam Chye, Dr TAN Kim Teng, Dr TAN Heng Hao, Dr TEE Chee Seng John, The New Art and Science of Pregnancy and Childbirth, World Scientific 2008.

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While some pregnancy symptoms start very early, most of the time, you won't notice anything right away. Anything that happens immediately after having sex, like spotting, increased discharge, or feeling tired or nauseated, is usually unrelated to pregnancy.

Other than a missed period, pregnancy symptoms tend to really kick in around week five or six of pregnancy. One 2018 study of 458 pregnant people found that 72% detected their pregnancy by the sixth week after their last menstrual period.

Symptoms, such as breast tenderness and morning sickness, tend to develop abruptly. Typically this happens about two weeks from when you missed your last period (six weeks since you actually had a period). Occasionally you will hear of someone who has symptoms right around their first missed period, but this timing is less common.

When Do Early Pregnancy Symptoms Start?

Regardless of your feelings about a possible pregnancy, it can be easy to ascribe any sensations you're having to potential pregnancy symptoms. However, keep in mind that premenstrual syndrome (PMS) symptoms and those of early pregnancy can be very similar—and pregnancy symptoms most often don't occur until after you've missed a period not before.

Early Pregnancy Symptoms

Some of the earliest signs of pregnancy include:

• Slight bleeding or spotting
• Fatigue
• Tender, swollen breasts or nipples
• Headaches
• Mood swings
• Frequent urination
• Food aversions or cravings
• Nausea and/or vomiting (also known as "morning sickness")

Having symptoms a day or two after having sex is usually not a sign of pregnancy. Here are some things to consider as you try to determine if you're pregnant.

Am I Pregnant? Real Women Share Their Early Signs

Nausea

Nausea immediately after sex is something you may question as a sign of pregnancy. However, your body doesn't have enough time to react to produce that symptom due to a pregnancy resulting from recent intercourse.

For most pregnant people, pregnancy-related nausea begins two to eight weeks following conception. So, if you are having pregnancy-related nausea, you became pregnant weeks before.

Pregnancy Test

A pregnancy test is the best way to tell if you are pregnant or not. However, you must wait until you miss your period to get the most accurate results from a urine pregnancy test.

This can be a home pregnancy test or a pregnancy test from your doctor, midwife, or health department. A blood test (quantitative beta HCG) might show positive results as early as one week after ovulation.

Basal Body Temperature Charting

Basal body temperature (BBT) can predict and suggest ovulation. This only works if you have been taking your temperature in the days prior to ovulation. Temperature elevation (approximately 0.5 to 1 degree F) begins one or two days after ovulation and persists for several days.

Temperature elevation identifies prior ovulation; it does not diagnose pregnancy.

Why You Might Feel Pregnant

It can be fairly common to experience some physical symptoms as you enter into what many people call the two-week wait, the period of time between when you ovulate and when you expect your period. These symptoms can include:

• Breast soreness
• Feeling bloated
• Frequent urination
• Headaches
  
• Mood swings
  
• Nausea and/or changes in appetite
  

While all of the symptoms could be pregnancy symptoms, they can also be explained by either fluctuation in your hormones due to your menstrual cycle, or by other events in your life. These events can include illness, stress, or even something as simple as not enough sleep or too much exercise.

Some people experience premenstrual syndrome (PMS) symptoms as pregnancy symptoms, whereas others do not typically have these symptoms every cycle.

When you experience a symptom that is not common to your cycle, it may be easily confused with a potential pregnancy.

To help relieve focusing on these symptoms, you can take positive steps for your physical and emotional health. Eating nutritious foods, quitting smoking, and limiting alcohol will promote your health and wellness whether or not it turns out you are pregnant.

When Pregnancy Is Unintentional

If you had unprotected sex or a contraceptive failure and fear you could get pregnant, emergency contraception is an option. Commonly called the "morning-after pill," medications are available over-the-counter (without a prescription) that can prevent pregnancy if taken within five days of having unprotected sex.

The sooner you take these medications, the more effective they are in preventing unintended pregnancy. These medications do not cause an abortion, but rather prevent a pregnancy from being established.

A Word From Verywell

Fears or hopes of getting pregnant can be an emotional roller coaster. You won't know for sure whether you are pregnant until a couple of weeks have passed since the potential conception. To help relieve focusing on symptoms, you can take positive steps for your physical and emotional health. Eating nutritious foods, quitting smoking, and limiting or avoiding alcohol will help promote your health and wellness whether or not it turns out you are pregnant.

By Robin Elise Weiss, PhD, MPH
Robin Elise Weiss, PhD, MPH is a professor, author, childbirth and postpartum educator, certified doula, and lactation counselor.

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