Urine test negative but blood test positive

Summary

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  • Home pregnancy tests are usually very accurate, but this depends on how well you followed the instructions and how soon after the pregnancy begins that you do the test.
  • The sensitivity of the test can also affect accuracy. Some tests (not all) can detect the pregnancy before you miss a period.
  • To get the most accurate result, do the test first thing in the morning and wait until the first day of your missed period.
  • Always see your doctor for confirmation of your pregnancy.

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This page has been produced in consultation with and approved by:

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There are two types of pregnancy tests; one uses a urine sample, the other a sample of blood. Both pregnancy tests detect the presence of a hormone called human chorionic gonadotropin (hCG). This hormone is produced by the placenta shortly after the embryo attaches to the uterine lining and builds up rapidly in your body in the first few days of pregnancy. It is this rapid shift in hormones that trigger most of your pregnancy symptoms.

Types of Pregnancy Tests

Urine Tests

Urine tests can be performed in two different ways and these can be performed at home or in a clinic. One way involves collecting your urine in a cup and dipping a stick into the urine or putting urine into a special container with an eyedropper. Another option involves placing a stick into your urine stream and catching your urine in midstream.

Tests vary in how long you have to wait to get a result. You will be looking for a change in color, a line, or a symbol (like a plus or minus). The newer digital pregnancy test offered by Clearblue Easy makes reading your results simple: the window will either show the words “not pregnant” or “pregnant”.

All tests come with instructions, and it is important that you follow these instructions to get an accurate reading.

How soon can I take a urine test?

Most doctors recommend that you wait until the first day of your missed period before taking a urine pregnancy test. This is usually about two weeks after conception. However, some tests are more sensitive than others and can be taken earlier.

How accurate are urine tests?

Urine tests or home pregnancy tests are around 97% accurate when done correctly. Home pregnancy tests are great to use because they can be done at home, they are usually low in cost (anywhere from $7.99 to $19.99), private, they give a fast result, and are easy to use.

However, if done incorrectly or taken too early, the result can be inaccurate. If you get a negative result and still have symptoms of pregnancy (missed period, nausea, breast tenderness, and fatigue), wait a week and take another test or contact your doctor so you can have a blood test done.

Blood Tests

There are two types of blood tests. A quantitative blood test measures the exact amount of hCG in the blood, and a qualitative hCG blood test gives a simple yes or no answer to whether you are pregnant or not.

Advantages of having a blood test done:

  • Can detect a pregnancy earlier than a urine test at about 7-12 days from possible conception (but if a negative result is received, a test should be repeated if a period is missed.)
  • Can measure the concentration of hCG hormone in your blood (this is useful information for your healthcare provider in tracking certain problems in pregnancy)

Disadvantages of having a blood test done:

  • More expensive than a urine test (price depends on the cost of doctor’s visit and lab fees)
  • Takes longer to get the result
  • Must be done in a doctor’s office

Frequently Asked Questions About Pregnancy Tests

If I get a positive result on a home pregnancy test, does that mean I am pregnant?

A positive result from a home pregnancy test shows the presence of the hormone hCG in your system. When an egg is implanted in a woman’s uterine lining, hCG hormones begin to develop and multiply. This is a sign that you have become pregnant.

If I get a negative result on a home pregnancy test, does that mean I am not pregnant?

A negative result can mean that you are not pregnant, you took the test too early, or you took the test wrong. Pregnancy tests vary in their sensitivity (how soon they can detect the hormone hCG), and you may not have given your body enough time to produce enough hCG hormones that will show up on the test.

Also, if you let a test sit for too long (after the instructions on the box tell you), the test is invalid. It is best to follow the instructions and wait until you have missed a period before taking the test. Most pregnancy tests come with two in a box, and it is a good idea to take both.

How soon can I take a home pregnancy test?

It is recommended that you wait until you have missed a period to take a home test. A missed period is often one of the first signs of pregnancy. If you cannot wait that long to find out and you know the day you may have conceived, then the earliest you can take a test would be 14 days from possible conception.

What if I take a couple of home pregnancy tests and get different answers?

If you have received different answers on multiple pregnancy tests, it is recommended that you get a blood test done to get an accurate answer.

Want to Know More?

  • Things to Know About Ovulation
  • Track Your Ovulation
  • Are You Trying to Get Pregnant
  • Preconception for Women
  • Signs of Ovulation

Compiled using information from the following sources:

1. MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); Prenatal Testing.

//www.nlm.nih.gov

2. U.S. Department of Health and Human Services

Why is my pregnancy blood test positive but urine negative?

It happens when the woman has very high levels of pregnancy hormones in her blood or urine. The antibodies that pregnancy tests use become overwhelmed and fail to bind to the hormone. Due to this, the result comes back negative.

Can you get a negative urine test and positive blood test?

Blood Pregnancy Test Accuracy As with home urine tests, it is possible (although rare) to end up with false results (both negative and positive) from a blood pregnancy test.

Can you still be pregnant with a negative urine test?

Could a negative result be wrong? It's possible to get a negative result from a home pregnancy test when you're actually pregnant. This is known as a false-negative.

Can you get a negative home pregnancy test and a positive blood test?

One explanation for a false negative pregnancy test is what's called the hook effect. It's not common but sometimes this effect leads to urine and blood tests giving the wrong result. This error might happen even after you've had one positive pregnancy test and test again a couple days later.

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