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What Is a Blood Being pregnant Check and How Does It Work?

Most pregnant girls discover out they’re pregnant by taking a urine-based residence being pregnant check. Generally, docs recommend that you just additionally take a blood being pregnant check. In particular circumstances, there are a number of the explanation why a blood check could also be most popular, however normally, a urine check is all you want. Under, we clarify precisely what a blood being pregnant check is and the way it differs from a urine check.


A blood being pregnant check is normally a quantitative blood check that reveals how a lot human chorionic gonadotropin (hCG) is in your blood. That is the kind of blood being pregnant check that most individuals are referring to once they discuss blood exams for being pregnant. To check your blood for hCG, a easy blood pattern is taken from one in every of your veins, normally within the arm, by way of a process referred to as a venipuncture.

HCG is a hormone secreted in being pregnant and detectable starting every week to 2 weeks (or extra) after conception, relying on the check. Whether or not utilizing a house being pregnant check that makes use of urine or a blood being pregnant check out of your physician, the outcomes will probably be based mostly on measurements of this hormone in your urine or blood. Each forms of exams are very dependable, producing about 99% accuracy when used appropriately.

What is the Distinction?

A being pregnant blood check is extra delicate than a urine check and might provide extra info. Most blood exams can detect barely decrease quantities of hCG, which suggests they will inform should you’re pregnant a number of days earlier. Urine exams are inclined to require barely extra hCG to learn optimistic, making false-negative outcomes a bit extra possible with urine exams, though the charges are fairly low total.

Urine hCG Check

  • Wants barely extra hCG for a optimistic studying

  • Qualitative check

  • Tells you if you’re pregnant or not, not how a lot hCG is in your blood

  • Correct a number of days to every week after a missed interval

Blood hCG Check

  • Barely extra delicate than urine exams

  • Might be qualitative or quantitative

  • Can monitor hCG ranges over time

  • Might be correct earlier than a missed interval

Qualitative Checks

Urine exams are qualitative, which means they both detect hCG in your blood, giving a optimistic studying, or they do not, which is a unfavorable studying. You might also have a qualitative blood hCG check to measure hCG in your blood. Once more, the outcomes are very clear: sure, you’re pregnant as a result of we discovered hCG in your blood or, no, you aren’t pregnant as a result of we did not discover it.

Urine being pregnant exams can normally detect being pregnant by about 10 days after conception. Blood being pregnant exams can decide up hCG within the blood six to eight days previous ovulation.

It is beneficial to attend every week (or no less than a number of days) after a missed interval earlier than taking a urine being pregnant check for optimum efficacy.

Quantitative Checks

Another choice is getting a quantitative hCG blood check (additionally referred to as the beta hCG check). These exams may give your physician or midwife extra info than simply whether or not or not you are pregnant. Quantitative hCG exams can decide up even tiny quantities of the hormone and measure precisely how a lot hCG is in your blood. This info may be in contrast over time.

Normally, your hCG ranges will practically double about each two days in early being pregnant.

By having a number of blood exams about 48 hours aside, your physician can monitor your hCG ranges to get a greater learn in your being pregnant, if wanted. These serial blood exams might help your supplier monitor your being pregnant for miscarriage or ectopic being pregnant in addition to the chance that you just’re carrying multiples.

On account of stress, expense, and different elements, these exams will not be completed routinely (or wanted) for each pregnant girl. Speak to your physician or midwife should you suppose {that a} blood check for being pregnant is best for you. In case your particular circumstances do not warrant a blood check, you must have the ability to depend on the outcomes of your own home being pregnant exams (HPT) as a substitute.

When a Blood Check Is Used

In routine pregnancies with wholesome girls, at-home urine exams are greater than ample and efficient. Blood exams are primarily utilized in docs’ places of work, particularly, if there’s a potential situation with the being pregnant or another complicating issue (akin to multiples), during which the better sensitivity of the blood check is required.

Blood exams could also be ordered for larger danger pregnancies, throughout fertility therapies, when urine exams learn unfavorable however a interval hasn’t come, to verify or rule out a potential miscarriage or multiples, and to diagnose a possible ectopic or tubal being pregnant, in addition to because of different being pregnant problems.

Efficacy of Urine vs. Blood Being pregnant Checks

Urine exams are low-cost, painless, easy-to-use, may be completed within the privateness of 1’s residence, and are very correct (in most eventualities), which is why they’re the usual check used for many pregnancies.

A blood being pregnant check is warranted because of complicating elements. These exams are additionally very correct, offering fast outcomes that may give docs extra detailed details about your being pregnant.

Decoding the Outcomes

Regular outcomes from a quantitative hCG blood being pregnant check would present that hCG ranges are rising quickly throughout the first trimester of being pregnant after which declining barely after round 10 weeks. At round 16 weeks, the hCG ranges stabilize for the rest of the being pregnant. Irregular outcomes, alternatively, can imply a wide range of issues.

Greater hCG Than Anticipated

The next than regular degree of hCG might point out:

  • An infection or malignant tumors of the uterus
  • Multiple fetus (for instance, twins or triplets)
  • Non-cancerous tumors of the uterus
  • Ovarian most cancers
  • Generally, simply a sign of a traditional being pregnant, farther alongside in gestation
  • Testicular most cancers (in males)

Decrease hCG Than Anticipated

Decrease than regular ranges of hCG might imply:

  • Ectopic being pregnant
  • Incomplete or full miscarriage
  • Doable loss of life of the fetus


There’s little or no danger related to a blood being pregnant check. Other than minor ache when the needle is injected, most individuals have no different negative effects from having blood drawn. Often, some folks could have bruising on the website of the injection.

In uncommon circumstances, some folks expertise extreme bleeding, fainting, or an infection from having blood drawn. Let your physician know you probably have ever had a difficulty with having blood drawn. 

A Phrase From Verywell

For most ladies, a urine-based, at-home being pregnant check will greater than suffice to verify being pregnant. Often, a blood being pregnant check, both the qualitative or quantitative kind, is required to offer extra info, notably in medically complicated conditions. Each exams are protected, easy, and efficient methods to know if you’re pregnant. Blood exams are finest when one thing else may be happening.

Verywell Household makes use of solely high-quality sources, together with peer-reviewed research, to help the information inside our articles. Learn our editorial course of to be taught extra about how we fact-check and maintain our content material correct, dependable, and reliable.
  1. Furtado LV, Lehman CM, Thompson C, Grenache DG. Ought to the qualitative serum being pregnant check be thought-about out of date?. Am J Clin Path. 2012;37(2):194-202. doi:10.1309/AJCPH1PJSA9TWYOZ

  2. Butts SF, Guo W, Cary MS, et al. Predicting the decline in human chorionic gonadotropin in a resolving being pregnant of unknown location. Obstet Gynecol. 2013;122(2 Pt 1):337-43. doi:10.1097/AOG.0b013e31829c6ed6

  3. Korevaar TI, Steegers EA, de Rijke YB, et al. Reference ranges and determinants of whole hCG ranges throughout being pregnant: The Technology R Research. Eur J Epidemiol. 2015;30(9):1057-66. doi:10.1007/s10654-015-0039-0

  4. Betz D, Fane Okay. Human chorionic gonadotropin (HCG). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

  5. American School of Obstetricians and Gynecologists. Ectopic being pregnant.

  6. American School of Obstetricians and Gynecologists. Early being pregnant loss.

Further Studying

  • Gnoth C, Johnson S. Strips of Hope: Accuracy of Residence Being pregnant Checks and New Developments. Geburtshilfe Frauenheilkd. 2014;74(7):661-669. doi:10.1055/s-0034-1368589

  • Gottlieb M, Wnek Okay, Moskoff J, Christian E, Bailitz J. Comparability of End result Occasions Between Urine and Entire Blood Level-of-care Being pregnant Testing. West J Emerg Med. 2016;17(4):449-53. doi:10.5811/westjem.2016.5.29989

  • Workplace on Ladies’s Well being. Understanding if you’re pregnant. U.S. Division of Well being and Human Providers.

By Robin Elise Weiss, PhD, MPH

Robin Elise Weiss, PhD, MPH is a professor, writer, childbirth and postpartum educator, licensed doula, and lactation counselor.

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