How long after implantation can you test

June 22, 2018

By: Cara Terreri, LCCE, CD(DONA) | 0 Comments

How long after implantation can you test
The simple answer to this question, of course, is: whenever you want! With cheap and effective pregnancy tests sold at dollar stores, it's fairly accessible for people to test whenever and as often as they want.

But wouldn't it be great not to waste time, money, and hope on taking a home pregnancy test when it's not even possible to tell if you're pregnant? Let's take a look at the timeline of conception and the mechanics of home pregnancy tests to better understand the best time to take a pregnancy test.

From the time of intercourse or insemination, it can take from a few hours up to 5 days for fertilization to occur, depending on when you ovulate, or release an egg. Sperm can live for approximately 5 days. An released egg is viable for 24 hours. After fertilization, it can take between 6-12 days for implantation to happen. Implantation is when the fertilized egg implants itself into your uterine wall. Once the fertilized egg implants, the hormone HCG (human chorionic gonadotropin) enters the blood stream. It is this hormone that is responsible for a positive pregnancy test.

From the time of implantation, HCG hormone levels are approximately 1-2mIU (milli international unit) and double every 48-72 hours. Any HCG level above 25mIU is considered pregnant, while less than 5 is considered not pregnant. The average pregnancy test detects 20-25mIU of HCG. Therefore, taking a pregnancy test 3-4 days after implantation is the earliest you could possibly test positive with a urine pregnancy test. If you're counting the time since ovulation, this would be between 9-16 days past ovulation -- at the earliest.

It's important to know that not all home urine pregnancy tests are the same. Each one detects pregnancy, or HCG levels, at different mIU levels. Some early pregnancy tests will detect lower HCG levels and can give you results earlier, while others are not as sensitive. This list seems to offer a fairly comprehensive list of brands and HCG levels.

If 9-16 days past ovulation is the earliest you can test, what's the ideal time to test? Anything beyond 16 days past ovulation, or from the beginning of when you would expect your period. The closer to that time and in the first week after a missed period, the more accurate your pregnancy test will be. If you receive early negative tests, wait until you're closer to your expected period. While early false positives may happen as well, they are less likely. Usually, a positive pregnancy test indicates pregnancy. It's time to find an amazing care provider!

Sometimes, an early positive pregnancy test followed by a later negative pregnancy test can indicate that the pregnancy has ended, as the levels of HCG are not increasing as expected, though this is not always the case. Contact your care provider to discuss your results and potentially schedule a blood test for pregnancy.

Tags

Pregnancy Early pregnancy Conception Early Pregnancy Hormones Pregnancy Test HCG

  • Definition
    • What Are Pregnancy Tests?
  • Positive vs. Negative
    • What Do Pregnancy Test Results Mean?
  • When to Take
    • When Can A Pregnancy Test Be Taken?
  • False Results
    • Why Might A Pregnancy Test Produce the Wrong Result?
  • Guide
    • How Soon Will A Pregnancy Test Read Positive? Topic Guide

How long after implantation can you test

In 6 to 12 days after conception, a woman may experience implantation bleeding. About 7 days after that, hormone levels in the urine are high enough to detect using a home pregnancy test. In general, take the test after you notice your menstrual period is late.

While some pregnancy tests claim to work a few days before a missed period, the results are usually less accurate at that point. Some tests may be able to detect pregnancy hormones in urine as early as 10 days following unprotected sex, but the results are not very reliable, and women may get a false positive or false negative test result.

For women who have irregular periods or who do not get periods at all, testing about 3 weeks after unprotected sex may yield more reliable results.

  • If a test reads positive, a woman may want to check with her doctor for a blood pregnancy test to confirm the results. 
  • Most women who have a positive pregnancy test should wait a week or two before calling the doctor for a blood test. 

What Are Pregnancy Tests?

Pregnancy tests are used to verify if a woman is pregnant. They work by checking urine or blood for a hormone called human chorionic gonadotropin (HCG) that the body produces when pregnancy occurs. This hormone is released when a fertilized egg attaches to the lining of the uterus, signaling the beginning of pregnancy.

What Do Pregnancy Test Results Mean?

If pregnancy test results are positive, it means a woman is pregnant. If they’re negative, it means a woman is not pregnant.

When Can A Pregnancy Test Be Taken?

Pregnancy tests may be taken any time after a woman’s menstrual period is late.  

A woman may also choose to test after implantation bleeding has occurred. Implantation bleeding is an early sign of pregnancy. It occurs when a 6 to 12-day-old fertilized egg attaches to the inner lining of the uterus, causing light vaginal bleeding or spotting. About one-third of women experience implantation bleeding, which is normal and typically happens near the time of a woman’s next expected menstrual period.

About four to five days after implantation bleeding, HCG levels in the body reach detectable levels in the blood. For at-home urine pregnancy tests, it may take up to 7 days for HCG levels in the urine to reach detectable levels for testing.

Why Might A Pregnancy Test Produce the Wrong Result?

There are 2 types of inaccurate results:

  • False negative – the test indicates a woman is not pregnant but she is
  • False positive – the test shows a woman is pregnant but she’s not

There are several reasons for inaccurate results:

  • Urine is too dilute – this can occur if a woman drinks too much water or tests later in the day
  • Testing too soon after unprotected sex – the body may not have produced enough HCG to be detectable 
  • Using a test that does not detect lower levels of HCG – check package labels for which tests are more sensitive
  • Using an expired test
  • Not using a test right away after opening
  • Use of infertility medications such as clomiphene (Clomid), menotropins (Pergonal, Humegon, Repronex) can cause false positives 
    • The manufacturer of Clomid suggests waiting three days between the last Clomid dose and the first day testing for ovulation

How long after implantation can you test

SLIDESHOW

Stages of Pregnancy: Week by Week See Slideshow

Reviewed on 9/30/2022

References

Image source: iStock Images

Medscape Medical Reference

https://www.plannedparenthood.org/learn/pregnancy/pregnancy-tests

https://utswmed.org/medblog/home-pregnancy-tests/

https://www.babymed.com/fertility-problems/making-clomiphene-clomid-work-you