Last updated: August 4, 2021

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If you suspect that you are pregnant, it is certainly time to get a pregnancy test. These tests check the concentration of the hormone HCG in your urine. This hormone is produced shortly after fertilisation and can then be used to detect pregnancy.

We are very pleased that you have found your way to our pregnancy test 2022. Here we will show you all the information you need to know about pregnancy tests. You will not only learn how to carry out a pregnancy test, which different variants there are, but you will also receive useful tips on how to carry it out.




Summary

  • A pregnancy test is often very useful to get certainty about a possible pregnancy.
  • There are so-called early tests, which you can use a few days before your period stops, and also tests that determine the week, which are best used a few days after the period stops.
  • However, if the result is positive, a gynaecologist should be consulted immediately, who can then confirm the pregnancy with a blood test and an ultrasound.

The Best Pregnancy Test: Our Picks

Buying and evaluation criteria for pregnancy tests

When buying pregnancy tests, you can pay attention to various aspects, such as:

Buying a pregnancy test is often not easy. You should buy a test that has a high level of safety. Furthermore, you have to decide which manufacturer the test should be from, how much it costs and how you want the result to be displayed.

Safety

The most important thing is that the test provides a reliable result. Generally speaking, the leading manufacturers such as Clearblue or Pregnafix are very reliable. But pregnancy tests have also shown that you can only be 100 % sure once you have had a blood test and ultrasound.

For this reason, it is safest to make an appointment with your gynaecologist immediately after taking the pregnancy test.

Manufacturer and brand

As mentioned earlier, the leading manufacturers of pregnancy tests are often the safest. Clearblue offers a wide range of tests such as Clearblue digital, Clearblue digital with week determination or Clearblue Advance.

There are also good brands such as Pregnafix, Geratherm, Persona or Cortez. These brands are also very popular and are considered to be very safe pregnancy tests.

Display: Digital or analogue

Most pregnancy tests have both. In most cases, the positive strip is shown in the display in analogue form and the week determination is also shown in digital form. Depending on what you want, you should take this into account when buying. But even if the test only shows the result in analogue, it is still equally reliable.

Price

Another important purchase criterion is the price and where you buy the pregnancy test. However, most people prefer to buy the more expensive pregnancy tests from the leading manufacturers in order to have a higher degree of certainty.

Even the most expensive ones only cost a maximum of 15 €, and the cheapest pregnancy test is available from around 3 €.

Guide: Questions you should ask yourself before buying pregnancy tests

In this section we look at the most important questions that arise when buying pregnancy tests. We also back up the answers with scientific studies.

How does a pregnancy test work?

A pregnancy test tests the hormone human chorionic gonadotropin HCG in the urine. This hormone is formed only a few hours after fertilisation of the egg and is very rarely found in any other context.

Most products consist of a test strip with absorbent tissue surrounded by a plastic cover. The test strips are provided with an enzyme that reacts to the beta-HCG hormone in the urine. (1)

schwangerschaftstest-test

Only after an ultrasound examination and a blood test can you be 100 % sure about family planning. (Image source: Suhyeon Choi / Unsplash)

If you are pregnant, two lines usually appear, one showing that the test has worked and the other showing that the hormone is present in the urine. Furthermore, there are pregnancy tests where a plus or minus sign appears.(10)

A positive result therefore only tells you whether conception has taken place or not. However, this does not tell you whether an ectopic pregnancy or even a twin pregnancy has occurred. This is where an appointment with your gynaecologist can help.

How do I take a pregnancy test?

This depends on the type of pregnancy test. A blood test involves taking a blood sample and an early pregnancy test and a pregnancy test with week determination involves giving a urine sample. Here you put the pregnancy test under the urine stream and wait 1 - 5 minutes.(8)

The application is usually very simple and can be carried out directly under the urine stream.

When can I start taking a pregnancy test?

The pregnancy hormone HCG can usually be detected from 6 to 7 days after fertilisation. As soon as the egg has settled in the mucus of the uterus, the embryo starts producing the pregnancy hormone HCG. However, a reliable result can only be determined in the 5th to 10th week after the last menstruation. (2)

It is best to make an appointment with your gynaecologist.

The safest way is to take a pregnancy test with week determination, a blood test or, of course, an ultrasound at the gynaecologist. If you have a blood test and an ultrasound and the gynaecologist confirms that you are pregnant, you are 100% sure that you are pregnant or not.

What should you keep in mind when using a pregnancy test?

There are a few tips to keep in mind. So if you have already bought a pregnancy test, there are some small things that you should pay attention to. These criteria would be the time, the time of day and how the test is done.

Tip Description
As soon as you feel signs of pregnancy, you should take a pregnancy test The best time to take a test is a few days to several weeks after you have stopped menstruating. At this time the HCG level is very high and can be easily detected. (9)
Time of day It is best to do the test right after getting up. The urine has its highest concentration in the morning. If this is not possible, it is best to do the test in the morning when you have had little fluid. (9)
Carrying out a pregnancy test is very easy The best time is in the morning, directly under the stream of urine. Another option would be to urinate into a container, but this may contaminate the result with residue from the collection cup. It is therefore better to perform the pregnancy test directly under the urine stream.

It is also important to pay attention to the storage instructions and expiry date when buying a pregnancy test. It is also important to read the instructions for use carefully before use so that you get a reliable test result.

How much does a pregnancy test cost?

A pregnancy test from the drugstore is slightly cheaper than a pregnancy test from the pharmacy. However, the price is usually between 5 and 15 euros. Pregnancy tests are also usually a bit more expensive. The cheapest one I found on medpex.de starts at €2.25 and the most expensive pregnancy test is around €16.

The health insurance also covers the costs of diagnosing a pregnancy and the services required for this. (6)

What types of pregnancy tests are available?

There are different types of pregnancy tests depending on when you want to test your pregnancy. You can consult the following different types, types and categories.

Pregnancy test description
Early pregnancy test According to the manufacturer, this test can be used about 4 days before menstruation stops. It is usually a little more expensive, but can help a woman to be sure of pregnancy earlier. The best time to do the test is right after getting up with the so-called morning urine. At this time, the urine is much more concentrated than usual.

As a general rule, the closer you are to the date of the onset of menstruation, the clearer the result. If you get a positive result, you should still test again some time later with a pregnancy test with week determination.

Pregnancy test with week determination Another option would be a pregnancy test with week determination. This is much safer and just as uncomplicated as the previous option. These tests can be used some time after the period has stopped. To get a better or more reliable result, this test should also be carried out with the morning urine.

If the result is positive, this test also displays a number indicating how many weeks ago fertilisation took place and how long you have been pregnant.

Blood test Another way of detecting pregnancy is a blood test. The gynaecologist takes a blood sample and sends it to the laboratory. The HCG value can be detected even better in the blood than in the urine. This test gives a completely reliable result.

The types can differ in how they are carried out.

What can influence or falsify a pregnancy test?

Mainly, contamination of the urine vessel, bacteria in the urine or too much fluid throughout the day can lead to a false result of the test. (3)

Other possibilities that can influence a pregnancy test are, for example, taking medication that contains HCG or tumours in the body (3)

schwangerschaftstest-test

If the result is positive, you should take another blood test or see your gynaecologist to be on the safe side. (Image source: Julia Fiedle / Pixabay)

It is not only possible that you are not pregnant and the test is positive, but also that the test is negative and you are still pregnant. One reason for this could be that you took the test too early, i.e. at a time when there is not yet enough HCG in the urine.

If you suspect that you are pregnant despite a negative test result, you should repeat the test a little later.

How safe is a pregnancy test?

Early pregnancy tests in particular are usually not as reliable as others. Pregnancy tests with a week determination, which are taken a few weeks after the period has stopped, are much more reliable. The most reliable test, however, is a blood test followed by an ultrasound examination by a doctor.(5)

As a rule, however, urine tests are also relatively safe, but it can happen that the hCG level is not yet sufficient at an earlier point in time. For this reason, the earlier the test is carried out, the more likely the result will be negative.

If the result of a pregnancy test is positive, the next step is a visit to the gynaecologist. He or she can then confirm the pregnancy definitively.

What are typical pregnancy symptoms?

A number of complaints occur during pregnancy. The first signs of pregnancy can be urination or ravenous appetite. (7)

Other typical pregnancy symptoms include nausea and vomiting, mood swings and swelling due to water retention. (7)

The symptoms are usually annoying but harmless.

But in short, the spectrum of possible pregnancy complaints is very wide. Many other effects can show themselves. It is only important that the person concerned does not take medication on her own authority if she has complaints, as some medicines can harm the child. (4)

If pregnancy is suspected, one should take a pregnancy test and consult a doctor if the result is positive. (4)

Image source: 123rf / 1133390552

References (10)

1. Andrea Hauk, 1. April 2015, Diagnostik mit Teststreifen: Wie der Schwangerschaftstest funktioniert, Wiley Online Library, Zugriff: 21.8.2020
Source

2. Dr. Eva Rudolf-Müller, 11. November 2019, Schwangerschaftstest, NetDoktor, Zugriff: 21.8.2020
Source

3. Dr. Eva Rudolf-Müller, 11. November 2019, Schwangerschaftstest, Schwangerschaftstest positiv - trotzdem nicht schwanger, NetDoktor, Zugriff: 22.8.2020
Source

4. Dr. Volker Kittlas, 18.12.2015, Typische Schwangerschaftsbeschwerden, MEDPERTISE, Zugriff: 22.8.2020
Source

5. Tanja Albert, 2.3.2019, Wie sicher sind Schwangerschaftstests, Kanyo, Zugriff am 24.8.2020
Source

6. Dr. Karin Windsperger, 11.5.2020, Schwangerschaft: Diagnose, Wie erfolgt die Abdeckung der Kosten, Gesundheit.gv.at, Zugriff: 25.8.2020
Source

7. Yikar SK, Nazik E. Effects of prenatal education on complaints during pregnancy and on quality of life. Patient Educ Couns. 2019;102(1):119-125. doi:10.1016/j.pec.2018.08.023
Source

8. Whiteman MK, Tepper NK, Kottke M, et al. Using a checklist to assess pregnancy in teenagers and young women. Obstet Gynecol. 2014;123(4):777-784. doi:10.1097/AOG.0000000000000179
Source

9. Miro F, Bradford K, Inglis S, Evans R, Frost L, Alaluf S. Dynamics of urinary levels of hCG during early pregnancy and accuracy of the home pregnancy test [retraction of: 10.1093/humrep/deh637]. Hum Reprod. 2005;20(4):1121. doi:10.1093/humrep/deh838
Source

10. Chard T. Pregnancy tests: a review. Hum Reprod. 1992;7(5):701-710. doi:10.1093/oxfordjournals.humrep.a137722
Source

Wie der Schwangerschaftstest funktioniert
Andrea Hauk, 1. April 2015, Diagnostik mit Teststreifen: Wie der Schwangerschaftstest funktioniert, Wiley Online Library, Zugriff: 21.8.2020
Go to source
Schwangerschaftstest
Dr. Eva Rudolf-Müller, 11. November 2019, Schwangerschaftstest, NetDoktor, Zugriff: 21.8.2020
Go to source
Schwangerschaftstest
Dr. Eva Rudolf-Müller, 11. November 2019, Schwangerschaftstest, Schwangerschaftstest positiv - trotzdem nicht schwanger, NetDoktor, Zugriff: 22.8.2020
Go to source
Typische Schwangerschaftsbeschwerden
Dr. Volker Kittlas, 18.12.2015, Typische Schwangerschaftsbeschwerden, MEDPERTISE, Zugriff: 22.8.2020
Go to source
Wie sicher sind Schwangerschaftstests?
Tanja Albert, 2.3.2019, Wie sicher sind Schwangerschaftstests, Kanyo, Zugriff am 24.8.2020
Go to source
Schwangerschaft: Diagnose
Dr. Karin Windsperger, 11.5.2020, Schwangerschaft: Diagnose, Wie erfolgt die Abdeckung der Kosten, Gesundheit.gv.at, Zugriff: 25.8.2020
Go to source
Effects of prenatal education on complaints during pregnancy and on quality of life
Yikar SK, Nazik E. Effects of prenatal education on complaints during pregnancy and on quality of life. Patient Educ Couns. 2019;102(1):119-125. doi:10.1016/j.pec.2018.08.023
Go to source
Using a checklist to assess pregnancy in teenagers and young women
Whiteman MK, Tepper NK, Kottke M, et al. Using a checklist to assess pregnancy in teenagers and young women. Obstet Gynecol. 2014;123(4):777-784. doi:10.1097/AOG.0000000000000179
Go to source
Dynamics of urinary levels of hCG during early pregnancy and accuracy of the home pregnancy test
Miro F, Bradford K, Inglis S, Evans R, Frost L, Alaluf S. Dynamics of urinary levels of hCG during early pregnancy and accuracy of the home pregnancy test [retraction of: 10.1093/humrep/deh637]. Hum Reprod. 2005;20(4):1121. doi:10.1093/humrep/deh838
Go to source
Pregnancy tests: a review
Chard T. Pregnancy tests: a review. Hum Reprod. 1992;7(5):701-710. doi:10.1093/oxfordjournals.humrep.a137722
Go to source
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