Skip to content
Hello Gloucestershire! Bristol and Cheltenham clinics now open.
Hello Gloucestershire! Bristol and Cheltenham clinics now open.
Pregnant woman

Understanding hCG and Early Pregnancy Testing

Early pregnancy testing relies heavily on measuring levels of a specific hormone: human chorionic gonadotropin (hCG). This hormone is produced after a fertilised egg attaches to the uterine lining, which plays a crucial role in maintaining the pregnancy. hCG is typically the hormone that early pregnancy tests detect to confirm pregnancy.


The hCG blood test offered by One Day Tests provides a reliable and early method for confirming pregnancy. With our easy-to-use home testing kits or clinic phlebotomy appointments, you can detect pregnancy sooner than traditional urine tests. With One Day Tests, you can begin monitoring your pregnancy from the earliest stages, tracking hCG levels to ensure everything is progressing as expected. 

Pregnancy screening

What is hCG and How Does It Relate to Pregnancy?

Human chorionic gonadotropin (hCG) is a hormone integral to early pregnancy. It is produced by the cells that form the placenta, the organ that develops during pregnancy to provide nourishment to the growing embryo. Once the fertilised egg implants in the uterine lining, typically around 6-12 days after conception, the production of hCG begins.


The Role of hCG in Pregnancy


hCG is essential in maintaining the corpus luteum, which is responsible for producing progesterone. Progesterone is important in the early stages of pregnancy as it helps thicken the uterine lining, ensuring the embryo can implant and develop properly. Without the correct levels of hCG, the corpus luteum would break down, leading to a drop in progesterone levels and a potential early miscarriage.


Additionally, hCG supports the development of the fetus and promotes the growth of the placenta. It also plays a role in immune tolerance, allowing the mother’s body to accept the pregnancy without treating the developing embryo as a foreign invader.


When Do hCG Levels Start to Rise?


hCG levels begin to rise shortly after implantation, typically 6-12 days following fertilisation. The hormone doubles approximately every 48 to 72 hours in early pregnancy, peaking around 8-11 weeks. After this peak, the levels gradually decline but remain detectable throughout the pregnancy.


The early and rapid rise of hCG makes it an excellent marker for detecting pregnancy, especially in the first trimester. Because of this, both home urine tests and blood tests use hCG to confirm pregnancy.

Pregnancy test

What hCG Level Confirms Pregnancy?

In an hCG blood test, pregnancy is typically confirmed when hCG levels are above 25 mIU/ml. Here’s a breakdown of what different hCG levels indicate:

  • hCG level under 5 mIU/ml: This is considered negative for pregnancy. If the hCG level is below 5, it generally means that pregnancy has not occurred, or it’s too early to detect.

  • hCG level between 5 and 25 mIU/ml: This range is considered ambiguous and may require follow-up testing. An hCG level within this range could indicate very early pregnancy, but the result is not definitive. If the hCG levels fall into this range, it is often recommended to repeat the test after 48 to 72 hours to see if the levels are rising, which would confirm pregnancy.

  • hCG level above 25 mIU/ml: A level above 25 is positive for pregnancy. This confirms that implantation has occurred, and the body is producing enough hCG to be detected reliably. At this level, pregnancy is considered to be established.

What Does an Ambiguous hCG Result Mean?


If your hCG level falls between 6 and 24 mIU/mL, this is often referred to as a “grey area." It may be too early in the pregnancy to detect a higher level of hCG, or there may be other factors at play. In this case, the best course of action is follow-up testing within 48-72 hours.


In cases where hCG levels are ambiguous or not rising as expected, follow-up tests are essential for monitoring the progression of the pregnancy. These tests help to ensure that the pregnancy is developing as it should, or they can alert healthcare providers to potential complications early on.

How Soon Can hCG Tests Detect Pregnancy?

hCG begins to be produced shortly after the fertilised egg implants in the uterus, typically around 6 to 12 days after conception. The hormone then increases rapidly, doubling approximately every 48 to 72 hours during early pregnancy.


hCG blood tests can detect pregnancy as early as 6 to 8 days after ovulation, which is typically about 10 days after conception. Blood tests can detect even the very low levels of hCG present at this early stage, making them more sensitive than home urine tests.


Why Early Detection May Vary


The timing of implantation can cause variation in when hCG levels rise enough to be detected. Implantation can occur as early as 6 days after fertilisation or as late as 12 days, which means the timing of an hCG test result can vary between individuals.


Can hCG Levels Tell How Far Along You Are?


In certain cases, the HCG blood test can help estimate the gestational age of the pregnancy. Comparing the HCG levels with established reference ranges and considering the timing of the test can provide an approximate estimation of how far along the pregnancy is.

Pregnant woman

Our hCG Early Pregnancy Check Test

Monitor Your Pregnancy With hCG Blood Testing

Detecting pregnancy early provides peace of mind and allows you to begin monitoring your health and your baby's development from the very start. hCG blood tests provide the earliest and most accurate method of confirming pregnancy. With the added benefit of tracking hCG levels over time, you can ensure your pregnancy is progressing as expected, or quickly address any potential concerns with your healthcare provider.


If you're looking for fast, reliable results from the comfort of your home or through a convenient clinic appointment. With our speedy turnaround times and easy-to-use health dashboard, you’ll have everything you need to stay informed and feel confident as you embark on this exciting journey.

Previous article The Pancreas - Functions, Location and how to keep it healthy
Next article Anaphylaxis - Severe Allergic Reaction

Leave a comment

Comments must be approved before appearing

* Required fields