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                        HOW DO PREGNANCY TESTS WORK?
                        
                        by Tash Hughes of
                        Word 
                        Constructions 
                          Most women 
                        know that a pregnancy test requires a urine sample, 
                        preferably first thing in the morning. They know that a 
                        colour change or new line appearing (depending on the 
                        test brand) will mean pregnancy, either wanted or not. 
                        But how do these tests work? 
                         Beta Human 
                        Chorionic Gonadotropin Hormone, b-HCG, B-HCG or even 
                        βHCG, is released by a woman’s body upon implantation of 
                        a fertilized embryo. This occurs approximately eight 
                        days after fertilization. 
                         This hormone is 
                        responsible for encouraging the corpus luteum (or 
                        centre) of the embryo to release progesterone and 
                        oestrogen early in the pregnancy. By about 8 or 9 weeks 
                        of pregnancy, the placenta will take over this function 
                        and the βHCG levels will drop by 70 – 90 %. If high 
                        levels are detected between 15 – 22 weeks of gestation, 
                        it indicates problems with the embryo and this is the 
                        basis of the Triple Test for genetic disorders such as 
                        Downs Syndrome. 
                         βHCG levels can 
                        be measured in International Units per Litre (IU/L) or 
                        International milliunits per millilitre (mIU/mL.) For 
                        men, the level is usually less than 3 whilst 
                        non-pregnant women have a level below 5, or 10 if she is 
                        menopausal.  
                         There is no 
                        agreement on a particular level of βHCG representing 
                        pregnancy, as there is variation between women and 
                        foetuses, and even differences between pregnancies of 
                        single and multiple foetuses. Effectively, though, if a 
                        premenopausal woman tests for more than 5 it can be 
                        assumed that implantation has occurred. 
                         Pregnancy tests 
                        that use a urine sample are all based on detecting 
                        higher levels of βHCG. Different tests have different 
                        sensitivities, often varying between 15 and 25 mUI/mL, 
                        and thus can be more or less effective very early in the 
                        pregnancy. Most tests in Australia have sensitivity 
                        greater than 20mIU/mL. 
                         Tests available 
                        from 
                        
                        www.downunderptopk.biz 
                        test for 20mIU/mL of βHCG and thus can be used as early 
                        as 6 days after ovulation, which is before the woman 
                        even expects to have a period. A result can be seen as 
                        soon as 40 seconds later, but clearer results require 5 
                        minutes. This Australian site sells the tests for only 
                        $2 each, compared to $10.39 for 2 tests at Coles and 
                        $6.28 for one test at Safeway.  
                          
                        Tash Hughes is 
                        the owner of Word Constructions and assists businesses 
                        in preparing all written documentation and web site 
                        content. Tash also writes parenting and business articles for 
                        inclusion in newsletter and web sites.     
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