Научим разбираться в тестах на беременность: когда делать, от чего зависит точность, верить ли отрицательному результату и где покупать
Все, что нужно знать о тестах на беременность, в одной статье.
Тесты на беременность бывают двух видов: домашние (анализ мочи в домашних условиях) и клинические (анализ крови в больнице). И домашние, и клинические тесты проверяют одно и то же — наличие гормона хорионического гонадотропина человека (ХГЧ) в биоматериале (моче или крови). ХГЧ вырабатывается клетками, которые в конечном итоге образуют плаценту.
Что нужно знать о домашних тестах: когда правильно делать тест, что значит отрицательный результат, как найти самый точный и где купить. «Все аптеки» отвечают на эти вопросы.
Почему тесты определяют беременность именно по ХГЧ?
Это самый простой и надежный индикатор беременности. Его выделяют клетки зародыша и будущей плаценты. Как только оплодотворенная яйцеклетка имплантируется в слизистую оболочку ее матки, гормон попадает в кровь (иногда это происходит уже через шесть дней после оплодотворения яйцеклетки). После этого уровень ХГЧ увеличивается очень быстро: он удваивается каждые 48 часов до срока в 14 недель. Постепенно избыток ХГЧ начинает выделяться в мочу, а там его обнаруживают домашние тесты.
А там все просто: есть ХГЧ — есть беременность, нет ХГЧ — нет беременности.
Если беременность не входит в планы — подборка противозачаточных средств
После овуляции путь яйцеклетки от яичника до матки уходит около недели. Она можно оплодотворяться в любой момент: или в фаллопиевой трубе, или по достижении матки. Но производиться ХГЧ начинается только после имплантации оплодотворенных яйцеклеток в маточную стенку.
Точно предсказать, когда произошло оплодотворение, трудно: сперматозоиды могут жить в организме женщины до пяти дней. Именно по этой причине большинство домашних тестов на беременность советуют женщинам подождать: делать тест лучше на второй или третий день задержки или примерно на 15-16 день после овуляции.
Если цикл нестабильный, идеальное время для теста определяется иначе:
Если менструации происходят с интервалами меньше 21 дня или более 35 дней, а также если их периоды меняются от месяца к месяца, циклы считаются нерегулярными. В этих случаях делать тест на беременность нужно делать через 36 дней с начала последней менструации или через четыре недели с момента последнего незащищенного секса.
Мужские контрацептивы. Все средства, кроме воздержания
Это не так: тест может быть ложноотрицательным. Если спустя несколько дней после отрицательного результата месячные так и не появились, повторите тест. Второй отрицательный результат будет более достоверным, но даже слабая вторая полоска должна трактоваться как позитивный тест.
Почему в инструкции рекомендуют делать тест утром?
Вероятность получить достоверный результат выше, когда биоматериал — моча — наиболее концетрированный: в нем больше ХГЧ. Это бывает утром. Поэтому большинство тестов рекомендуют делать анализ сразу после того, как проснулись, на второй день после пропуска менструации.
«Покупать кондомы мы стеснялись, поэтому скоро пришли за тестом на беременность». 10 реальных историй о неловких покупках презервативов
Среди точных тестов — только анализ крови на ХГЧ. Никакие народные тесты (с содой, йодом, марганцовкой или кипячением мочи) недостоверны. Современные тесты остаются наиболее достоверным и простым способом определить беременность.
Насколько точны домашние тесты на беременность и как выбрать самый точный?
Наборы домашних тестов на беременность утверждают, что при правильном использовании они имеют точность от 97 до 99%.
Важный показатель в этом вопросе — чувствительность. Определить ее можно по коробке с тестом: чем меньшее число указано на упаковке, тем чувствительнее тест. Например, тест, чувствительность которого составляет 20 МЕ/л (международных единиц на литр), определяет беременность на более ранних этапах, чем тест с чувствительностью всего 50 МЕ/л.
Стоимость теста на беременность также может быть признаком его чувствительности: более дорогие, как правило, позволяют выявить беременность раньше.
Почему тест может ошибаться?
На точность домашнего теста на беременность могут повлиять несколько факторов:
Время сдачи теста. Если сдать тест слишком рано после предполагаемого зачатия, тест покажет отрицательный результат.
Нарушения инструкции. Если не следовать инструкции, можно упустить важную деталь тестирования и получить ложный результат.
Физиологические особенности. У некоторых женщины во время беременности просто не производится столько гормона ХГЧ, чтобы его можно было обнаружить домашними тестами. В этом случае беременность можно определить только с помощью анализа крови.
Помните: при любом тесте всегда возможны ложные срабатывания или отрицательные результаты. Лучше всего подтвердить тест дважды и проконсультироваться с врачом.
Где купить и как выбрать тест на беременность?
Купить тест на беременность можно в любой аптеке — подходящий можно выбрать из огромного числа брендов. Все они проверяют одно — наличие гормона ХГЧ в моче. Однако в зависимости от принципа работы, выделяют несколько типов тестов.
Важно: прежде чем записываться на прием к врачу, рекомендуется сделать тест хотя бы дважды.
Принцип работы струйных тестов такой: нужно помочиться на палочку или полоску и дождаться результата — определенного цвета или символа. Чтобы узнать, как интерпретировать результат, читайте инструкцию.
Погружные тесты работают так: нужно собрать мочу в чашку, а затем либо поместить в нее тестирующее устройство, либо капнуть на него небольшие капли мочи. Если моча содержит ХГЧ, это приведет к изменению цвета в индикаторной части теста через несколько минут.
Цифровые тесты на беременность облегчают процесс интерпретации результата теста. Вместо слабых линий, едва заметных плюсов или минусов и изменений в цвете цифровой тест дает результат, который легко читать, — либо беременна, либо нет.
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{"article":{"error":null,"payload":{"id":222,"slug":"gajd-po-testam-na-beremennost","title":"Научим разбираться в тестах на беременность: когда делать, от чего зависит точность, верить ли отрицательному результату и где покупать","description":"Все, что нужно знать о тестах на беременность, в одной статье.","href":"/news/gajd-po-testam-na-beremennost/","published":{"display":"23 ноября 2020","rfc3339":"2020-11-23T09:45:12+00:00"},"image":{"isTouch":{"retina":"https://vseapteki.ru/cropping/thumbnails/250/185/phoneMedium_retina/","default":"https://vseapteki.ru/cropping/thumbnails/250/185/phoneMedium_default/"},"isFromTablet":{"retina":null,"default":null}},"modified":{"display":"26 ноября 2021, 13:09:38","rfc3339":"2021-11-26T13:09:38.118906+00:00"},"content":"\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eТесты на беременность бывают двух видов: домашние (анализ мочи в домашних условиях) и клинические (анализ крови в больнице). И домашние, и клинические тесты проверяют одно и то же — наличие гормона хорионического гонадотропина человека (ХГЧ) в биоматериале (моче или крови). ХГЧ вырабатывается клетками, которые в конечном итоге образуют плаценту.\u003c/p\u003e\n\u003ch3\u003eЧто нужно знать о домашних тестах: когда правильно делать тест, что значит отрицательный результат, как найти самый точный и где купить. «Все аптеки» отвечают на эти вопросы.\u003c/h3\u003e\n\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"245\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/245/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003ch2\u003eПочему тесты определяют беременность именно по ХГЧ?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eЭто самый простой и надежный индикатор беременности. Его выделяют клетки зародыша и будущей плаценты. Как только оплодотворенная яйцеклетка имплантируется в слизистую оболочку ее матки, гормон попадает в кровь (иногда это происходит уже через шесть дней после оплодотворения яйцеклетки). После этого уровень ХГЧ увеличивается очень быстро: он удваивается каждые 48 часов до срока в 14 недель. Постепенно избыток ХГЧ начинает выделяться в мочу, а там его обнаруживают домашние тесты.\u003c/p\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eА там все просто: есть ХГЧ — есть беременность, нет ХГЧ — нет беременности.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЕсли беременность не входит в планы — подборка противозачаточных средств\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/list/protivozachatochnye_sredstva\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цены в аптеках\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch2\u003eКогда делать тест?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eПосле овуляции путь яйцеклетки от яичника до матки уходит около недели. Она можно оплодотворяться в любой момент: или в фаллопиевой трубе, или по достижении матки. Но производиться ХГЧ начинается только после имплантации оплодотворенных яйцеклеток в маточную стенку.\u003c/p\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eТочно предсказать, когда произошло оплодотворение, трудно: сперматозоиды могут жить в организме женщины до пяти дней. Именно по этой причине большинство домашних тестов на беременность советуют женщинам подождать: \u003cem\u003e\u003cstrong\u003eделать тест лучше на второй или третий день задержки или примерно на 15-16 день после овуляции.\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003ch3\u003eЕсли цикл нестабильный, идеальное время для теста определяется иначе:\u003c/h3\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eЕсли менструации происходят с интервалами меньше 21 дня или более 35 дней, а также если их периоды меняются от месяца к месяца, циклы считаются нерегулярными. \u003cstrong\u003e\u003cem\u003eВ этих случаях делать тест на беременность нужно делать через 36 дней с начала последней менструации или через четыре недели с момента последнего незащищенного секса.\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eМужские контрацептивы. Все средства, кроме воздержания\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/news/muzhskie_kontratseptivy_vse_sredstva_krome/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать больше\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch2\u003eТест отрицательный. Значит, беременности нет?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eЭто не так: тест может быть ложноотрицательным. Если спустя несколько дней после отрицательного результата месячные так и не появились, повторите тест. Второй отрицательный результат будет более достоверным, но даже слабая вторая полоска должна трактоваться как позитивный тест.\u003c/p\u003e\n\u003ch2\u003eПочему в инструкции рекомендуют делать тест утром?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eВероятность получить достоверный результат выше, когда биоматериал — моча — наиболее концетрированный: в нем больше ХГЧ. Это бывает утром. Поэтому большинство тестов рекомендуют делать анализ сразу после того, как проснулись, на второй день после пропуска менструации.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003e«Покупать кондомы мы стеснялись, поэтому скоро пришли за тестом на беременность». 10 реальных историй о неловких покупках презервативов\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/news/pokupat_kondomy_my_stesnyalis_poetomu_skoro/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eЧитать истории\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch2\u003eЕсть ли альтернативы тестами на беременность?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eСреди точных тестов — \u003cu\u003eтолько\u003c/u\u003e анализ крови на ХГЧ. Никакие народные тесты (с содой, йодом, марганцовкой или кипячением мочи) недостоверны. Современные тесты остаются наиболее достоверным и простым способом определить беременность.\u003c/p\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eЭто интересно: \u003ca href=\"https://vseapteki.ru/news/komsomolka_i_krasavitsa_tri_glavnyh_preparata/\" target=\"_blank\"\u003eКомсомолка и красавица: три главных препарата для женского здоровья\u003c/a\u003e\u003c/strong\u003e\u003c/li\u003e\u003c/ul\u003e\n\u003ch2\u003eНасколько точны домашние тесты на беременность и как выбрать самый точный?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eНаборы домашних тестов на беременность утверждают, что при правильном использовании они имеют точность от 97 до 99%.\u003c/p\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eВажный показатель в этом вопросе — чувствительность. Определить ее можно по коробке с тестом: чем меньшее число указано на упаковке, тем чувствительнее тест. Например, тест, чувствительность которого составляет 20 МЕ/л (международных единиц на литр), определяет беременность на более ранних этапах, чем тест с чувствительностью всего 50 МЕ/л.\u003c/p\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eСтоимость теста на беременность также может быть признаком его чувствительности: более дорогие, как правило, позволяют выявить беременность раньше.\u003c/p\u003e\n\u003ch2\u003eПочему тест может ошибаться?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eНа точность домашнего теста на беременность могут повлиять несколько факторов:\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eВремя сдачи теста. Если сдать тест слишком рано после предполагаемого зачатия, тест покажет отрицательный результат.\u003c/li\u003e\u003cli\u003eНарушения инструкции. Если не следовать инструкции, можно упустить важную деталь тестирования и получить ложный результат.\u003c/li\u003e\u003cli\u003eФизиологические особенности. У некоторых женщины во время беременности просто не производится столько гормона ХГЧ, чтобы его можно было обнаружить домашними тестами. В этом случае беременность можно определить только с помощью анализа крови.\u003c/li\u003e\u003c/ul\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003e\u003cstrong\u003eПомните: при любом тесте всегда возможны ложные срабатывания или отрицательные результаты. Лучше всего подтвердить тест дважды и проконсультироваться с врачом.\u003c/strong\u003e\u003c/p\u003e\n\u003ch2\u003eГде купить и как выбрать тест на беременность?\u003c/h2\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eКупить \u003ca href=\"https://vseapteki.ru/product/101971-frautest_test_dlya_opredeleniya_berem_ekspress/\" target=\"_blank\"\u003eтест на беременность\u003c/a\u003e можно в любой аптеке — подходящий можно выбрать из огромного числа брендов. Все они проверяют одно — наличие гормона ХГЧ в моче. Однако в зависимости от принципа работы, выделяют несколько типов тестов.\u003c/p\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003e\u003cstrong\u003eВажно: прежде чем записываться на прием к врачу, рекомендуется сделать тест хотя бы дважды.\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003e\u003ch3\u003e\u003ca href=\"https://vseapteki.ru/product/98915-test_na_beremennost_kliablu_easy/\" target=\"_blank\"\u003eСтруйные тесты\u003c/a\u003e\u003c/h3\u003e\u003c/li\u003e\u003c/ul\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eПринцип работы струйных тестов такой: нужно помочиться на палочку или полоску и дождаться результата — определенного цвета или символа. Чтобы узнать, как интерпретировать результат, читайте инструкцию.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/535/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"535\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eСтруйный тест на беременность\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/98915-test_na_beremennost_kliablu_easy/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cul\u003e\u003cli\u003e\u003ch3\u003e\u003ca href=\"https://vseapteki.ru/product/152193-test_na_opredelenie_beremennost_bereginya/\" target=\"_blank\"\u003eТест-полоски погружные\u003c/a\u003e\u003c/h3\u003e\u003c/li\u003e\u003c/ul\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eПогружные тесты работают так: нужно собрать мочу в чашку, а затем либо поместить в нее тестирующее устройство, либо капнуть на него небольшие капли мочи. Если моча содержит ХГЧ, это приведет к изменению цвета в индикаторной части теста через несколько минут.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/536/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"536\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eТест на беременность погружного типа\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/152193-test_na_opredelenie_beremennost_bereginya/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cul\u003e\u003cli\u003e\u003ch3\u003e\u003ca href=\"https://vseapteki.ru/product/149992-test_na_beremennost_kleablyu_tsifrovoy_s/\" target=\"_blank\"\u003eЦифровые тесты\u003c/a\u003e\u003c/h3\u003e\u003c/li\u003e\u003c/ul\u003e\n\u003cp style=\"margin-bottom:.0001pt; text-align:justify\"\u003eЦифровые тесты на беременность облегчают процесс интерпретации результата теста. Вместо слабых линий, едва заметных плюсов или минусов и изменений в цвете цифровой тест дает результат, который легко читать, — либо беременна, либо нет.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/537/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"537\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЦифровые тесты на беременность\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/149992-test_na_beremennost_kleablyu_tsifrovoy_s/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch3\u003eЧитайте также:\u003c/h3\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/sluchaynyy_seks_kak_zaschitit_sebya_ot/\" target=\"_blank\"\u003e\u003cstrong\u003eСлучайный секс: как защитить 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