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HCG blood test - qualitative

Alternative Names: Beta-HCG in blood serum - qualitative; Human chorionic gonadotrophin - serum - qualitative; Pregnancy test - blood - qualitative; Serum HCG - qualitative; HCG in blood serum - qualitative

A qualitative HCG blood test checks to see if there is a hormone called human chorionic gonadotropin in your blood. HCG is a hormone normally produced during pregnancy.

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Why is the Test Performed?

Most often, this test is performed to determine if you are pregnant or not. The serum HCG level may also be high in women with certain types of ovarian tumors or men with testicular tumors.

How is the Test Performed?

Blood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.

Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm.

Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

Preparation for the Test

No special preparation is usually necessary.

How will the Test Feel?

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

HCG blood test - qualitative Risks

There is very little risk involved with having your blood taken. Veins and arteries vary in size from one patient to another and from one side of the body to the other. Taking blood from some people may be more difficult than from others.

Other risks associated with having blood drawn are slight but may include:

  • Excessive bleeding
  • Fainting or feeling light-headed
  • Hematoma (blood accumulating under the skin)
  • Infection (a slight risk any time the skin is broken)

Considerations

False positive tests may occur when certain hormones are increased, such as after menopause or when taking hormone supplements.

A pregnancy test is considered to be about 98% accurate. When the test is negative but pregnancy is still suspected, the test should be repeated in 1 week.

Normal Results for HCG blood test - qualitative

  • The test is negative if you are not pregnant.
  • The test is positive if you are pregnant.

What Abnormal Results Mean

If your serum HCG is positive and you do not have a pregnancy properly implanted in the uterus, it may indicate:

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Review Date: 11/21/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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