When it comes to pregnancy tests, timing is everything. Whether you're hoping for a positive result or anxiously awaiting confirmation that you're not pregnant, the reliability of the test is crucial. But what happens when you find an old test tucked away in your bathroom cabinet? Can you trust an expired pregnancy test? Let's dive into this topic and uncover the truth about using outdated pregnancy tests.

The science behind pregnancy tests

Before we delve into the reliability of expired tests, it's essential to understand how pregnancy tests work. Pregnancy tests are designed to detect the presence of human chorionic gonadotropin (hCG), commonly known as "the pregnancy hormone." When you're pregnant, your body begins producing hCG shortly after the fertilized egg attaches to the uterine wall. Home pregnancy tests are designed to detect this hormone in your urine. 

Most modern pregnancy tests use antibodies that bind to hCG molecules. When these antibodies detect hCG, they trigger a chemical reaction that produces a visible result — usually in the form of a line, plus sign, or digital readout indicating "Pregnant" or "Not Pregnant."

These tests have revolutionized the way women can monitor their reproductive health from the comfort of their own homes. However, like many medical products, pregnancy tests come with an expiration date for a reason.

couple smiling at pregnancy test results

The importance of expiration dates

You might be wondering why pregnancy tests have expiration dates in the first place. After all, they're not food items that can spoil, right? While it's true that pregnancy tests don't "go bad" in the traditional sense, their components can degrade over time, potentially affecting their accuracy.

The chemicals and antibodies used in pregnancy tests are sensitive to environmental factors such as temperature, humidity, and light exposure. Over time, these elements can break down or become less reactive, which may lead to false results or no result at all. The expiration date on a pregnancy test is the manufacturer's guarantee that the test will perform as intended up to that date, assuming it has been stored properly.

Can an expired pregnancy test work?

While an expired test might still work, there's no guarantee of its accuracy. Using an expired test could lead to false positives or false negatives, both of which can have significant emotional and practical implications.

A false negative could delay important prenatal care if you are indeed pregnant. On the other hand, a false positive could cause unnecessary stress and potentially lead to medical interventions that aren't actually needed. That's why it's always better to err on the side of caution and use a test that's within its expiration date.

woman holding an expired pregnancy test

Factors affecting pregnancy test reliability

Several factors can influence the reliability of a pregnancy test, regardless of whether it's expired or not. These include:

  • Storage conditions: Tests exposed to extreme temperatures or humidity may degrade faster.
  • User error: Not following the instructions precisely can lead to inaccurate results.
  • Timing of the test: Testing too early in your cycle may not detect low levels of hCG.
  • Medication interference: Some medications, including fertility treatments, can affect test results.

When using an expired test, these factors become even more critical, as the test's baseline reliability is already compromised.

What to do if you only have an expired test

If you find yourself in a situation where you only have access to an expired pregnancy test, it's important to approach the results with caution. Here are some steps you can take:

1. Use the test, but don't consider the results definitive. Think of it as a preliminary step rather than a final answer.

2. Follow up with a new, unexpired test as soon as possible. Many drugstores offer affordable options, and some community health centers provide free pregnancy tests.

3. If you receive a positive result on an expired test, schedule an appointment with your healthcare provider for confirmation and to discuss next steps.

4. If you receive a negative result but still suspect you might be pregnant, wait a few days and retest with a new, unexpired test. Remember that hCG levels increase rapidly in early pregnancy, so testing too early can sometimes lead to false negatives.

woman having first prenatal appointment

Empowering yourself with accurate information

As women, we have the right to accurate, reliable information about our bodies and our health. Using expired pregnancy tests can potentially rob us of that right by providing unreliable results. It's crucial to advocate for ourselves by ensuring we have access to up-to-date, properly stored pregnancy tests when we need them.

Consider keeping a fresh pregnancy test in your home for unexpected situations. When purchasing tests, check the expiration date and opt for the ones with the longest shelf life. Store them in a cool, dry place away from direct sunlight to maintain their efficacy for as long as possible.

Remember, few moments are as pivotal as discovering whether or not you're pregnant. It's a time that deserves clarity and certainty — something an expired pregnancy test simply cannot provide with confidence. While it may be tempting to use that old test you found in the back of your drawer, try to resist the urge. Your health and peace of mind are worth the investment! 


Kristyn Hodgdon is the Co-Founder and Chief Creative Officer at Rescripted.