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A urine pregnancy test is a rapid, over-the-counter test used to detect the presence of human chorionic gonadotropin (hCG) in a woman's urine. hCG is a hormone produced by the placenta shortly after fertilization. If a woman is pregnant, hCG will be present in her urine and can be detected by the test. Urine pregnancy tests are generally accurate when taken after a missed period, but for more sensitive results, it is recommended to wait a few days after the expected start of your menstrual cycle.