Seeing a positive pregnancy test can bring a lot of thoughts and emotions all at once—especially if the pregnancy wasn’t planned.

You may be wondering whether the result is accurate, how far along you are, or what you should do next.

You don’t have to figure everything out at once. Taking things one step at a time can help you get the information you need to better understand your pregnancy and your next steps.

Here’s where to begin.

Can I Trust a Positive Pregnancy Test?

Home pregnancy tests detect human chorionic gonadotropin, or hCG, a hormone produced during pregnancy. When used correctly, home pregnancy tests are generally reliable, and false-positive results are uncommon.

If you received a positive result at home, your next step should be to confirm your pregnancy and talk with a healthcare professional about appropriate care.

Why Might I Need an Ultrasound?

A positive pregnancy test can tell you that hCG has been detected, but it cannot tell you everything about your pregnancy.

An ultrasound can provide important information, including where the pregnancy is located and measurements that can help estimate how far along you are. Depending on how early the ultrasound is performed, it may also detect fetal cardiac activity.

Confirming that a pregnancy is located in the uterus is important because an ectopic pregnancy occurs when a fertilized egg implants outside the main cavity of the uterus, most commonly in a fallopian tube. An ultrasound is one of the tools healthcare professionals use when evaluating the location of a pregnancy.

How Far Along Am I?

It can be difficult to know exactly how far along you are based only on when you received a positive pregnancy test.

Pregnancy is typically dated beginning with the first day of your last menstrual period, but menstrual cycles and ovulation can vary. An ultrasound can provide measurements that help estimate gestational age.

Knowing approximately how far along you are can give you more information about your pregnancy and help you understand your next steps.

Are There Symptoms I Shouldn’t Ignore?

Some symptoms during early pregnancy should be evaluated promptly.

Seek emergency medical care if you experience severe abdominal or pelvic pain with vaginal bleeding, extreme lightheadedness or fainting, or shoulder pain. These can be warning signs of an ectopic pregnancy, which can become life-threatening if it ruptures.

If you have questions or concerns about symptoms you are experiencing, contact your healthcare provider.

Do I Have to Decide What to Do Right Away?

No. A positive pregnancy test may leave you feeling as though you need to make an immediate decision, but you can take time to gather accurate information and understand your options.

Knowing more about your pregnancy—including how far along you may be and whether the pregnancy is located in the uterus—can help you better understand your situation before making decisions about what comes next.

You deserve the opportunity to ask questions, receive accurate information, and consider your next steps without pressure.

Where Can I Get a Free Pregnancy Test and Ultrasound in Columbia, SC?

If you think you may be pregnant, Daybreak LifeCare Center provides pregnancy testing in Columbia, South Carolina, at no cost.

If your pregnancy test is positive and you meet the appropriate criteria, you may also be eligible for a limited obstetrical ultrasound at no cost.

Our team provides a safe, confidential, and non-judgmental environment where you can ask questions, learn more about your pregnancy, and receive information about your options and available resources.

You don’t have to walk through an unexpected pregnancy alone.

Call 803-771-6634 to schedule an appointment.

Sources

Home Pregnancy Tests: Can You Trust the Results?
Mayo Clinic. April 1, 2026.
https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940

Pregnancy Tests.
Office on Women’s Health, U.S. Department of Health and Human Services. Updated October 24, 2025.
https://womenshealth.gov/a-z-topics/pregnancy-tests

Ectopic Pregnancy — Symptoms & Causes.
Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/symptoms-causes/syc-20372088

Ectopic Pregnancy — Diagnosis & Treatment.
Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/ectopic-pregnancy/diagnosis-treatment/drc-20372093