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How to use ovulation (LH) tests

Pee sticks that give you a heads-up – here’s how to get the most out of them.

Fertility & TTC4 min read

Written by the Splash teamSources checked

On this page 4 sections
  1. Quick answer
  2. Step by step
  3. When tests get confusing
  4. Sources

Quick answer

  • LH tests detect the surge that comes before ovulation.
  • A positive usually means ovulation within about 36 hours.
  • Test daily from around day 10 (later with longer cycles).
  • Pair with BBT to confirm ovulation actually happened.

Ovulation tests (often called OPKs) look for the LH surge – the hormone spike that tells your ovary “release the egg!”. A positive usually means ovulation is coming within about 36 hours, which makes them handy for planning.

~36 hrs
Typical time from a positive LH test to ovulation (Cleveland Clinic)See sources

Step by step

  1. Work out when to start. Cleveland Clinic suggests around day 10 of a typical cycle; with longer cycles, start a few days later.
  2. Test at roughly the same time each day and read your test’s leaflet for its preferred time.
  3. Try not to drink loads right before testing – very diluted pee can make the line fainter.
  4. Read the result in the time window the leaflet gives. A test line as dark as (or darker than) the control line usually counts as positive.
  5. Keep testing daily until you get a positive, then log it in the app.

When tests get confusing

  • Faint lines on most days are normal – there’s always a little LH around.
  • Some people with PCOS can have high LH levels much of the time, giving lots of positives.
  • A positive shows the surge, not proof that an egg was released. A temperature rise afterwards helps confirm it.
  • Some medications and recent pregnancy can affect results – check the leaflet.
MythA positive LH test means you ovulated.
Fact

It means the surge happened and ovulation is likely soon. It can’t guarantee an egg was released.

Quick quizYou get a positive LH test on Tuesday morning. When is ovulation most likely?
  1. The previous weekend
  2. Within about the next day and a half
  3. In a week
Show the answer

B. Within about the next day and a half

Ovulation typically follows within about 36 hours of a positive test.

Sources

  1. Cleveland Clinic – Ovulation
  2. NHS – Trying to get pregnant
  3. Cleveland Clinic – Anovulation

Written by the Splash teamSources checked

This is general information, not medical advice. Splash can’t diagnose. If you’re worried, talk to a GP, pharmacist or sexual health clinic. In an emergency call 999 (UK) or 911 (US). How we write and check articles.

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