How soon after a missed period can you take a pregnancy test and it be accurate?

At about four weeks (pregnant) is when the hormone (hcg) is high enough in your urine and blood for it is be detectable. So it would depend on when you had sex during your cycle. If it was four weeks ago then yes it should be detectable. If you only had sex a week ago (meaning you may be a week pregnant); then no the hormone will not be detectable and it will come back negative.

as little as five days with some of them.
most pregnancy tests work now from the day you have missed your period, some can work earlier than that.

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