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Accu-Clear Ovulation Test works by detecting the increase (surge) in Luteinizing hormone (LH) in your urine. The LH surge occurs approximately 24-36 hours prior to the release of an egg from the ovary – a process known as ovulation. You are at your most fertile on the day your LH surge is detected and the day after. Unlike basal body temperature method (BBT), Accu-Clear Ovulation Test indicates that ovulation is about to happen. BBT rises after ovulation has occurred. Having sex on the day your LH surge is detected and the day after maximizes your chances of getting pregnant. Accu-Clear Ovulation Test is over 99% accurate at detecting the LH surge. Accu-Clear Pregnancy Test can detect pregnancy as early as 6 days before the missed period.[2] It is over 99% accurate from the day of your expected period.[1] Direction: See leaflet included in packaging. Indications/Uses: [1]78% of pregnancies can be detected 6 days before the missed period (5 days before the expected period). [2]99% accurate at detecting typical pregnancy hormone levels. Note that hormone levels vary. See insert. Warnings: For in vitro diagnostic use (not for internal use). Do not use this test past the expiration date. The test device should remain in the sealed pouch until use. Do not use if the pouch is torn or not sealed. The test cannot be reused. The test is to be stored at 36°F - 86°F (2°C - 30°C) in the sealed pouch. DO NOT FREEZE. The test is stable until the expiration date printed on both the sealed pouch and outer box. OVULATION TEST ONLY: This test may not be used as a form of birth control.