Can a UTI Affect Pregnancy Test Results? 9+ Facts


Can a UTI Affect Pregnancy Test Results? 9+ Facts

Urinary tract infections (UTIs) and pregnancy tests both involve analysis of urine. While a UTI itself does not directly influence the hormones measured in a pregnancy test, certain associated factors might lead to misinterpretations or difficulties in obtaining an accurate result. For instance, blood in the urine, a potential symptom of a UTI, could interfere with some home pregnancy test readings. Similarly, some medications used to treat UTIs might impact hydration levels, potentially affecting urine concentration and test results.

Understanding the potential interplay between these two distinct health concerns is crucial for accurate interpretation of pregnancy test results. Misunderstanding or misreading a test due to UTI-related factors can lead to unnecessary anxiety or delayed appropriate medical care, whether for the UTI itself or a potential pregnancy. Historically, home pregnancy tests have evolved significantly in terms of sensitivity and specificity, reducing the likelihood of such interference, but awareness of potential confounding factors remains important.

This discussion will further explore the potential impact of UTIs on pregnancy testing, examining specific scenarios and recommendations for ensuring accurate results. Topics to be covered include the different types of pregnancy tests, common UTI symptoms that might complicate testing, and guidance on when to consult a healthcare professional for clarification or further evaluation.

1. UTI Symptoms

Certain UTI symptoms can complicate the interpretation of pregnancy test results. Frequent urination, a hallmark of UTIs, can lead to diluted urine, potentially impacting the concentration of pregnancy hormones and affecting the sensitivity of some tests. While this dilution doesn’t directly cause a false negative, it can make it harder for less sensitive tests to detect low levels of pregnancy hormones, particularly in early pregnancy. For instance, a woman experiencing frequent urination due to a UTI might receive a negative result on a less sensitive test, even if she is pregnant. Pain or burning sensation during urination, another common UTI symptom, does not directly interfere with the test’s chemical reaction, but it might discourage proper sample collection, potentially leading to an inconclusive or inaccurate reading.

Further complicating matters, some UTI symptoms, such as blood in the urine (hematuria), can directly interfere with certain home pregnancy test methodologies. Blood can mask the color change or line formation that indicates a positive result. This interference could lead to a false negative or an unclear reading, requiring retesting after the UTI resolves. The presence of leukocytes (white blood cells) and nitrites in the urine, while indicative of a UTI, does not directly impact the hormone detection mechanism of pregnancy tests. However, cloudy urine associated with these components might make visual interpretation of some tests more challenging.

Understanding the potential impact of UTI symptoms on pregnancy testing is critical for informed decision-making. Recognizing the possibility of interference emphasizes the importance of seeking professional medical advice for accurate interpretation of test results when UTI symptoms are present. Addressing the UTI promptly facilitates accurate pregnancy testing and ensures appropriate care for both conditions.

2. Test Accuracy

Test accuracy in pregnancy detection can be influenced by several factors, and understanding the potential impact of a urinary tract infection (UTI) is crucial for proper interpretation of results. While a UTI does not directly alter the presence or absence of pregnancy hormones, certain associated symptoms and treatment considerations can affect the reliability of home pregnancy tests. For example, hematuria (blood in the urine), a common symptom of UTIs, can interfere with the chemical reactions in some home pregnancy tests, potentially leading to a false negative or an ambiguous result. Similarly, certain antibiotics prescribed for UTIs can affect hydration levels, which in turn can influence urine concentration and the detectability of pregnancy hormones, especially in early pregnancy.

Consider a scenario where an individual with an undiagnosed UTI takes a home pregnancy test. The presence of blood in their urine might mask the indicator line or color change, leading to a false negative result. Conversely, altered hydration due to UTI medication might lead to a more concentrated urine sample, potentially enhancing the visibility of a faint positive line, even in the absence of pregnancy. Such scenarios underscore the importance of considering UTI symptoms and treatments when evaluating pregnancy test results. Furthermore, some over-the-counter UTI pain relievers can contain phenazopyridine, which can discolor urine and potentially affect the readability of a pregnancy test.

Accurate interpretation of pregnancy tests requires awareness of potential confounding factors like UTIs. Disregarding the possibility of interference could lead to delayed diagnosis of either condition, potentially impacting appropriate medical care. Recognizing the subtle ways UTIs can influence test results underscores the importance of consulting a healthcare professional for confirmation and guidance, especially when UTI symptoms are present. This ensures accurate assessment of both pregnancy status and UTI management, leading to timely and appropriate interventions.

3. Hormonal Influence

Understanding the influence of hormones on pregnancy tests is crucial for accurate interpretation of results. While urinary tract infections (UTIs) do not directly impact the hormones measured in pregnancy tests, they can indirectly affect test interpretation. This section explores how hormonal detection functions in pregnancy tests and the potential for UTI-related factors to lead to misinterpretations.

  • Human Chorionic Gonadotropin (hCG)

    Pregnancy tests detect hCG, a hormone produced by the developing placenta after embryo implantation. This hormone is excreted in urine, allowing for its detection by home pregnancy tests. A UTI does not produce or affect hCG levels. However, certain factors associated with UTIs can complicate the accurate detection of hCG.

  • UTI-Related Interference

    UTIs can lead to hematuria (blood in the urine), which may interfere with the chemical reactions in some pregnancy tests. The presence of blood can obscure the test result window, making interpretation difficult or leading to a false negative. Some UTI medications can also alter hydration levels, affecting urine concentration and potentially impacting the sensitivity of certain pregnancy tests, particularly in early pregnancy when hCG levels are lower.

  • Hormonal Fluctuations in Non-Pregnant Individuals

    Certain medical conditions unrelated to pregnancy can sometimes cause trace amounts of hCG to be present in the urine. These conditions are extremely rare and typically involve specific types of tumors. A UTI itself does not cause these hormonal fluctuations. However, if such a rare condition coexists with a UTI, it could complicate the interpretation of a pregnancy test.

  • Medications and hCG Levels

    While some fertility treatments may contain hCG, antibiotics and other medications used to treat UTIs do not influence hCG levels. However, as previously mentioned, certain medications can affect hydration, indirectly influencing urine concentration and thus the detectability of hCG in home pregnancy tests. This emphasizes the importance of considering medication use and hydration status when interpreting test results.

In summary, while a UTI does not directly impact hCG levels, associated factors can influence the accuracy and interpretation of pregnancy tests. Understanding these potential complications emphasizes the need for careful consideration of all factors and consultation with a healthcare professional when a UTI is suspected during pregnancy testing. This ensures accurate assessment of both conditions and guides appropriate medical management.

4. Medication Interference

Medication interference represents a crucial consideration when evaluating the potential impact of urinary tract infections (UTIs) on pregnancy test results. While UTIs themselves do not directly affect the hormones measured in pregnancy tests, certain medications prescribed for UTI treatment can indirectly influence the accuracy and interpretation of these tests. This influence primarily stems from the impact of these medications on hydration and urine concentration, as well as potential interference with the test’s chemical reactions.

Certain antibiotics, commonly prescribed for UTIs, can alter fluid balance within the body. This can lead to changes in urine concentration, potentially affecting the detectability of human chorionic gonadotropin (hCG), the hormone detected in pregnancy tests. For example, medications that increase urination can dilute the urine, potentially making it more difficult for some tests to detect low levels of hCG, especially during early pregnancy. Conversely, medications that reduce fluid excretion might concentrate the urine, potentially leading to a false positive or a more prominent positive result even with low hCG levels. Additionally, some UTI medications, such as phenazopyridine, can cause discoloration of urine, potentially interfering with the visual interpretation of certain home pregnancy tests. For instance, a reddish-orange discoloration caused by phenazopyridine could mask the color change or line formation typically indicative of a positive result.

Understanding the potential for medication interference is essential for accurate interpretation of pregnancy test results when a UTI is present or suspected. Neglecting to consider medication effects could lead to misinterpretation and subsequent mismanagement of either the UTI or a potential pregnancy. Therefore, individuals taking medication for a UTI should inform their healthcare provider when undergoing pregnancy testing. This allows for a comprehensive evaluation of all relevant factors and facilitates accurate interpretation of test results, ensuring appropriate medical care for both conditions.

5. Hydration Levels

Hydration levels play a significant role in the interpretation of pregnancy test results, particularly when a urinary tract infection (UTI) is present. Urine concentration is directly influenced by hydration status, and this concentration can impact the sensitivity and accuracy of pregnancy tests, which detect the presence of human chorionic gonadotropin (hCG). Understanding this interplay is crucial for accurate assessment of both UTIs and potential pregnancies.

  • Diluted Urine

    Inadequate hydration leads to concentrated urine, which can enhance the visibility of the faint lines sometimes observed in early pregnancy tests. Conversely, overhydration results in diluted urine, potentially reducing the concentration of hCG below the detectable threshold of some tests, especially less sensitive ones. This dilution effect could lead to a false negative result, even if pregnancy hormones are present. For example, an individual who consumes a large volume of water before taking a pregnancy test might receive a negative result due to diluted urine, despite being pregnant.

  • UTI Influence

    UTIs can further complicate the relationship between hydration and pregnancy test accuracy. Some UTI medications can increase urination frequency, leading to further dilution of urine and potentially reducing the sensitivity of pregnancy tests. This effect can be particularly pronounced in early pregnancy when hCG levels are naturally lower. For instance, an individual with a UTI taking a diuretic might experience significant urine dilution, potentially leading to a false negative pregnancy test result.

  • Impact on hCG Detection

    The concentration of hCG in urine is a key factor in the accuracy of pregnancy tests. Hydration levels directly affect this concentration. While highly sensitive tests can detect low levels of hCG even in diluted urine, less sensitive tests might require a higher concentration for a positive result. Therefore, variations in hydration can influence the reliability of different types of pregnancy tests. Understanding the sensitivity of the specific test used in conjunction with hydration status is important for accurate interpretation.

  • Recommendations for Testing

    To minimize the potential impact of hydration on pregnancy test results, following manufacturer instructions regarding testing time and avoiding excessive fluid intake before testing is crucial. If a UTI is suspected, consulting a healthcare professional is recommended for appropriate management and guidance on pregnancy testing. This ensures accurate interpretation of results and prevents potential misdiagnosis due to hydration-related factors. For example, a healthcare provider can advise on the optimal time for testing and interpret results in the context of potential UTI influences.

In summary, hydration levels are a crucial factor influencing the accuracy of pregnancy tests, especially in the context of UTIs. Variations in hydration can lead to fluctuations in urine concentration, impacting the detectability of hCG and potentially leading to misinterpretations. Recognizing this interplay and consulting a healthcare professional when a UTI is suspected ensures accurate assessment of both conditions and guides appropriate medical management. Accurate interpretation of pregnancy tests requires considering hydration status, UTI symptoms, and medication use for a comprehensive evaluation.

6. Blood in Urine

Hematuria, or blood in the urine, presents a significant consideration when evaluating the potential impact of urinary tract infections (UTIs) on pregnancy test results. While not all UTIs cause hematuria, its presence can significantly complicate the interpretation of home pregnancy tests. The interference stems from the impact of blood on the chemical reactions underlying these tests. Some home pregnancy tests rely on color changes or line formations to indicate the presence of human chorionic gonadotropin (hCG), the hormone associated with pregnancy. Blood in the urine can mask these visual indicators, leading to false negatives or ambiguous results. For instance, a woman with a UTI causing hematuria might take a home pregnancy test and observe a faint or distorted line, making it difficult to determine a positive result. Conversely, the presence of blood might completely obscure a positive result, leading to a false negative. This potential for misinterpretation underscores the importance of considering hematuria as a confounding factor when evaluating pregnancy test results in the context of a UTI.

Further complicating matters, the amount of blood present in the urine can influence the degree of interference. Trace amounts of blood, sometimes undetectable to the naked eye (microscopic hematuria), might have minimal impact on some tests, while visible blood (gross hematuria) is more likely to cause significant interference. Consider a scenario where an individual experiences a UTI with microscopic hematuria and takes a highly sensitive pregnancy test. The test might still accurately detect hCG despite the presence of blood. However, if the same individual uses a less sensitive test or experiences gross hematuria, the blood could interfere with the test’s accuracy. This variability highlights the importance of considering both the sensitivity of the pregnancy test and the degree of hematuria when interpreting results. The presence of blood, regardless of the amount, warrants further investigation by a healthcare professional to determine the underlying cause and ensure accurate pregnancy testing if needed.

In summary, hematuria associated with UTIs represents a potential source of interference in pregnancy testing. The presence of blood can mask the visual indicators used in many home pregnancy tests, potentially leading to misinterpretation and delayed diagnosis of pregnancy. Recognizing this potential complication reinforces the importance of consulting a healthcare professional when hematuria is present, regardless of suspected pregnancy. This ensures accurate diagnosis and management of both conditions and facilitates informed decision-making regarding appropriate medical care.

7. Test Methodology

Understanding the methodologies employed in pregnancy tests is crucial for interpreting results accurately, particularly when considering the potential influence of urinary tract infections (UTIs). Different test methodologies possess varying sensitivities and mechanisms for detecting human chorionic gonadotropin (hCG), the hormone indicative of pregnancy. These variations can influence the potential for interference from UTI-related factors like hematuria or changes in urine concentration. Two primary types of pregnancy tests are commonly used: urine-based home tests and blood tests performed in clinical settings. Urine-based tests predominantly rely on immunoassay techniques, employing antibodies that bind specifically to hCG. These tests typically involve a visual indicator, such as a color change or line formation, to signal a positive result. Blood tests, on the other hand, offer higher sensitivity and can quantify hCG levels, providing more precise information about pregnancy status.

The specific methodology employed in a urine-based pregnancy test can influence its susceptibility to interference from UTI-related factors. Lateral flow immunoassays, commonly used in home pregnancy tests, involve capillary action drawing urine across a membrane containing immobilized antibodies. The presence of hCG triggers a visible reaction, typically a colored band or line. However, the presence of blood in the urine, a potential symptom of a UTI, can interfere with this reaction, potentially masking the visibility of the indicator and leading to a false negative or indeterminate result. Similarly, significant changes in urine concentration due to UTI-related dehydration or medication use can influence the detectability of hCG in some tests. For instance, a highly diluted urine sample might produce a faint or undetectable line even in the presence of hCG, while a highly concentrated sample could enhance the visibility of a faint line, potentially leading to misinterpretation. Blood tests, being less susceptible to interference from urine characteristics, offer a more reliable method for confirming pregnancy status when UTI symptoms are present.

In summary, the methodology employed in pregnancy testing plays a crucial role in the accuracy and interpretation of results, particularly when considering the potential impact of UTIs. Understanding the different types of tests and their susceptibility to interference from UTI-related factors is essential for informed decision-making. When UTI symptoms are present, consultation with a healthcare professional is recommended for appropriate management and guidance on the most reliable testing method. This ensures accurate assessment of both pregnancy status and UTI management, facilitating appropriate medical care and informed decision-making. A thorough understanding of test methodologies empowers individuals and healthcare providers to interpret results accurately, minimizing the potential for misdiagnosis due to UTI-related interference.

8. False Positives/Negatives

The possibility of false positive or false negative pregnancy test results represents a critical aspect of understanding the interplay between urinary tract infections (UTIs) and pregnancy testing. While a UTI does not directly cause a false positive pregnancy test, certain associated factors can contribute to misinterpretations. For instance, hematuria (blood in the urine), a common UTI symptom, can interfere with the chemical reactions in some home pregnancy tests, potentially leading to a false negative result. The presence of blood can mask the indicator line or color change, obscuring a positive result. Conversely, certain medications used to treat UTIs, particularly those affecting hydration levels, can indirectly influence test results. Dehydration can concentrate urine, potentially making a faint positive line more prominent, even in the absence of pregnancy. While this isn’t a true false positive in the sense of a chemical reaction error, it can lead to misinterpretation of the test result.

Consider a scenario where an individual experiencing a UTI with hematuria takes a home pregnancy test. The blood in the urine might interfere with the test’s detection mechanism, leading to a false negative result, even if the individual is pregnant. Alternatively, an individual taking a diuretic for a UTI might experience increased urine concentration, potentially leading to a more pronounced faint line on a pregnancy test, which could be misinterpreted as a positive result. These scenarios highlight the practical significance of understanding the potential for interference from UTI-related factors. Furthermore, certain rare medical conditions, unrelated to UTIs but potentially causing trace amounts of hCG in the urine, could contribute to a false positive result. While exceptionally uncommon, such occurrences emphasize the complexity of interpreting pregnancy tests in certain situations.

Accurate interpretation of pregnancy test results requires careful consideration of potential confounding factors, including UTIs and associated symptoms or treatments. Misinterpretation due to UTI-related interference can lead to delayed diagnosis of pregnancy or unnecessary anxiety. Therefore, consulting a healthcare professional is crucial for accurate assessment and guidance, particularly when UTI symptoms are present. This ensures appropriate management of both conditions and facilitates informed decision-making regarding pregnancy and healthcare. Understanding the potential for false positives and negatives in the context of UTIs empowers individuals to seek professional clarification when needed, promoting accurate diagnosis and timely medical care.

9. Professional Consultation

Professional consultation plays a crucial role in accurately interpreting pregnancy test results when a urinary tract infection (UTI) is suspected. While UTIs do not directly impact the hormones measured in pregnancy tests, associated symptoms and treatment considerations can influence test accuracy and interpretation. Seeking professional guidance ensures accurate assessment of both conditions and facilitates informed decision-making.

  • Accurate Diagnosis

    Healthcare professionals possess the expertise to differentiate between UTI symptoms and early pregnancy symptoms, which can sometimes overlap. For example, frequent urination can occur in both conditions, potentially leading to confusion. A professional evaluation can determine the underlying cause and guide appropriate testing and treatment. Accurate diagnosis prevents misinterpretation of pregnancy test results due to UTI-related factors.

  • Interference Assessment

    Certain UTI symptoms, such as hematuria (blood in the urine), can interfere with home pregnancy tests. A healthcare professional can assess the potential for interference and recommend alternative testing methods, such as a blood test, if necessary. This ensures accurate pregnancy detection despite the presence of UTI-related factors.

  • Medication Evaluation

    Some medications prescribed for UTIs can influence hydration levels, potentially impacting the concentration of urine and affecting the sensitivity of pregnancy tests. A healthcare professional can evaluate medication use and its potential impact on test results, providing guidance on accurate interpretation. For example, a physician might recommend delaying pregnancy testing until after completing a course of antibiotics to minimize potential interference.

  • Comprehensive Management

    Professional consultation facilitates comprehensive management of both UTIs and pregnancy, if confirmed. Healthcare providers can offer appropriate treatment for UTIs while considering the potential impact on pregnancy or vice versa. This integrated approach ensures optimal care for both conditions. For example, a physician might recommend specific antibiotics safe for use during pregnancy if a UTI is diagnosed.

In summary, professional consultation is essential for accurate interpretation of pregnancy test results when a UTI is suspected. Healthcare professionals provide expert assessment, considering all relevant factors to ensure accurate diagnosis and appropriate management of both conditions. This minimizes the potential for misinterpretation due to UTI-related interference, promoting informed decision-making and timely medical care. Seeking professional guidance empowers individuals to navigate the complexities of these interconnected health concerns, facilitating optimal outcomes for both UTIs and pregnancy.

Frequently Asked Questions

This section addresses common inquiries regarding the potential influence of urinary tract infections (UTIs) on pregnancy test results.

Question 1: Can a UTI cause a false positive pregnancy test?

A UTI does not directly cause a false positive pregnancy test. Pregnancy tests detect the hormone human chorionic gonadotropin (hCG), which is not produced due to a UTI. However, certain medications used to treat UTIs can influence hydration levels, potentially affecting urine concentration and the interpretation of test results. Additionally, some rare medical conditions can cause trace amounts of hCG to be present, leading to a false positive, but these are unrelated to UTIs.

Question 2: Can a UTI cause a false negative pregnancy test?

While a UTI doesn’t directly cause a false negative, associated factors can interfere with accurate interpretation. Hematuria, or blood in the urine, a potential UTI symptom, can interfere with the chemical reactions in some home pregnancy tests, potentially masking a positive result. Changes in hydration due to UTI medications can also influence urine concentration and test sensitivity.

Question 3: How does blood in the urine affect a pregnancy test?

Blood in the urine, often associated with UTIs, can interfere with the visual interpretation of some home pregnancy tests. The presence of blood might mask the indicator line or color change, leading to a false negative or an ambiguous result. The degree of interference depends on the amount of blood present and the specific test used.

Question 4: Should one wait to take a pregnancy test if experiencing UTI symptoms?

If experiencing UTI symptoms, consulting a healthcare professional is recommended before taking a pregnancy test. Addressing the UTI first allows for more accurate interpretation of the pregnancy test results. A healthcare professional can provide guidance on the appropriate timing for testing and interpret the results in the context of the UTI.

Question 5: Which type of pregnancy test is more reliable if a UTI is present?

Blood pregnancy tests performed in a clinical setting are generally less susceptible to interference from UTI-related factors. These tests measure hCG levels directly in the blood, providing a more definitive result than urine-based home tests, which can be affected by blood in the urine or changes in urine concentration.

Question 6: What should one do if unsure about a pregnancy test result while experiencing a UTI?

Consult a healthcare professional. They can evaluate the situation, considering the UTI symptoms, medication use, and pregnancy test result, and provide appropriate guidance and further testing if necessary. Professional consultation ensures accurate assessment and informed decision-making.

Accurate interpretation of pregnancy tests requires consideration of potential confounding factors, including UTIs. Consulting a healthcare professional is crucial for informed decision-making.

Further information regarding UTIs, pregnancy testing, and related health concerns will be explored in subsequent sections.

Tips for Accurate Pregnancy Testing When a UTI is Suspected

Accurately interpreting pregnancy test results requires careful consideration of potential confounding factors, including urinary tract infections (UTIs). The following tips offer guidance for navigating this situation.

Tip 1: Consult a healthcare professional.
Professional consultation is paramount when UTI symptoms are present. Healthcare providers can assess the situation comprehensively, considering all relevant factors, including UTI symptoms, medication use, and pregnancy test results. This ensures accurate diagnosis and appropriate management of both conditions.

Tip 2: Address the UTI first.
Prioritizing UTI treatment facilitates more accurate pregnancy testing. UTI symptoms like hematuria can interfere with some tests. Addressing the infection before testing minimizes the potential for misinterpretation due to UTI-related factors.

Tip 3: Consider a blood pregnancy test.
Blood tests conducted in clinical settings offer higher sensitivity and are less susceptible to interference from UTI-related factors like hematuria or changes in urine concentration. These tests provide a more definitive result, especially when UTI symptoms are present.

Tip 4: Follow pregnancy test instructions carefully.
Adhering to manufacturer instructions regarding testing time and sample collection is crucial for accurate results. Deviations from instructions can impact test sensitivity and reliability, potentially leading to misinterpretations.

Tip 5: Be mindful of hydration levels.
Hydration status influences urine concentration, which can impact the detectability of pregnancy hormones. Avoiding excessive fluid intake before testing and ensuring adequate hydration can minimize the potential for misleading results.

Tip 6: Disclose all medications to healthcare providers.
Informing healthcare professionals about all medications, including those for UTIs, is crucial. Certain medications can influence hydration levels and potentially impact pregnancy test results. This disclosure facilitates accurate interpretation of test findings.

Tip 7: Retest if uncertainty persists.
If initial pregnancy test results are unclear or if UTI symptoms persist, repeating the test after completing UTI treatment is advisable. Retesting under optimal conditions minimizes the potential for interference and enhances accuracy.

Following these tips helps ensure accurate and reliable pregnancy testing, even when a UTI is suspected. These precautions minimize the potential for misinterpretation and facilitate informed decision-making regarding pregnancy and healthcare.

The subsequent conclusion will summarize the key takeaways and underscore the importance of professional consultation in navigating the complexities of UTIs and pregnancy testing.

Conclusion

The exploration of whether a urinary tract infection (UTI) can affect a pregnancy test result reveals a nuanced relationship. While a UTI does not directly alter the presence or absence of pregnancy hormones, associated factors can influence test accuracy and interpretation. Hematuria, medication-induced changes in hydration, and the specific test methodology employed can all contribute to potential misinterpretations. Accurate assessment requires careful consideration of these factors. Professional consultation is crucial for navigating the complexities of concurrent UTIs and pregnancy testing. Healthcare providers offer expertise in differentiating overlapping symptoms, assessing potential interference, and recommending appropriate testing strategies. This guidance ensures accurate diagnosis and informed decision-making regarding both conditions.

The potential for misinterpretation underscores the importance of seeking professional guidance when UTI symptoms coexist with the need for pregnancy testing. Accurate and timely diagnosis of both conditions is essential for appropriate medical management and informed healthcare decisions. Disregarding the potential influence of UTIs on pregnancy test results can lead to delayed diagnosis and potentially adverse outcomes. Prioritizing professional consultation empowers individuals to navigate these interconnected health concerns effectively, promoting optimal well-being and informed decision-making.