Pregnancy: Ultrasound Weeks 1 & 2

Weeks one and two of your pregnancy actually start the first day of your last menstrual cycle. That’s right, technically, you’re pregnant even before you conceive. The doctors start counting at this point because it’s challenging to pinpoint when ovulation and conception occur. Plus, sperm can stick around for several days, or the egg may show up late—the human body isn’t always precise. It’s not hard to determine the first day of your period, however, so this is the date that doctors usually pick.

Physiological Development

At week one, you’re on your menstrual cycle. During this time, there are around 20 eggs occupying follicles, which are fluid-filled sacs. Roughly fourteen days after the first day of your period, one of the follicles releases an egg into the fallopian tube. This is ovulation and the best time to try and conceive, as it is when you are most fertile.

Your 1 & 2 Week Ultrasound

Unless you’re experiencing pelvic pain (which would not be related to pregnancy, as you are not yet pregnant) or any other problems, you will not have an ultrasound during the first two weeks of pregnancy. If everything is normal, then there’s nothing to see but an empty womb. Most pregnant women don’t even have their first ultrasound until about 20 weeks in.

Changes in You

Aside from the usual side effects of menstruating (cramps, bloating, etc.), you are not going to notice any changes, because there is nothing there to cause them. You may, however, notice some of the following changes when you are ovulation, which, if you want to get pregnant, should signal to you that this is the time to try to conceive:

  • Egg white cervical mucus—thin and stretchy fluid that, as the name suggests, looks like egg whites. It’s there to help sperm glide through the vagina so that it can meet the egg. There will also be more of it, making you feel wetter during sex.
  • You may experience some breast tenderness.
  • Increased sex drive
  • Bloating
  • Slight increase in temperature

What You Should Be Doing

If you’re looking to get pregnant, then you should be monitoring your body for signs of ovulation; the presence of excess cervical mucus will likely be one of the best physical indicators. You should also schedule a preconception visit with a practitioner to talk about genetic diseases and other hazards that could affect your pregnancy. You’ll also want to start taking 400 micrograms of folic acid a day. You can get these from vitamin supplements, but it’s often best to get your nutrients from actual food, such as lentils, various types of beans, spinach, asparagus, and broccoli.

The End of Week 2 At the end of week two, if the egg was fertilized successfully, then it will move into the uterus. Fertilization does not usually take place until the end of the week, or it may not occur until week 3, but you won’t know if you’ve conceived for a few more weeks.

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