How to know if you are pregnant ? : first gynecological appointment

When should you make an appointment with the gynecologist to confirm the pregnancy?

As soon as you think you're pregnant. Knowing that commercially available pregnancy tests are very reliable.

Will a gynecological appointment make it possible to know if one is pregnant?

It depends on the term of pregnancy: when it is very early, a blood test with quantification of betas HCG confirms. When the term is more advanced, the clinical examination allows it.

What are the methods for calculating the theoretical term of pregnancy?

The actual term to 3 days is best determined by early ultrasound, that is to say before 12 weeks of amenorrhea. This is the only test to affirm a specific date of pregnancy to 3 days.

Can we determine from the first visit, the possible risks?

We can not determine the risks of spontaneous miscarriage, but it is very important to adopt preventive measures concerning alcohol, tobacco, working conditions, the duration of daily transport, family medical history, etc ... With regard to the specific risks to pathologies such as obesity or diabetes, it is preferable to have consulted before pregnancy to better frame it. Finally, the "recommendations of good practice" recommend the taking of folic acid from the end of the contraception (whatever it is) until the first 2 months of pregnancy (decrease of 50 to 70% of the neural tube defects in the fetus).

What are the tests to be done after the first visit?

There is a blood test to determine the serological status of the future mother (toxoplasmosis, rubella, hepatitis, syphilis, etc ...) as well as a blood count and blood group. An ultrasound at 12 weeks amenorrhea determines the term as well as the thickness of the neck and detects possible malformations. This ultrasound coupled with a specific blood test can give a potential risk of trisomy 21. And then consider further examinations ...

How many appointments will you have to take with the gynecologist for the rest of the pregnancy?

One appointment per month up to 8 months, then every 15 days for the end of the pregnancy.

Want to share, share your experience or need advice? Appointment in our FORUMS Gynecology, Ovulation, Pregnancy, .... or A doctor answers you !

Sources and notes:
Grand Book of Pregnancy, French National College of Gynecologist-Obstetricians, Eyrolles, 2015-2016.

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