Pregnancy math confuses almost everyone at first, even people who tracked ovulation carefully.
I have been writing about pregnancy online since 1995, and this question still shows up in almost every early pregnancy conversation. How can I already be four weeks pregnant? Why does my due date not match when I think I conceived?
It can feel like you skipped something important.
You did not.
Let’s walk through how pregnancy dating actually works.
Biologically, pregnancy begins when:
That usually happens about two weeks after your last period started if you have a typical 28 day cycle.
So conception does not happen in week 1.
But medical dating includes those weeks anyway.
Healthcare providers calculate pregnancy due dates starting from the first day of your last menstrual period.
Why?
Because:
It creates a standardized system so everyone is using the same calendar.
Even though you were not technically pregnant during weeks 1 and 2, those weeks are included to create consistency.
Here is what pregnancy dating looks like in a typical cycle:
Week 1: Period
Week 2: Ovulation
Week 3: Fertilization and implantation
Week 4: Missed period and positive pregnancy test
By the time hCG levels are high enough to show up on a test, you are usually about four weeks pregnant by medical dating.
It feels fast because the clock started earlier than you expected.
That does not mean you missed anything.
Many people do not ovulate on day 14.
If you have longer cycles, shorter cycles, irregular cycles, or you were not tracking ovulation, then a due date based only on your last period may not perfectly reflect when conception happened.
This is where early ultrasound can take much of the guesswork out.
In the past, due dates were often calculated simply as:
First day of last period plus 280 days
Or conception date plus 266 days
But we now understand how much ovulation timing varies.
An early ultrasound, usually between 7 and 11 weeks, measures the embryo’s crown rump length. In the first trimester, embryos grow at a very predictable rate. That makes early measurements more accurate for dating than last period alone, especially if cycles are irregular.
Today, most providers:
After talking with thousands of pregnant people over the years, I can tell you that a due date shifting by a few days at an early scan is incredibly common. It usually reflects better measurement, not a problem.
After about 20 weeks, ultrasound dating becomes less precise.
Why?
Because babies begin showing normal anatomical variation.
One baby may measure slightly larger. Another may measure slightly smaller. That does not automatically mean the due date was wrong.
If you have a six foot three fiancé and a five foot two grandfather, your baby’s growth pattern may reflect that genetic mix. Later size differences are often about normal variation, not incorrect dating.
That is why providers generally avoid changing due dates in the second or third trimester unless there is a strong medical reason. Early measurements are about timing. Later measurements are about growth.
Pregnancy Dating
Starts with the first day of your last period
Includes about two weeks before ovulation
Used for appointments and due date calculation
Conception Dating
Starts with fertilization
Happens around week 2 of medical dating
Harder to confirm unless ovulation was precisely tracked
Both systems describe the same pregnancy. They simply begin counting at different points.
It can feel disorienting to realize you are already a month into something you just discovered.
You might wonder:
Did I miss something important?
Should I have been doing something differently?
You did not miss anything.
Pregnancy math simply starts earlier than most people expect.
And remember, babies do not read clocks or calendars. A due date is an estimate. It is a planning tool, not a deadline.
How are you calculating my due date?
A reasonable answer might sound like:
We start with your last menstrual period and confirm with an early ultrasound if needed.
Will my due date change if I ovulated later?
A reasonable answer might sound like:
If early ultrasound measurements differ significantly from last period dating, we may adjust the due date.
Why are you not changing my due date at 24 weeks?
A reasonable answer might sound like:
Later ultrasounds are less accurate for dating because babies grow at different rates. Early measurements are more reliable for setting the due date.
Is it normal not to feel pregnant at 4 weeks?
A reasonable answer might sound like:
Yes. Many people do not notice strong symptoms until 5 to 6 weeks or later.
Pregnancy math feels wrong at first.
But it is not wrong.
It is standardized, refined with modern ultrasound, and designed to reduce guesswork.
If you want steady, evidence-based pregnancy information without pressure or agenda, you can subscribe to my newsletter below. I have spent decades teaching families how to make sense of pregnancy, and my goal is simple. Help you feel informed and not alone.
American College of Obstetricians and Gynecologists. Methods for Estimating the Due Date. Committee Opinion No. 700. Reaffirmed 2025.
(2018), AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers. J Ultrasound Med, 37: 1587-1596. https://doi.org/10.1002/jum.14677