Can a color ultrasound detect pregnancy at 6 weeks?
Pregnancy, also known as gestation, can generally be detected by color ultrasound at 6 weeks. The specific analysis is as follows:
At 6 weeks of gestation, the embryo has begun to form and can be seen on ultrasound as a tiny dot-like structure—the embryo itself. At this stage, the embryo is approximately 3–4 mm in length, similar in size to a pea. Because the embryo is still very small, distinct organs or body structures may not yet be visible on color ultrasound. However, the ultrasound can help initially determine the location and development of the embryo. Doctors can confirm whether the embryo is located within the uterus and assess the risk of ectopic pregnancy. Additionally, they can measure the size of the embryo and use this information, along with developmental progress, to make an initial assessment of embryonic health. A 6-week pregnancy ultrasound is typically performed via transvaginal ultrasound, as this method provides clearer visualization of the small embryo. Prior to the examination, it is recommended to fast and drink some water to fill the bladder, which helps improve visualization of the uterus.
It should be noted that at 6 weeks of gestation, the fetal heartbeat may not yet be detectable by ultrasound. Typically, detection of the heartbeat requires waiting until 7 to 8 weeks of gestation. Therefore, during a 6-week ultrasound, doctors primarily focus on the embryo’s location, size, and developmental progress, but cannot yet hear the heartbeat.