After your period has passed, your body prepares for the next ovulation. Under the influence of different hormones, such as estrogen and progesterone, the uterine wall is covered with uterine lining, so that a fertilized egg can implant and survive. These hormones also ensure that the egg is released (ovulation). If the egg cell remains unfertilized, the estrogen and progesterone levels decrease. When your body contains a few of these hormones, the uterine lining of the uterine wall is repelled by your body: your period.

Improper and yet pregnant?

Now that you know exactly how the menstrual cycle works, we can answer the question of whether you can have your period and still be pregnant. We can be brief about this: no! It is absolutely impossible to be on time and yet pregnant. Your body repels the uterine lining when an egg is not fertilized. If the egg cell is fertilized, the placenta ensures the production of estrogen and progesterone and your body does not repel the uterine lining. So you do not get a period. How is it possible that many women still feel that they have a period during pregnancy?

Blood loss during pregnancy

Many women lose blood during pregnancy and confuse it with time. Often this bleeding is innocent. However, it is wise to contact your doctor or midwife if you lose blood during pregnancy, even if bleeding has already stopped. There are a number of causes that can cause blood loss during your pregnancy:

Intestinal bleeding

One in five women loses blood during the first trimester of her pregnancy. It seems as if they are on time and still pregnant. Usually, this is the implantation bleeding. The fertilized egg can become a blood vessel during implantation. This allows you to lose some blood, but this is less than with a menstrual period. Implantation bleeding is often one of the 9 dpo symptoms of pregnancy.

Bumped blood vessels in the cervix

During pregnancy, the surface of the cervix changes and more blood flows through the blood vessels in the cervix. This causes blood vessels to lie closer to the surface and make them easier to snap, for example during sex or vaginal examination.

Vaginal infection, STD or cystitis

There are several vaginal infections that can cause a slight bleeding, such as a fungal infection. Also STDs, such as chlamydia and gonorrhea, can cause mild blood loss during pregnancy. The same applies to a bladder infection. This is an innocent proliferation of the mucous membrane in the cervix. This can cause an aqueous, bloody discharge from the vagina.

Pseudo menstruation / spotting

The placenta produces the pregnancy hormone HCG . This hormone causes the ovulation and menstruation to stop. When your body produces little of this hormone, bleeding can occur monthly without ovulation taking place. This can take nine months! Because of this it can happen that someone does not know that she is pregnant.

Serious complication or miscarriage

Blood loss during pregnancy can also be a serious cause. Think of an ectopic pregnancy, molar pregnancy, deviance of the placenta or miscarriage. Often this is also accompanied by other complaints. If you suspect this, always contact your midwife or GP. Being really ill and being pregnant is therefore impossible. It can happen that you lose blood during your pregnancy and that you confuse this with menstruation.

Echo in general

Echo is an abbreviation of ultrasound, another name for ultrasound research. An echo uses high-frequency sound waves that make the organs visible in the body. In pregnant women, this technique is used to get more information about the course of pregnancy and the growth and health of the baby. An ultrasound can be made by a doctor, gynecologist , obstetrician or ultrasound operator. Different ultrasounds can be made during your pregnancy. Think of the term echo , the 20-week ultrasound and a fun echo . As a souvenir you usually get one or more ultrasound photos. An echo can be made internally or externally. In the beginning of the pregnancy is often chosen for an internal ultrasound, because the echo head in this way can get closer to the womb and thereby gives a better picture. After three months, an external ultrasound is often chosen.

Internal ultrasound

For an internal ultrasound, it is necessary to take off your undergarments. You take a seat on a research bench and separate your legs. The ultrasound is made with a thin echo head via your vagina. Many women are afraid in advance that an internal ultrasound hurts, but usually this turns out to be easy. The echo head feels especially cold. For an internal ultrasound it is not necessary to have a full bladder.

External echo

With an external ultrasound, you have to lie on your back and uncover your lower abdomen. A gel is applied to your lower abdomen and the ultrasound is then searched for your child. Although the gel feels cold and the echo head can be pressed fairly hard against the lower abdomen, an external echo is not experienced as painful. For an external ultrasound, you will be asked to come with a full bladder.

Why is an ultrasound made?

In the beginning of your pregnancy, an ultrasound indicates, among other things, whether your baby is in your womb, whether the heart is right, whether it is a loner or multiple and how long you are exactly pregnant. Ultrasounds performed later in the pregnancy provide insight into the growth and location of your baby, the location of the placenta and the amount of amniotic fluid . Echoes can also be used to determine the sex of the baby and to detect any abnormalities before birth.

Is an echo harmful?

A lot of research has been done into whether ultrasounds could be harmful to the mother or the baby, but this has never been proven. From the fourth week of your pregnancy you can already suffer from sensitive breasts. It is therefore one of the first pregnancy symptoms and a silent hint to take a pregnancy test. The complaints last throughout the first trimester and then decrease. If you suffer from sensitive breasts, it is very uncomfortable when they are touched. Even putting on a piece of clothing can be a painful experience. The feeling is similar to the feeling in your breasts just before your period, only a lot worse. They feel swollen, with a kind of painful tingling in them. Painful breasts are – as with most other ailments – largely caused by hormones. In this case mainly due to the increase of estrogen and progesterone. Increased blood flow to your breasts and rapid growth in the number of mammary glands also contribute their bit.

Relieve painful breasts

Preventing painful breasts is not possible. You can, however, lighten the complaints with the following tips:

Buy a few good pregnancy bras

A good pregnancy bra offers a lot of support for your breasts. A pregnancy bra usually has no braces, because it is experienced as unpleasant during pregnancy. The bra is made of a soft fabric, making it comfortable and minimizes sanding. Moreover, you can often adjust a pregnancy bra or it is made of a stretchable fabric. This way the bra can grow as your breasts become larger during your pregnancy.

Watching may not arrive

Since you are pregnant, sexual education will no longer be necessary. But that you are pregnant does mean new rules for your partner. If you suffer from painful breasts, explain to him what you do and do not like. This saves you some painful moments, while your partner will understand your situation better. Incidentally, you can also be one of those pregnant women, whose sensitive breasts are positive between the sheets. That is nothing to worry about. In fact, enjoy it! Other changes of your breasts during pregnancy Besides sensitive breasts, you will notice some changes to your breasts during your pregnancy.

Larger breasts

From 6 weeks of pregnancy, you can already notice that your breasts begin to grow. And they will continue to do so for the rest of your pregnancy. They can grow very gradually, but also through a few growth spurts. It is common for your breasts to be about two cup sizes at the end of the pregnancy. During a growth spurt, you can suffer from itching and even develop stretch marks.

Veins more visible

In many pregnant women, the veins become more visible on their breasts. This is due to increased blood supply. At the end of your pregnancy, you have up to 50% more blood in your body. After pregnancy or if you stop breastfeeding, the veins will become the same as before your pregnancy.

Nipples during pregnancy

Also change your nipples when you are pregnant. They become bigger and darker. In general they expand more, making it easier for your baby to bite. The nipples, the circles around your nipples, become larger and darker, just like your nipples. In addition, bumps can become visible. These are Montgomery glands. These tiny glands secrete an oily substance that protects your nipples and areola from dehydration and keeps the skin supple.

Leaking nipples

Colostrum may leak from your nipples during your pregnancy. Colostrum is the special milk that your baby will receive the first days after birth. It is full of antibodies and therefore helps your baby’s immune system. Production starts around the third month of your pregnancy. From then on you can start leaking, but this is more common towards the end of your pregnancy. Colostrum generally looks like a thick, yellowish liquid. The leak can happen at any time, but the chance is greater if you are sexually excited. It varies per woman how much and if you leak. By wearing nursing pads you can prevent moist spots on your clothes from becoming visible.

Itchy nipples during pregnancy

It is a pregnancy ailment that you do not often hear from other pregnant women: itchy nipples. Yet it occurs in many women. It can even be one of the first symptoms that you find yourself pregnant. Read here how that is.

Itchy nipples

A lot changes your body during your pregnancy. Your stomach and breasts grow , the blood circulation changes and your hormones fly in all directions. That can have all sorts of uncomfortable consequences; the well-known pregnancy ailments. Itchy nipples is one of them. The itching of your nipples often starts suddenly and can be pretty intense. Even at times when things turn out badly: while you give a presentation at work, queue at the supermarket counter or cycle through the city. Not really the best moments to scratch your nipples. However annoying, remember that you are not the only pregnant woman who suffers from this. In fact, it is a very common pregnancy ailment. Also nice to know: after the pregnancy, it goes over again. These are the 10 most common pregnancy ailments.


The cause lies, as with so many pregnancy problems, with your changing hormone levels. Under the influence of the pregnancy hormones hCG , estrogen and progesterone , an increased blood supply and the growth of mammary glands, your breasts change. The nipples also change: they stretch out and grow with your breasts, in preparation for breastfeeding. As a result, your breasts and nipples can sometimes feel painful . And your nipples can also start to itch.