How pregnancy (conception) occurs


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How pregnancy (conception) occurs


Most women are able to become pregnant from puberty, when their menstrual cycles begin, until menopause, when their cycles stop. A pregnancy starts with fertilization, when a woman's egg joins with a man's sperm. Fertilization usually takes place in a fallopian tube that links an ovary to the uterus. If the fertilized egg successfully travels down the fallopian tube and implants in the uterus, an embryo starts growing.

Ovulation, fertilization, implantation

All the eggs for a woman's lifetime are stored in her ovaries. Women do not continually produce eggs. This is different from men, who continuously make more sperm.

About once a month, an egg is released Click here to see an illustration. from one of a woman's two ovaries. This is called ovulation. The egg then enters the nearby fallopian tube that leads to the uterus.

If a woman and a man have unprotected sexual intercourse, sperm that is ejaculated from the man's penis may reach the egg in the fallopian tube. If one of the sperm cells penetrates the egg, the egg is fertilized Click here to see an illustration. and begins developing.

The egg takes several days to travel down the fallopian tube into the uterus. Once in the uterus, a fertilized egg usually attaches to (implants in) the lining of the uterus (endometrium). However, not all fertilized eggs successfully implant. If the egg is not fertilized or does not implant, the woman's body sheds the egg and the endometrium. This shedding causes the bleeding in a woman's menstrual period Click here to see an illustration..

When a fertilized egg does implant (conception), a hormone called human chorionic gonadotropin (hCG) begins to be produced in the uterus. This is the hormone that a pregnancy test measures. It prevents the uterine lining from being shed, so the woman does not have a period. Other signs such as breast changes and nausea occur in a woman's body, also indicating that pregnancy has begun.

Credits


Author Bets Davis, MFA
Editor Maria G. Essig, MS, ELS
Associate Editor Michele Cronen
Associate Editor Denele Ivins
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Joy Melnikow, MD, MPH - Family Medicine
Specialist Medical Reviewer Kirtly Jones, MD - Obstetrics and Gynecology
Last Updated May 22, 2008

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Last updated: May 22, 2008
Author: Bets Davis, MFA
Reviewed By: Joy Melnikow, MD, MPH - Family Medicine, Kirtly Jones, MD - Obstetrics and Gynecology
Editors: Maria G. Essig, MS, ELS, Pat Truman, MATC

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