Preparing for Your First Ultrasound After a Positive Pregnancy Test: Is This Real?
First of all, congratulations on your positive pregnancy test! I know that for many women who’ve struggled with infertility, this moment is filled with both excitement and uncertainty. It’s completely natural to feel both hopeful and anxious. You’ve worked so hard to get here, and now you may be wondering, “Is this pregnancy real? Will there be a heartbeat at my first ultrasound?”
Many feel like they can’t truly allow themselves to feel happiness until they’ve had that first ultrasound, as if that moment will define everything to come. The pressure of this one appointment can feel overwhelming. Some even fear that something will go wrong, wondering if they will experience the same heartbreaks others have shared about their journeys.
It’s so important to acknowledge that these feelings are completely normal, especially after infertility. The fear of bad news, the worry that you won’t see a heartbeat, or that your body isn’t doing what it’s supposed to—these are all feelings that many of my clients share. It’s okay to feel scared, anxious, or unsure. In fact, these emotions are a reflection of how much you care and want this pregnancy to succeed. But it’s also important to take a step back and hold space for yourself in this moment.
1. Feel Attuned and Grateful for Your Body’s Journey
As you prepare for this ultrasound, take a moment to connect with and appreciate your body for the remarkable work it’s already done. After all that you’ve been through, your body has made it this far. While it’s easy to focus on what could go wrong, try instead to be present with the gratitude of this moment. Your body is doing its best—nourishing, carrying, and guiding this pregnancy forward. Take a deep breath and acknowledge this incredible strength. Trust that your body knows what it needs, and honor that wisdom.
2. Stay Present & Use Mindfulness
I encourage you to take things one moment at a time. While it’s natural to worry about the future, this appointment is a chance to focus on what is happening right now. Try grounding yourself with mindful breathing exercises, or even repeating affirmations like, “I trust my body,” or “I am open to whatever news comes my way.” Staying connected to the present can help reduce anxiety.
3. Clarify What to Expect
If you’re feeling anxious about what will happen during the ultrasound, it’s helpful to know exactly what to expect. Will the ultrasound technician tell you anything? Will you be waiting for a doctor to provide feedback afterward? Sometimes, understanding the flow of the appointment can make it feel less overwhelming.
If possible, bring a partner with you. This can provide extra emotional support and help you process any news together. You’re not alone in this, and having someone to lean on can make a world of difference.
4. Ground Yourself in the Facts and Next Steps
The emotions surrounding your ultrasound appointment can sometimes cloud the facts. It’s easy to get caught up in the feelings of hope, fear, or worry, but focusing on the actual information from your appointment can help you stay grounded. Whether you see a heartbeat or not, understanding the clear facts and the doctor’s recommendations can provide a sense of direction. You don’t have to make any decisions in the moment, but grounding yourself in the next steps, no matter what they are, will help you move forward with clarity and confidence.
5. Give Yourself Time to Process
If you receive any news, allow yourself a moment of quiet reflection before making any calls or sharing updates with friends and family. Many women feel pressured to update others immediately, but it’s okay to process the moment privately before sharing. Give yourself the grace to take your time. Your mental and emotional health matter just as much as the physical aspects of this journey.
Don't Be Afraid to Feel Hopeful
It’s natural to feel protective of your heart, especially after the uncertainty of infertility. But don’t be afraid to let yourself feel hope and joy in this moment. Avoiding these feelings may seem like a way to protect yourself from future pain, but it won’t shield you from grief if the outcome isn’t what you want. Hope doesn’t lessen your strength; it’s simply an acknowledgment of the possibility that this may be the beginning of something beautiful. Allow yourself to feel the fullness of this journey, embracing both the hope and the uncertainty it brings.
If you find that navigating these emotions becomes overwhelming, remember that seeking help from a therapist specializing in infertility and maternal mental health can offer support and perspective during these uncertain times. You deserve to feel heard and understood as you continue on your path.
If you’re looking for support, schedule an appointment today. I’m here to walk alongside you, holding space for whatever comes next.
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