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IVF Pregnancy Calculator — Week 18 (Day 3 & Day 5 Transfer)

You are 18 weeks pregnant after IVF (gestational age counted from egg retrieval + 14 days for day-5 transfer, +12 days for day-3 transfer). Below is what your embryologist and REI clinic expect at this exact stage.

Trimester 2 · Week 18 of 4045%
Baby size
bell pepper
Length
14.2 cm
Weight
190 g

IVF Pregnancy Calculator

Enter your egg retrieval date and select day-3 or day-5 transfer. EDD = retrieval + 266 days.

Baby at week 18

At 18 weeks gestational after IVF transfer: Ears reach final position on head. Uterus grows rapidly. Meconium accumulates in bowel.

Mother's body — what changes

Post-IVF at week 18, clinical picture: Baby movements more consistent. Braxton-Hicks contractions may start (painless tightening).

Nutrition & supplements

Add ~340 kcal/day above pre-pregnancy baseline. Prioritise iron (27 mg/day), calcium (1000 mg), omega-3 DHA (200–300 mg) and 71 g protein. Continue prenatal vitamin. Post-IVF continue progesterone support and prenatal vitamin exactly as your REI prescribed. Do not add herbal supplements without clearance — many interact with luteal support.

Safe exercise

Continue 150 min/week. Avoid supine (flat-on-back) exercises after week 20 — they compress the vena cava. Swimming and prenatal Pilates are ideal now. After IVF avoid high-impact activity until confirmed viability at 8-week scan. Then follow standard trimester guidance.

Doctor visit checklist — week 18

  • Anatomy ultrasound (18–22 weeks) — check all organs and placenta location
  • Progesterone support review — continue until placenta takeover (week 10–12)
  • Beta-hCG doubling every 48–72 hours until viability scan
  • First IVF viability ultrasound at 6–7 weeks gestational

Warning signs — call your provider immediately

  • Heavy bleeding (soaking a pad in an hour)
  • Severe abdominal pain that does not ease
  • Fever above 38°C / 100.4°F
  • Sudden gush of fluid (early rupture of membranes)
  • Absent fetal movement for 12+ hours after 24 weeks
  • Severe headache + visual disturbance (preeclampsia)

Week 18 — Frequently asked questions

How accurate is the IVF Pregnancy Calculator at week 18?

The calculator uses standard gestational-age arithmetic (LMP + 280 days for standard; egg retrieval + 266 days for IVF day-5). Ultrasound crown-rump length between weeks 8–13 is more accurate (±5 days) than LMP — adjust EDD accordingly if the scan differs by more than 7 days.

What size is my baby at week 18?

Approximately the size of a bell pepper — length 14.2 cm and weight 190 g. These are median values from ASRM, SART and ESHRE references.

Which symptoms are normal in week 18?

Baby movements more consistent. Braxton-Hicks contractions may start (painless tightening). Every pregnancy is different — call your provider if anything on the warning-signs list appears.

Should I have an ultrasound at week 18?

Anatomy ultrasound (18–22 weeks) — check all organs and placenta location. Routine scan windows are: dating (10–13w), anatomy (18–22w), growth (28–32w).

How much weight should I gain by week 18?

Approximately 4.2 kg cumulative if you started at a normal BMI (IOM guideline). Underweight mothers gain more; overweight mothers less.

Day 3 vs Day 5 transfer at week 18 — what's the difference?

Day-5 blastocyst transfer adds 5 days to embryo age; Day-3 transfer adds 3 days. Gestational age = transfer date + (14 − transfer day) days + weeks since transfer. Both converge on the same due date; the difference matters only in the first 2 weeks.

Should I continue progesterone at week 18?

Most REI clinics wean progesterone by week 12. Follow your clinic's exact taper — abrupt stop before placental takeover risks miscarriage.

Medically reviewed

Content aligned with ASRM, SART and ESHRE. Reviewed by Dr. Maria Rehman, MD (OB/GYN). This page is educational and does not replace personal medical advice — call your obstetrician for any concern.

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