Pregnancy symptoms can start as early as 1 to 2 weeks after ovulation, but the timing varies for each person. Implantation of the fertilized egg usually occurs about 5 to 6 days after ovulation, which marks the official start of pregnancy. Some early symptoms like breast tenderness, cramping, fatigue, and headaches can appear within the first week after ovulation, but more recognizable pregnancy signs, such as nausea and missed periods, typically show up around 7 to 14 days post ovulation or later. At around 1 to 2 weeks after ovulation (which is about the time of implantation), hormone levels like progesterone and hCG start to rise, which can cause these early pregnancy symptoms. However, many symptoms before implantation may be caused by hormonal changes unrelated to pregnancy and resemble premenstrual symptoms. The earliest pregnancy symptoms are often subtle and sometimes only noticeable after a missed period, about 14 days after ovulation.