How CRL Is Used to Date Pregnancy?
CRL in ultrasound is primarily a dating tool. Embryos grow at a remarkably predictable rate in the first trimester, which makes CRL far more reliable than the last menstrual period (LMP) for calculating gestational age, especially when periods are irregular.
The measurement is most accurate between 6 and 13 weeks. During this window, CRL and gestational age follow a tight relationship, and the margin of error is generally plus or minus 5 to 7 days. After 13 to 14 weeks, the baby starts curling and stretching in unpredictable ways, so other measurements like head circumference and femur length take over.
Can CRL change your due date? Yes. If the CRL-based gestational age differs from your LMP date by more than a week, your doctor may adjust your estimated due date accordingly. This is a normal part of early pregnancy care, not a cause for concern.