When Did I Conceive? Ovulation and Pregnancy Timing - Obstetrics and Gynecology

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Understanding the timing of conception and pregnancy can be quite complex, especially for individuals with irregular menstrual cycles or conditions such as polycystic ovary syndrome (PCOS) or endometriosis. Based on your detailed history, let's break down your questions regarding ovulation, conception, and the implications of your medical conditions.

1. Timing of Ovulation and Conception: Typically, ovulation occurs about 14 days before the start of your next menstrual period. Given that you have a longer cycle due to your history of irregular periods and conditions like endometriosis and PCOS, pinpointing the exact day of ovulation can be challenging. In your case, if your last menstrual period started on August 25, and considering your cycle length, ovulation likely occurred around September 9 to September 12. If your doctor estimated that conception occurred around September 16, this aligns with the typical ovulation window, assuming you had unprotected intercourse shortly before or on the day of ovulation.

2. Ultrasound Findings and Early Pregnancy: When you had your ultrasound on September 23, it is possible that the embryo was still too small to be detected. Early in pregnancy, especially around four weeks, the embryo may not yet be visible on an ultrasound, particularly if you have a longer cycle. The presence of polycystic ovaries can complicate matters, as multiple follicles may be present, but not all will lead to ovulation or pregnancy. The ultrasound findings you mentioned (Frq8.0, Gn84, E/A2/3, D6.0cm, DR84) likely refer to various measurements and hormone levels, which can be difficult to interpret without specific context from your healthcare provider.

3. Pregnancy Confirmation and EDD: Your estimated due date (EDD) of June 5, 2016, is calculated based on the first day of your last menstrual period (LMP) and assumes a typical 28-day cycle. Given your longer cycle, it may be beneficial to adjust this date slightly based on your ovulation timing. Your healthcare provider may perform additional ultrasounds to confirm the gestational age and adjust the EDD accordingly.

4. Natural Conception with Male Infertility: The fact that you were able to conceive naturally despite your husband's infertility issues is indeed remarkable. Male infertility can stem from various factors, including sperm count, motility, and morphology. If his sperm parameters are significantly compromised, it can make natural conception more challenging, but it is not impossible. Factors such as timing of intercourse relative to ovulation, the health of the female reproductive system, and even luck can play significant roles in achieving pregnancy.

5. Polycystic Ovaries and Pregnancy: Having polycystic ovaries does not preclude pregnancy. Many women with PCOS can conceive, although they may face challenges such as irregular ovulation. It's important to continue monitoring your health and working with your healthcare provider to manage any underlying conditions that may affect your pregnancy.

In conclusion, while your journey to conception may have been fraught with challenges, it is a testament to the complexities of reproductive health. If you have further questions or concerns about your pregnancy or reproductive health, it is crucial to maintain open communication with your healthcare provider, who can provide personalized guidance based on your unique medical history.