Determining the Date of Conception: When Did Pregnancy Occur? - Obstetrics and Gynecology

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I would like to confirm which instance of sexual intercourse resulted in pregnancy?


Due to a delay of over 20 days in my menstrual cycle in December, I went to the obstetrics and gynecology department for a check-up on January 1st and discovered that I am 5 weeks and 5 days pregnant.
My last menstrual period was from November 14 to November 26.
I had sexual intercourse on November 11, 12, 20, 27, and 29, but the partner on the 29th was different.
I would like to clarify when I conceived.
I apologize for the inconvenience, and I appreciate your help.

Ms. Huang, 30~39 year old female. Ask Date: 2021/01/05

Dr. Chen Zhiyu reply Obstetrics and Gynecology


Regarding your concerns, the response is as follows: This seemingly ordinary question is actually a significant one in the field of obstetrics and gynecology.
Especially considering that the regularity of your menstrual cycle remains a variable, as well as the timing of sperm meeting the egg and subsequent implantation, these processes do not operate as mechanically as described in textbooks.
If you are truly concerned, it would be more appropriate to seek accurate answers through genetic testing similar to paternity testing.
All speculations can lead to unnecessary misunderstandings and misinterpretations.
Thank you for your inquiry, and I wish you health and happiness.

Reply Date: 2021/01/05

More Info


Determining the exact date of conception can be quite complex, especially when there are multiple instances of sexual intercourse around the time of ovulation. Based on the information you've provided, we can make some educated estimates regarding your potential conception date.

First, let's clarify how pregnancy dating typically works. The gestational age of a pregnancy is usually calculated from the first day of the last menstrual period (LMP). In your case, your last menstrual period started on November 14 and ended on November 26. If we assume a typical 28-day cycle, ovulation would likely have occurred around 14 days after the start of your last period, which would be approximately November 28. This is the time when you would be most fertile, and conception could occur if you had unprotected intercourse around this date.

Given that you had sexual intercourse on November 11, 12, 20, 27, and 29, we can analyze these dates in relation to your ovulation. The intercourse on November 11 and 12 would be too early to result in conception, as it would precede your ovulation window. The intercourse on November 20 is also likely too early, as it is still before the estimated ovulation date. However, the encounters on November 27 and 29 are much closer to your ovulation date.

If we consider the timing of ovulation and the lifespan of sperm, which can survive in the female reproductive tract for up to five days, the intercourse on November 27 could potentially lead to conception if ovulation occurred shortly thereafter. The encounter on November 29 is also a possibility, especially since it is very close to the estimated ovulation date.

To summarize, the most likely dates for conception based on your provided information would be either November 27 or November 29. However, it is important to note that without precise ovulation tracking, it can be challenging to pinpoint the exact date of conception.

Additionally, since you mentioned that you discovered you were pregnant on January 1, with a gestational age of 5 weeks and 5 days, this aligns with a conception date around late November. The gestational age calculation typically adds about two weeks to the actual conception date, as it counts from the last menstrual period.

If you are looking for more definitive answers regarding paternity or conception, you might consider a paternity test after the baby is born. This can provide clarity if there are uncertainties regarding the father.

In conclusion, while the exact date of conception can be difficult to determine with absolute certainty, based on your menstrual cycle and the timing of sexual intercourse, it is reasonable to conclude that conception likely occurred between November 27 and November 29. If you have further concerns or questions about your pregnancy, it is always best to consult with your healthcare provider for personalized advice and care.

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