Determining Conception Date Based on Ultrasound and Menstrual Cycle - Obstetrics and Gynecology

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Date of conception


Doctor: My due date is June 5th.
During an ultrasound examination on November 20th, I was 11 weeks and 6 days pregnant.
The first day of my last menstrual period was August 20th.
I had unprotected intercourse on September 3rd, 4th, and 5th, and another instance on September 7th with withdrawal method.
Can you tell me what the conception date would be?

Xiao Yu, 30~39 year old female. Ask Date: 2021/11/22

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, your due date is June 5th, which means conception likely occurred around September 12th.
Wishing you good health!

Reply Date: 2021/11/22

More Info


To determine the conception date based on your ultrasound findings and menstrual cycle, we can analyze the information provided. Your estimated due date (EDD) is June 5th, which is a crucial piece of information. Typically, the due date is calculated as 40 weeks (280 days) from the first day of your last menstrual period (LMP). In your case, the LMP is August 20th.

Using the standard calculation method, if we count 40 weeks from August 20th, we arrive at a due date of May 26th. However, your ultrasound indicates that you were 11 weeks and 6 days pregnant as of November 20th. This suggests that the conception likely occurred around 11 weeks prior to that date.

Calculating backward from November 20th, 11 weeks and 6 days would place the conception date around September 10th. This aligns with your menstrual cycle, as ovulation typically occurs about 14 days after the first day of your last period. Given that your LMP was August 20th, ovulation would likely have occurred around September 3rd to September 5th, which corresponds with the dates you mentioned for sexual intercourse.

The sexual encounters you described on September 3rd, 4th, and 5th are all within the fertile window, making it plausible that conception could have occurred from any of those encounters. The encounter on September 7th, while involving external ejaculation, is less likely to have resulted in conception, as it falls outside the typical ovulation window.

In summary, based on your due date, ultrasound findings, and menstrual cycle, the most likely conception date is around September 10th, with the sexual encounters on September 3rd to 5th being the most relevant.
It’s important to note that while these calculations provide a good estimate, individual variations in menstrual cycles and ovulation can affect the exact timing of conception. If you have further questions or concerns about your pregnancy, it is advisable to consult with your healthcare provider for personalized guidance and support.

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