To estimate the date of conception?
Hello Doctor, my last menstrual period was on January 20.
I was with Male A from February 5 to February 6 and again from February 8 to February 11.
However, I had relations with Male B on February 15.
I later found out I am pregnant, and during an ultrasound on March 12, the gestational age indicated was 5 weeks and 6 days.
Based on this, it seems to point to Male A, but I am unsure about the accuracy of the ultrasound dating.
Additionally, the dates of February 11 and February 15 are very close together, making it difficult for me to feel secure about the pregnancy.
I hope you can help clarify this for me.
Nìmíng, 30~39 year old female. Ask Date: 2022/03/17
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the two individuals are too close together, causing overlap, making it difficult to make an accurate assessment.
I apologize.
Wishing you good health.
Reply Date: 2022/03/17
More Info
To accurately calculate conception dates and understand the pregnancy timeline, it is essential to recognize how pregnancy weeks are determined and the factors that can influence this calculation. In your case, the last menstrual period (LMP) was on January 20, and you had sexual encounters with two different partners around the time of ovulation.
Pregnancy is typically calculated from the first day of your last menstrual period, which is considered Week 0. Ovulation usually occurs about 14 days after the start of your last period in a regular 28-day cycle, but this can vary based on individual cycle lengths. Since you had sexual intercourse with Partner A on February 5-6 and February 8-11, and then with Partner B on February 15, the timing of these encounters is crucial for determining the likely conception date.
When you had the ultrasound on March 12, which indicated a gestational age of 5 weeks and 6 days, this suggests that conception likely occurred around February 5-6, assuming a typical 28-day cycle. This would place your estimated conception date around February 5, which aligns with your encounters with Partner A. However, the ultrasound measurement can vary slightly due to several factors, including the accuracy of the ultrasound equipment and the embryonic development stage at the time of the scan.
It's important to note that ultrasound dating is generally considered more accurate than LMP dating, especially in the first trimester. This is because it directly measures the size of the embryo or fetus, which can provide a more precise estimate of gestational age. However, there can still be discrepancies, particularly if your menstrual cycles are irregular or if ovulation occurs later than expected.
Regarding your concerns about paternity, if both partners had sexual encounters close to the estimated conception date, it can indeed create uncertainty. The only definitive way to determine paternity is through DNA testing after the baby is born. Until then, it may be helpful to focus on your health and the pregnancy itself rather than the uncertainties surrounding paternity.
In summary, based on the information provided, it appears that conception likely occurred around February 5, aligning with your encounters with Partner A. The ultrasound results support this timeline, but keep in mind that there is always a margin of error in dating pregnancies. If you have further concerns or questions, consider discussing them with your healthcare provider, who can offer personalized guidance and support throughout your pregnancy journey.
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