Possible Conception Dates After Miscarriage: A Guide - Obstetrics and Gynecology

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What is the possible time for conception?


My ex-girlfriend usually has her period at the beginning of the month.
This time, it started on March 8 and ended on March 12, but on March 17, she began to experience light red bleeding, which progressed to bleeding similar to her menstrual cycle starting March 19.
She went to the hospital for a check-up on March 20, and the doctor informed her that the bleeding on March 8 was likely not her period, but a miscarriage.

I would like to know which of the following dates could have resulted in pregnancy: February 12, February 15, February 20 (the day she took emergency contraception), February 26, March 5, and March 6.
This information is very important to me...
The doctor said that since she has already passed everything, he cannot determine anything further.

Huwei, 30~39 year old female. Ask Date: 2022/03/22

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, as the doctor mentioned, there is not enough information to make a judgment.
Wishing you good health.

Reply Date: 2022/03/22

More Info


Understanding possible conception dates after a miscarriage can be quite complex, especially when trying to pinpoint the exact timing of ovulation and fertilization. In your case, the timeline you provided is crucial for making educated guesses about potential conception dates.

Firstly, let's clarify the menstrual cycle. Typically, a woman's menstrual cycle lasts about 28 days, but it can range from 21 to 35 days. Ovulation usually occurs around 14 days before the start of the next period. If your ex-girlfriend's cycles were regular and she had a period on March 8, ovulation would likely have occurred around March 22, assuming a 28-day cycle. However, since the doctor indicated that the bleeding on March 8 was not a normal period but rather a miscarriage, this complicates the timeline.

The dates you provided are as follows:
- February 12
- February 15
- February 20 (after taking emergency contraception)
- February 26
- March 5
- March 6
Considering that she took emergency contraception on February 20, it is important to note that this method is designed to prevent ovulation or fertilization if taken shortly after unprotected intercourse. If she had unprotected sex on February 12 or February 15, and ovulation occurred around February 26, conception could have happened from those encounters. However, the emergency contraception taken on February 20 would likely have been effective in preventing ovulation if she had not already ovulated by that date.

If we assume she ovulated around February 26, then the sexual encounters on February 12 and February 15 would be less likely to result in pregnancy, as they are outside the typical fertile window. The most likely dates for conception would be around February 26 if she had unprotected intercourse close to that date.

Moving forward, the dates of March 5 and March 6 are also significant. If she had a miscarriage on March 8, it is possible that she could have conceived shortly before that, but given the timeline, it is more likely that the conception occurred earlier in February.

In summary, the most probable conception date, considering the information provided, would be around February 26, assuming she had unprotected intercourse close to that date. The encounters on February 12 and February 15 are less likely to have resulted in pregnancy due to the timing of ovulation and the use of emergency contraception.
It is important to remember that individual cycles can vary significantly, and factors such as stress, health, and hormonal changes can affect ovulation timing. If there are further questions or concerns about fertility or conception, consulting with a healthcare provider or a fertility specialist can provide personalized insights and guidance.

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