Determining the Most Likely Conception Date: January 24 or 29? - Obstetrics and Gynecology

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On which date did conception successfully occur?


Hello doctor, I would like to ask which date is the most likely time of conception, either January 24 or January 29.
My menstrual cycle is relatively long, with the following dates: October 31 to November 7, December 10 to December 16, and January 16 to January 23, lasting 6 weeks and 5 days.
The gestational sac measures 2.39 cm, and the baby is at 8 weeks with a crown-rump length (CRL) of 1.58 cm.
January 24 was right after my menstrual period ended, and conception might have occurred immediately after.
However, the CRL suggests that conception on January 29 was successful.
The growth rate seems a bit fast, which is concerning.
Could you please clarify whether conception was successful on the 24th or the 29th? Thank you, doctor.

Xiao Kui, 20~29 year old female. Ask Date: 2023/03/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the two dates are too close together, making it difficult to distinguish and confirm.
Wishing you good health.

Reply Date: 2023/03/09

More Info


Determining the exact date of conception can be quite complex, especially when considering the timing of ovulation, the menstrual cycle, and the nature of sexual intercourse. Based on the information provided, we can analyze the potential conception dates of January 24 and January 29.

First, it is important to understand the menstrual cycle and ovulation. A typical menstrual cycle lasts about 28 days, but it can vary from person to person. In your case, you mentioned having a longer cycle, which can affect the timing of ovulation. Ovulation typically occurs about 14 days before the start of your next menstrual period. If your last menstrual period started on January 16, and assuming a cycle length of around 30-33 days, ovulation likely occurred around January 29. This is consistent with the data from various apps that track ovulation, which often indicate a fertile window a few days before and after ovulation.

Now, considering the two potential conception dates:
1. January 24: If conception occurred on this date, it would suggest that sperm was present in the reproductive tract before ovulation, which is possible since sperm can survive in the female reproductive system for up to five days. However, this date is quite close to the end of your menstrual period, which may not align with the typical timing of ovulation.

2. January 29: This date aligns more closely with the estimated ovulation date. If intercourse occurred on this day, it is highly likely that conception could have taken place, as the egg would be available for fertilization.

Given the information about the growth of the embryo (CRL measurements), it is also important to consider that embryonic growth can vary slightly from one pregnancy to another. The CRL (crown-rump length) measurement you provided indicates that the embryo is developing at a rate that may suggest conception occurred around January 29. If the growth appears to be slightly ahead of schedule, it could still be within the normal range of variability.

In summary, while it is challenging to pinpoint the exact date of conception, the evidence suggests that January 29 is the more likely date of conception, especially considering the timing of ovulation and the nature of sperm viability. If you have concerns about the growth rate of the embryo or any other aspects of your pregnancy, it is advisable to discuss these with your healthcare provider, who can offer personalized insights and monitoring.

In conclusion, while both dates are close, January 29 is more consistent with the timing of ovulation and the likelihood of conception. It is always best to consult with a healthcare professional for further evaluation and reassurance regarding your pregnancy.

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