Conception Dates: Is 6 Weeks Accurate After December 20? - Obstetrics and Gynecology

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Date of conception


I have a regular menstrual cycle.
I had intercourse on December 9th, and an ultrasound on December 20th showed 6 weeks of gestation.
Is this possible?

Niming, 30~39 year old female. Ask Date: 2023/03/18

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, that should be impossible.
Wishing you good health.

Reply Date: 2023/03/18

More Info


To address your question regarding conception dates and the accuracy of a six-week pregnancy dating from December 20, let's first clarify some key points about the menstrual cycle, ovulation, and conception.

Typically, a woman's menstrual cycle lasts about 28 days, but it can vary from 21 to 35 days. Ovulation usually occurs around 14 days before the start of the next menstrual period. If your menstrual cycle is regular and you had your last period on December 9, you would likely ovulate around December 23. This means that any sexual intercourse that occurred around this time could potentially lead to conception.

In your case, if you had sexual intercourse on December 20, it is indeed possible for conception to occur, especially if you were close to your ovulation window. Sperm can live inside the female reproductive tract for up to five days, so if you ovulated shortly after December 20, the sperm from that encounter could fertilize the egg.

When you mention that an ultrasound on December 20 showed a six-week pregnancy, it is important to understand how pregnancy dating works. Pregnancy is typically calculated from the first day of your last menstrual period (LMP), not from the date of conception. Therefore, if your last menstrual period started on December 9, the six-week dating would suggest that you are approximately six weeks pregnant from that point, which aligns with the ultrasound findings.

However, if the ultrasound is indicating that you are six weeks pregnant as of December 20, this would mean that conception likely occurred around December 20 or shortly thereafter. This is consistent with the timing of your ovulation and sexual activity.

In summary, based on your regular menstrual cycle and the timing of your sexual activity, it is plausible that you could be six weeks pregnant as indicated by the ultrasound on December 20. If you have any concerns or need further clarification, it is always best to consult with your healthcare provider, who can provide personalized advice and further assessments based on your specific situation.

Additionally, if you are considering future pregnancies or have concerns about your menstrual cycle, it may be beneficial to track your ovulation and menstrual cycles using an app or calendar. This can help you better understand your fertile window and improve your chances of conception if that is your goal. Always remember that while tracking can be helpful, individual variations in cycles can occur, and consulting with a healthcare professional is the best way to address any specific concerns or questions you may have.

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