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Understanding Ultrasound Accuracy & Conception Dates: A Medical Explanation


Question
QUESTION: Hello...If my lmp at the time was on 11/16/10 and I went in for an transvaginal ultrasound on 1/10/11 which dated me at 7weeks 6days...Does that mean I conceived on 11/30/10? How accurate are transvaginal ultrasounds? Also what does it mean when your lmp matches an ultrasound in my situation?(My periods are very irregular does that change anything) Thank you

ANSWER: Transvaginal ultrasound are accurate to within +/- 3 days at most, and typically to within +/- 1 day.  If your ultrasound dated you at 7 weeks, 6 days on 1/10/11, then you most likely conceived on 11/30/10.  When your ultrasound matches your LMP, it just means that you happened to ovulate at day 14 of your cycle that month.  With irregular periods, LMP is not typically accurate for calculating due dates because ovulation varies from cycle to cycle.  Since your ultrasound confirms your dates, it is safe to say that you conceived on 11/30/10.

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QUESTION: Thank you for answering me so quickly...so if I had one partner on 11/22/10 with the pull out method and another on 11/27/10 with no pull out method, would I still have conceived on 11/30/10 with the 11/27/10 encounter? Thank you

Answer
Yes.  Conception most often occurs from intercourse in the 2-3 days prior to ovulation.  It takes the sperm some time to reach the egg, so when intercourse occurs a couple of days before ovulation, the sperm have time to travel toward it before the egg is released.