When did you get pregnant?

Patient's question:

If it comes every thirty days, it should be the 22nd. Taking the birth control pill on the 19th was completely useless. It's said that since you are still developing normally, it proves the birth control pill didn't take effect. If it did, the child would have been miscarried. My ultrasound was done on July 13th, and my last menstrual period was on May 30th. Was I pregnant before or after taking the birth control pill?

Doctor's answer:

First, your ultrasound report hasn't been uploaded, so it's impossible to accurately estimate your conception date. With the ultrasound results, we can estimate your ovulation period and provide a relatively correct answer. Based on your ultrasound on July 13th, the size of the gestational sac suggests you should be about 34-35 days pregnant. Counting backward 20 days from that date would place your conception around June 23rd. Since you took birth control pills on June 19th, this calculation suggests you likely took them before conception.

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