Was the baby conceived in mid-October or at the end of October?

Patient's question:

10/5 last menstrual period, 10/8 ended, 11/10 blood value HCG 16, 11/18 blood value 1461, 11/22 blood value 7538. The 5X5mm ultrasound is normal. Was the baby conceived in mid-October or late October? Thank you, doctor. Why was the HCG value only 16 on 11/10? Thank you, doctor.

Doctor's answer:

That's right. In medicine, the term "menstrual stoppage" refers to the number of days from the last menstrual period to the present. Your ultrasound report shows a gestational sac of five millimeters, which is roughly consistent with the size of a gestational sac at 40 days post-menstruation, not 40 days post-delivery. Menopause typically occurs 14 days before the next menstrual period. Based on the regularity of your previous menstrual cycles, you can roughly estimate when delivery will likely occur. However, any estimation ultimately depends on the size of the gestational sac confirmed by ultrasound.

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