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Can I be the father with FERTILISATION, GESTATIONAL AGE.

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Dear Dr.,
I am trying to determine if it is possible I am the father of my ex-girlfriend's pregnancy. In two years we rarely used condoms, mostly she took the pill. She had irregular periods, but I know the exact date of last possible fertilisation and results of ultrasound.

Timeline -
October 10 : We are away on holiday, running low on birth control pills so she purchases different brand of similar composition to her regular brand.

October 15 : Her period - 5 days

October 26 : We decide GF will move out of my apartment, we have unprotected sex for the last time. She leaves the country.

November 12 : Her period - 2 days

November 22-25 : GF is away with a male friend. She claims no sexual activity.

December 7 : GF remarks noticeable swelling and tenderness of her breasts.

December 8 : GF takes a home pregnancy test, result : negative.

December 10 : Period does not come.

December 21 : GF takes another home pregnancy test : positive
December 22 : GF takes another HPT : positive
December 23 : GF has transvaginal ultrasound. Results read as follows:

WITHIN THE FUNDUS OF THE GRAVID UTERUS IS A SINGLE GESTATIONAL SAC WITH A DIAMETER OF 1.25CM EQUIVALENT TO 4.3 WEEKS AGE OF GESTATION. NO EMBRYONIC POLE SEEN YET. SECONDARY YOLK SAC IS SEEN.

THE CHORIODECIDUAL REACTION IS THICK, ECHOGENIC AND REGULAR. MINIMAL SUBCHORIONIC HEMORRHAGE SEEN.
MYOMEMETRIUM IS HOMOGENEOUS WITH NO FOCAL LESIONS.

CERVIX IS CLOSED. NO ADNEXAL MASSES SEEN. CUL DE SAC IS INTACT.

IMPRESSION : EARLY INTRAUTERINE PREGNANCY OF ABOUT 4.3 WEEKS AGE OF GESTATION.
VIABILITY UNDERTERMINED.

~ Given the discrepancy in Date of Fertilization and Gestational Age, Is there any possibility that I am actually the father? What are the chances?

Since then she has had 2 more ultrasound (i can forward all 3 images) and an embryo never developed. She says that she was diagnosed with anembryonic pregnancy… and eventually miscarried

Thanks so much

Category: OBGYN

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Category: Infertility Specialist
 32 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
Before I offer any comment, can you forward all the ultrasound scan reports ?
I would like to look at them.
Looking forward to hearing from you.

Take care.


Patient replied :

Well unfortunately what i sent you is all the information that I have as that was what was sent to me... she and I are no longer living together. I only have those photos.
So now that I have used my 2 "follow-up questions" to reply to your query, is it still possible that you can give your professional opinion on my original question?
thank you


Oh, I can see the images alright.
I need the dates on which the scans were done, and the report.
Very much like what you typed in the first case.
A crisp timeline, and the scan date with the typed report.
Images per se wont help.
Hope you understand.


Patient replied :

File Dates:
doctorquestion copy.jpg received December 22,2014
0f921274a750a89ea4c98df5f5beada6.jpg received January 5, 2015
c25f8180420a47afbbd2cdf1918e51a7.jpg received January 22, 2015


Yes, do not worry about the follow-ups.
Please post the information as required by the specialist.
Regards.

Well, even if she conceived around the 22nd of November ( when she is claiming no sexual activity ) , the growth is lagging behind the supposed dates, but by a couple of weeks, and that happens with an anembryonic pregnancy, as the development is not optimum.
It is very less likely that she conceived with you, since the test taken until the 8th of December was negative.
It is very likely that she conceived around the 22nd of November or later .
Only a paternity test is conclusive, and that chance is lost now since she miscarried.
All the best
Please feel free to discuss further.
Regards.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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