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Heavy menorrhagia.

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me and my husband separated on Aug 15/13 had sex with an ex on Aug 17/18 Aug 31 back with husband had sex thru Aug 31/13 thru September my period usually start on the 28 of each month on Aug 29th had a one day very heavy discharge or period October 28/13 had ultrasound was dated 8 weeks and five days when was conception was that a period on the 29of Aug please help me does implantation occur on expected period day how long is my cycle

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
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Hello and thankyou for approaching DoctorSpring with your query.
In order to give you an informed opinion please can you answer a few questions.

When was your last period before august 29th?
Was the flow on August 29th like your normal period? How long did the flow last? were there heavy cloths present?
Usually how many days does your period last for?
Did you have sex with your husband around the time you'll seperated in august?

Please reply as a follow up so that I can give you an informed opinion.
Thankyou


Patient replied :

my lmp before August 29 was July 27/13. me and my husband used a condom on Aug 25 /13 I put a whole in the condom and inserted it in myself just using the condom my period usually last 2or 3 days the discharge or period was absolutely one heavy brownish discharge I changed twice I have short period please provide me with actual dates we had sex in the beginning of August before the separation and I only had ex on 17/18 on 25 I inserted my husband sperm into my self can the ultrasound date may lmp or does it date to me it was normal I'll have a one day period once or twice a year usually two or 3 days it was very heavy but only brownish in color no period for September what so ever I no it may be painful for me but I need accurate dates and answers


Hello and thankyou for your reply.
Ultrasound does not always give an exact accurate result. It will be off by a few days, and that is normal.
Based on what you have told me, that you had heavy discharge on 29th august, and it was not just spotting, and that you have a one day period once or twice a year. It is UNLIKELY that you got pregnant in August. Even if you did get pregnant, the lining of your uterus would have cleared and the implanted embryo thrown it out in the discharge. Hence you probably got pregnant in september around 12-14th september. Implantation takes place around 6-12 days after fertilization.

Like I said the USG does not give an exact date, and hence I cannot give you the exact date fertilization took place. But it most likely took place in september.

I hope this has helped.
Thankyou


Patient replied :

this is my last question if conception took place in Aug what wouldbe the date on eestimate by all means could it have been implantation or it most definitely seems like a period it was nothing light or nothing spotting it was a very heavy discharge flow I just want a definite answer that you believe it was menstrual or implantation I was once told that is was conception on Aug 25,26,27,28 but that can't be because I have a regular period I expect during those exact day I really appreciate all your help and will close after this


Hello,
If pregnancy did happen in august it would be either on 17 or 18 August as you had exposure on those 2 days. In that case implantation would be around 25, 26, 27, 28.
Implantaion bleeding is usually light spotting Or slight vaginal discharge with a tinge of red or brownish color. It is not heavy flow or heavy discharge. However in your case it is difficult to say, as you had heavy discharge which is unlikely to be implantation bleeding.
You can do DNA testing which is 100% confirmatory for paternity testing.

I hope this has helped.
Thankyou


Patient replied :

in your experience would an early8week ultrasound date my pregnancy two or three weeks ahead really counting from July 27/ 5 weeks off why would ultrasound mistake implantation for lmp so I could be a month further along what would my dates be in September



Hello,
In my experience the ultrasound would not show 2-3 weeks ahead. Hence it is possible that you have mistaken the heavy cloths or it is unlikely to be bleeding due to implantation. In that case pregnancy would have occured in August.
If you had your LMP on 27th July and you have a a 30 day cycle, your fertile period would be between 7th August to 17th August. You are likely to have got pregnant in this time period. Even if you had sex upto 5 days prior to the exact ovulation day , you are likely to get pregnant as the sperm has a long life.
The ultrasound cannot be used to determine the exact date of conception as it can be off by upto 5-7 days in early pregnancy.
Hence it is difficult to say the exact date of your conception.
Hence the only definite way to know paternity is DNA testing.
I understand your concern. I hope I have been able to put more clarity about the dates.
Thankyou


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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