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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Mismatch In The Ultrasound Readings And LMP Date?

hi! i just want to ask about my current pregnancy situation. my lmp is june 29, 2016. then i don t get my period last july and had confirmed through blood test last july 28, 2016 that i was pregnant. so i was expecting and by the count of my ob that i supposetedly on my 7thwk by now. but then i had my first ultrasound this yesterday aug. 23, 2016 and the result was early intrauterine pregnancy and i m just 5wks and 6 days pregnant and also have subchorionic hemorrhage. as of now i dont have spotting and don t feel any pain. my ob advised me to redo tr at if already have heartbeat. why my ultrasound don t match with my lmp? (i have very regular periods). is my pregnancy is in danger?
Wed, 7 Sep 2016
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General & Family Physician 's  Response
Hello.
Thank you for contacting HCM.

I have gone trough your question and I understand your concern. I will try my best to give you a satisfactory question.

According to my understanding you have two questions....one about the difference in LMP and ultrasound and the second one about your pregnancy's safety.
As for your first question the date of last menstrual period is a calculated guess based on the woman's reproductive cycle to find out the duration of a pregnancy whereas the ultrasound findings are based on the measurements of the fetus. the ultrasound findings are usually more accurate in terms of determining the age and growth of the fetus. The difference in these two occurs because you may have conceived later on in your reproductive cycle rather than right after your last periods.

now coming to the second question. Sub chorionic hemorrhage may lead to spontaneous abortions in some case that is why a follow up ultrasound is recommended to keep a close eye on your pregnancy. Meanwhile, I would suggest you avoid any undue stress and take good care of your self.

I hope this answers your query. Please feel free to contact HCM if you have any query.
Wishing you and your baby good health.
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What Causes A Mismatch In The Ultrasound Readings And LMP Date?

Hello. Thank you for contacting HCM. I have gone trough your question and I understand your concern. I will try my best to give you a satisfactory question. According to my understanding you have two questions....one about the difference in LMP and ultrasound and the second one about your pregnancy s safety. As for your first question the date of last menstrual period is a calculated guess based on the woman s reproductive cycle to find out the duration of a pregnancy whereas the ultrasound findings are based on the measurements of the fetus. the ultrasound findings are usually more accurate in terms of determining the age and growth of the fetus. The difference in these two occurs because you may have conceived later on in your reproductive cycle rather than right after your last periods. now coming to the second question. Sub chorionic hemorrhage may lead to spontaneous abortions in some case that is why a follow up ultrasound is recommended to keep a close eye on your pregnancy. Meanwhile, I would suggest you avoid any undue stress and take good care of your self. I hope this answers your query. Please feel free to contact HCM if you have any query. Wishing you and your baby good health.