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Re: Bad Dates?

From: Victoria (anonymous@obgyn.net)
Fri, 28 Jun 2002 08:45:52 -0500 (CDT)

I understand your frusteration. My doctor is about a week off on my dates, but the ultrasound she did at 8 weeks is about right (for some reason she decided to ignore part of it, but that's another issue). Doctors usually use LMP as a guideline unless untrasound or something else gives different indications. The reason why LMP isn't always a reliable dating method is that not all women follow the textbook 28 day cycle and even those that do may not always ovulate 14 days prior to expected period. Some cycles women do not ovulate at all, sometimes they ovulate early and sometimes late. Conception doesn't always occur the same day women ovulate either (the archives have lots of information on this). I don't think the issue here is doctors thinking women forgot having a period, or that doctors think women are lying or anything. Nature is just surprising sometimes and things can happen at different times than we expected sometimes is all:o). I hope this helps.

At Thu, 27 Jun 2002, Sarah wrote: >
>A question for the doctors:
>
>I have read a great deal of the achived threads on the medical
>professionals forum and this forum, as well. I have seen numerous
>references to "bad dates." I have seen physicians posting to each other
>saying, "Her dates were off." And I have seen physicians answering
>women's posts with, "If your dates are off...."
>
>We women don't have any other method of estimating dut date than the one
>you gave us. Due dates are estimated using the date of the LMP. If you
>ask a woman what that date was and she tells you what that date was,
>maybe you ought to give her the benefit of the doubt. If EFW by either
>ultrasound, fundal height, palpation, or just your best guess disagrees
>with the dates, why do you immediately assume that the dates are
>incorrect? Do you actually think that your patient is confused as to
>when she had to deal with blood, pads, tampons, cramps, and
>irritability???
>
>A period is not exactly something you just forget happened. It's
>uncomfortable, to say the least. If women are so easily confused as to
>when they have periods, how in the world do they know when their period
>is LATE?

--
Victoria



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