Guide

How Due Dates Are Set: LMP vs. Conception vs. Ultrasound

Updated • 6–8 min read
EDD Pregnancy

Educational only — not medical advice. Short version: LMP gets you in the ballpark, conception is tighter if you truly know the date, and early ultrasound is often the official tiebreaker.

TL;DR

The three dating methods, side by side

MethodHow it’s calculatedBest used whenLimitations
LMP (Naegele’s rule) LMP + 280 days (40 weeks) Typical 28-day cycles, reasonably certain LMP Off if cycles aren’t 28 days or ovulation isn’t ~day 14; recall errors
Conception date Conception + 266 days (38 weeks) IVF/IUI or well-known conception window If “date” is just the only intercourse date, you can still be off by several days
Ultrasound (CRL early) Embryo crown–rump length → gestational age Early scans (≈7–12 weeks) with good visualization Later scans are less precise; growth variation increases

Cycle-length adjustments (don’t skip this)

If your cycle isn’t 28 days

Adjusted EDD (from LMP) = LMP + 280 days + (Cycle length − 28)

Example (31-day cycles): add 3 days to the LMP-based EDD. Example (25-day cycles): subtract 3 days.

Reason: ovulation tends to occur ~14 days before your next period. Longer cycles = later ovulation; shorter cycles = earlier ovulation.

IVF specifics (actual formulas)

Ultrasound accuracy by trimester (rough ranges)

Bottom line: If an early ultrasound disagrees with LMP beyond a certain threshold, many clinicians update the EDD to the ultrasound date and stick with it.

Which date “wins” in practice?

Edge cases you’ll hear about

Reality check: An EDD is an estimate, not a promise. Most births don’t land exactly on it. The job is consistent dating, not perfect prediction.

Quick examples

Related on this site

This page is educational only and not medical advice. If your EDD changes or your cycle is highly irregular, bring your data to your clinician and agree on a single, official EDD.