For the experts on prenancy. What does it mean when there is a conception discrepancy?

For the experts on prenancy. What does it mean when there is a conception discrepancy?
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Okay so, in America, when doctors say the baby is 9 weeks old, they start that count not at conception but at the first day of last menstural period. So when was the first day of her last period? Count that as day 1, week 0
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