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Trying to conceive. Having irregular, heavy and painful period. What should I do to get pregnant?

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Infertility Specialist
Practicing since : 2002
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I'm 26 and TTC for a year now, and my periods are irregular ranging from 25-49 days in a cycle, having painful cramps with a heavier flow the first 2-3 days, and occasionally passing large half dollar size clots. My cramps are sometimes so painful and sharp is stops me in my tracks, making it difficult to be at work sometimes. this isnt with every period. Is this normal? What could be causing us to have problems getting pregnant?
Posted Sat, 11 May 2013 in Infertility Problem
Answered by Dr. Dattaprasad 1 hour later

Welcome to XXXXXXX

For conception to occur three things are required: one - normal semen analysis, two - patent fallopian tubes & three - regular ovulation. Even when all three things are fine, chance of pregnancy after 12 months is 85% & after 24 months 93%.

In your case, your irregular periods indicate either lack of ovulation or irregular ovulation. You can confirm ovulation by commonly avalaible ovulation kits, but it will be very time consuming in irregular cycles. If semen & tubes are fine, better option is to take ovulation induction medicines in consultation with specialist, which will increase chance of conception.

Hope this answers your query.
Let may know if you have other concerns.

Awaiting reply.
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Follow-up: Trying to conceive. Having irregular, heavy and painful period. What should I do to get pregnant? 10 hours later
What could be causing blocked Fallopian tubes? Could that be from the abortion years ago? I have used the OPKs before and all were negative so I don't think that I'm ovulating, also have no signs of it. I was on birth control for about 8 years, each time I went to see a physician the prescription was changed, and have been off for two years. Could this have caused my hormones to be out of normal range? Also, do my periods seem to be normal? My family has a history of fibroids, should I get checked?
Answered by Dr. Dattaprasad 34 minutes later
Thanks for the reply.

Past pelvic infections are the most common cause of blocked tubes. If you have no such history, you need not worry. Abortion can very rarely cause blocked tubes if its associated with infection.

Consumption of birth control pills does not cause anovulation.

Regarding chronic anovulation (lack of ovulation), it can be caused most commonly either due to polycystic ovarian syndrome (In which your ovaries enlarge, weight increases unless specific attempts are made to keep it under control & body hair may increase) OR stress induced (if your weight/BMI is very low) OR can be sign of ovarian failure. The exact cause can be determined after examination by gynecologist/infertility specialist & few basic blood tests (like AMH) & one ultrasound.
You can consult some infertility specialist for evaluation & further management.

Regarding fibroids, it doesn't cause anovulation & rarely cause infertility if blocking tubes. In addition, fibroids at your age are not so common unless there is strong family history of fibroids at early age. Ultrasound, which is done to evaluate cause of anovulation, will also look for/rule out fibroids.

Hope this answers your concerns.
Let me know if you have any other concerns. If not you can close the discussion & rate the answer.

Wish you good health.

Above answer was peer-reviewed by
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