Brief Answer:
Chances of pregnancy not likely.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

I have gone through your query and here are your answers:

1. It is true that ovulation can occur without any period after delivery, an abortion or a dilatation and curettage. This way, you have some chance of conception even with the pre-ejaculate, if you ovulated at the time. To confirm if this act caused conception, you can go for the assessment of the serum beta-hCG titres 10-12 days later. Further management depends on the result. However, it is very unlikely that this would happen.

2. The hormone oxytocin released during the sexual act can cause uterine cramping. Yet, severe cramping is unusual. Ruptured ovarian cysts, tubal motility, urethral spasms etc. are the other possible causes of this type of pain. They can be detected on a local examination, trans-vaginal sonogram and urinalysis.

Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for writing back.

Ovulation is associated with profuse, thin discharge in order to facilitate sperm movement into the uterus. Thick vaginal discharge is seen during the pre-ovulatory phase. Thus, you could not have ovulated while you had this discharge. You can also take an ovulation test, but, please remember that the test only detects the LH surge that occurs 12-30 hours prior to ovulation.

Pain can be attributed to the procedure you had. The instrumentation during the procedure can make the first intercourse somewhat painful. This settles in course of time as the tissues heal. If the pain recurs, you need an assessment.

Bloating can be a result of either excess estrogen or progesterone and cannot be a clear indicator of pregnancy.

Hope your query has been clarified. Please get back if you need more help.

regards,
Shanti.V.

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Brief Answer:
Primolut cannot help induce a pregnancy.

Detailed Answer:
Hi,

Thanks for posting your queries.

A positive ovulation test suggests a rise in LH that happens prior to ovulation. The positive test does not indicate ovulation. Ovulation can happen anytime between 12-36 hours after the LH surge. The ovum lives for a maximum of 24 hours.

Primolut can induce a period by adding up the progesterone and causing a withdrawal bleeding. This does not induce pregnancy. It is true that sperms can live for 3-5 days in an active state. It is ovulation that causes conception and not the presence of the hormones alone. Please remember that oral contraceptives are hormones meant to arrest ovulation or prevent conception.

You can expect withdrawal bleeding 3-7 days after completion of the hormone treatment. As you are not sure of ovulation, you can also take Duphaston instead of Primolut. You will see the bleeding if conception has not occurred. Moreover, Duphaston is safer.

Hope this helps.

regards,
Shanti.V.

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Brief Answer:
Not necessarily.

Detailed Answer:
Hi,

Thanks for writing back.

It is not necessarily true that the fertility rates improve after a dilatation and curettage. However, such association has been observed when treating cases of infertility with infrequent or absent ovulation. The exact cause is unknown. It is possible that the stimulation of the endometrium acts as a kickback to the ovaries to strike rhythm. You need not worry about conception in the current scenario. If you do not wish to conceive now, please adopt a proper contraceptive method.

Hope this helps.

Wish you good health.

regards,
Shanti.V.

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