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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medications For Conception

Hi, I´m 28 and I´ve been trying to conceive for the past 6 months. I took clomid from days 3 to 7 of my cycle as the doctor told me to do. I used an ovulation predictor kit from days 12 to 18, and according to it, I wasn´t about to ovulate on those days (the sticks only showed one red line and never the 2 of them). Given that my doctor didn´t do an ultrasound, I took a progesterone test on day 25 of my cycle and the result was 24 ng/ml, which according to the lab´s values meant that I had ovulated in the past days. The next day after taking the test, I noticed a brownish discharge in my underwear which lasted 5 days and then it stopped (I had no need to use a pad). I took a home pregnancy test on day 28 (during the time I experienced the discharge) and it was negative. I´m on day 37 of my cycle and I still haven´t got my period. I´ve also been experiencing mild cramps in the lower part of my abdomen. Is it possible that I ovulated, even if the ovulation kit showed a negative result? If I don´t get my period in the following days should I take a blood test to see If I´m pregnant or is it impossible, considering that both the ovulation kit and the home pregnancy test showed negative results? Thanks
Mon, 6 Feb 2017
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OBGYN 's  Response
Hi there, I have understood your concern. I will suggest you the best possible treatment options.

First of all do not panic.

As there is confusion over ovulation and there is no definite menstrual bleeding, I will suggest you to get morning's first sample of urine tested for pregnancy, after 5 to 7 days. As doing urine pregnancy test on day 28 can be too early and xanthine be inconclusive. In case of doubt blood beta HCG test and USG will be of help.

If you are pregnant, please start on Folic acid, Vitamin B 12 and Omega 3 supplements .

If test is negative, then you can simply wait for the onset of periods. If you want, you can induce the periods with progesterone tablets. Your treating doctor can guide you further about it.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar. .
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Suggest Medications For Conception

Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As there is confusion over ovulation and there is no definite menstrual bleeding, I will suggest you to get morning s first sample of urine tested for pregnancy, after 5 to 7 days. As doing urine pregnancy test on day 28 can be too early and xanthine be inconclusive. In case of doubt blood beta HCG test and USG will be of help. If you are pregnant, please start on Folic acid, Vitamin B 12 and Omega 3 supplements . If test is negative, then you can simply wait for the onset of periods. If you want, you can induce the periods with progesterone tablets. Your treating doctor can guide you further about it. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar. .