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Suggest Treatment For Difficulty In Conceiving

Posted on Mon, 13 Jun 2016

Question: Hello Doc, I am 33 yrs old female. I am having regular flow periods for 32 days cycle from last three months. Though the cycle days were irregular before that. I have been trying to conceive so I have used ovulation kit last month of march from 8th to 12th day of period and it was all negative. So this month of April I had started using it from 14th day onwards. And its been 24th day today but its all negative. My first day of period was 1st of April. How long I shall use these kit or you think I have already missed ovulation before 14th day. Or is there something like anovulation or ovulation disorder. I am really worried about getting pregnant. I am also taking ovacare tablets for last 2 months. please suggest.

Answered by Dr. Dr. Soumen Patra (1 hour later)

Brief Answer:
Need to undergo follicular study for evaluation.

Detailed Answer:
Hello Dear,

Thanks for writing to us. Followings are my comments:

1) If your previous 3 cycles were quite regular and duration was 32 days, then you should ovulate around D18 (approx 14 days prior to due date) and ovulation day ranges from D17 to D20. I think that either you missed the ovulation day or there is problem in follicle maturation and rupture.

2) I suggest you to undergo Serial Follicular Study (through Ultrasound) from next cycle from D12 to D20 (1 to 2 days gap in between, depending on follicle status). It will be more worthwhile to rule out any problem in follicle maturation or rupture and ovulation. Next level of treatment can be done according to test report. Until then, you should continue OVACARE tab as prescribed.

3) According to your cycle date, you have to involve in unprotected sex from D15 to D21 to maximize chance of pregnancy. In a single cycle, your chance of conception is 20-25%.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Soumen Patra (44 hours later)

Hello Doctor, Shall i continue to do ovulation tests using kit till my next period date? As it is already 26th day today. And how early can I perform the pregnancy test. My last period beginning date was 1st April. Also fyi I have been trying to conceive for last 5 months.

Answered by Dr. Dr. Soumen Patra (1 hour later)

Brief Answer:
Stop tracking. Do beta-hCG test after D28.

Detailed Answer:
Hello Dear,

Welcome back again. Followings are my comments:

1) Ovulation tests should be done in the middle (from D12 to D20) of regular cycle (average duration 28-32 days). I don't recommend to keep tracking for ovulation till the period date as it is already now D26.

2) You can undergo blood test for beta-hCG for early detection of pregnancy. As per your cycle length, the test should be done after D28. However, you should await for period and if you miss it, then you need to repeat the test for confirmation.

Hope, it helps for your information. Kindly, close the discussion, if you don't have any other query.

Wish your good health and take care. Good luck.

Regards,

Above answer was peer-reviewed by : Dr. Deepak