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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Delayed Periods. Pregnancy Test Negative. Ovulation Problem?

Hi, it's been 62 days since my last period and I am looking advice on what to do next, as I am currently trying to conceive. I came off microgynon 30 nearly 7 months ago and had 3 periods approximately 42 days apart. It has been 62 days since my last one and I am confused as an ovulation test showed an lh surge on day 29, however 2 home pregnancy tests have shown as negative. Can you please advise me what to do? I had a blood test at what I thought was 7 daps past ovulation which showed no hormonal imbalance, although my progesterone was just 2.3 which I understand is a low post ovulation result. I am starting to worry I am not ovulating at all, despite this positive lh surge on a digital test. I would appreciate if you could shed some light on this. Please note, I am 26 and healthy.
Mon, 29 Apr 2013
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OBGYN,  's  Response
Hello
Thanks for your query.
LH surge is indicative of ovulation, but that does not necessarily result in a conception.
Having delayed and irregular periods is a sign that you might need help in regulating periods and also in conceiving.
Just relying on progesterone measurement is not enough.
Please consult an Infertility specialist and have thorough evaluation for irregular cycles as well as for difficulty in conceiving.
Anxiety, stress, ingestion of medications, being on birth control, hectic travelling, changes in weight , recent illness or fever - all are reasons of irregular cycles.
Thyroid hormone disturbance, adrenal dysfunction, high prolactin levels, polycystic ovaries , endometrial pathology - all can cause such problems.
I would urge you to get professional help at the earliest.
Take care.
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Delayed Periods. Pregnancy Test Negative. Ovulation Problem?

Hello Thanks for your query. LH surge is indicative of ovulation, but that does not necessarily result in a conception. Having delayed and irregular periods is a sign that you might need help in regulating periods and also in conceiving. Just relying on progesterone measurement is not enough. Please consult an Infertility specialist and have thorough evaluation for irregular cycles as well as for difficulty in conceiving. Anxiety, stress, ingestion of medications, being on birth control, hectic travelling, changes in weight , recent illness or fever - all are reasons of irregular cycles. Thyroid hormone disturbance, adrenal dysfunction, high prolactin levels, polycystic ovaries , endometrial pathology - all can cause such problems. I would urge you to get professional help at the earliest. Take care.