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Irregular periods. Taken HCG injection during follicle study. Now spotting. Reason?

hi, Dr Lundi, I,m dr akash , my wife has got problem of irregular cycles since 10 years now ,we are married since 4 years .be ze of irregular menses and uncertainty of ovulation , conception is not taking place ,she was given inj hcg on 28 th day of cycle with follicle size 17mm but ovulation didn,t take place until 6th day of hcg by follicle study. now on 3 rd day of ovulation she has bleeding or spotting. what does that mean .
Asked On : Thu, 4 Apr 2013
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Lab Tests
Infertility Specialist 's  Response

Thanks for your query.

I have read your query & I understand your concerns.

Following is my reply:

1) The spotting could be one of the signs of ovulation or if she had ovulated and conceived, it could be an implantation bleeding due to implantation of embryo.

2) The ovulation could have been missed by ultrasound by mistake. Hence I would suggest you go for other mode of ovulation testing like ovulation strips, serum LH levels along wih ultrasond to predict accurate ovulation

3) try changing the brand and batch of hCG you have taken next time as some hCG inj are defective.

I hope I answered your query. I will be available for any followup queries you have.


Dr.Mahesh Koregol
IVF & Infertility Specialist.
Answered: Sun, 7 Apr 2013
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