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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Conceiving?

I have a very regular periods with cycle length 29 days. Had copper t inserted in March 2018 and removed it in August due to cramps and spotting. Post August my cramps and spotting stopped and I have a regular 5 days periods. Trying for second baby for past 6 months but not able to concieve. Anything wrong?
Thu, 7 Jun 2018
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OBGYN,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

In case of regular 29 days menstrual cycles, you can expect ovulation around 14th to 16th day. So, you have to plan unprotected intercourse around that time which will increase the possibility of pregnancy. If you tried already this, better to consult your gynecologist once get examined and undergo ultrasound once. After that if everything is normal, you can take tablets for ovulation induction and follow ovulation with follicular study. When ovarian follicle reaches around 2 cms size, you can take beta HCG injection with your doctor's advice. And plan unprotected intercourse around 24 to 36 hours after injection. With this workup your chances of conception will increase. If any problem is noticed either in examination or ultrasound like low ovarian reserve, PCOS etc, you need to take treatment accordingly.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Difficulty In Conceiving?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In case of regular 29 days menstrual cycles, you can expect ovulation around 14th to 16th day. So, you have to plan unprotected intercourse around that time which will increase the possibility of pregnancy. If you tried already this, better to consult your gynecologist once get examined and undergo ultrasound once. After that if everything is normal, you can take tablets for ovulation induction and follow ovulation with follicular study. When ovarian follicle reaches around 2 cms size, you can take beta HCG injection with your doctor s advice. And plan unprotected intercourse around 24 to 36 hours after injection. With this workup your chances of conception will increase. If any problem is noticed either in examination or ultrasound like low ovarian reserve, PCOS etc, you need to take treatment accordingly. Hope I have answered your query. Let me know if I can assist you further.