Hi Doc,

I am a 29 year old woman trying to conceive. I got my tests done by a gynac in India and it turned out that I had anaovulatory cycles. I have in general a 40 day cycle.

So I was given Ovral L to first regularize my periods. I got my periods on 15th May 2011. Then I was on the following medication :

Folvite 5 mg (D1 to 30)

Letroz 2.5 mg (D3 to 7)

T. Duphastone 10mg (D18 to 25)



Days to conceive- 10, 12, 14, 16, 18

And then to check for pregnancy. If pregnant, good. Or continue the medicine for one more month.



I was to take my pregnancy test today 24th June 2011, after missing my periods on 15th June. I was positive that I must've conceived.

But unfortunately just got my periods. :( This is June 24th, so 39-day cycle now.



I have a couple of questions.



1. How do I continue my medication? I mean which days should I take Letroz and T. Duphastone as now my days are not a 30 day cycle.



2. Which days will now be fertile for me, considering that its a 39 day cycle now?



I have a few other observations and questions too.



All these days I did not feel any periods symptoms, only for the last two days I was a bit tired. I attributed it to pregnancy.

However yesterday, I had exerted myself a little extra physically. I had also had orgasms the previous night. And because of indigestion problem, I had pressurised a lot during bowel motions too.



3. Is it safe to have sex (with orgasm) during later days of the cycle, when I may have conceived? I had heard that orgasm is not good then as the embryo is trying to implant itself on the uterus wall. Is it true that I should refrain from orgasm atleast, if not sex?



4. Can I work out- jog, jump, stretch etc. during the later days of the cycle, when I may think that I have conceived? I generally do work out twice a week. Medium intensity.



5. Does pressurizing during bowel motions lead to embryo not being able to implant itself properely on the uterus line?



6. Do all womem experience implantation bleeding?



7. Which is the best day to take a pregnancy test. Say should I have taken it on 16th June, when I missed my periods on 15th june?



Your help will be appreciated Doc. I really feel very very sad at not being able to conceive. I was very positive about it. :(

Please do reply soon with your suggestion and advice.



Thank you.

Navi.

P.S. Is taking Letroz fine.. I believe it was banned fior use in cases of female infertility. Please advise.