What does late ovulation mean with a cycle of 28. What is the latest day of the cycle for ovulation

The greatest value on Earth is life, and the main sacrament is its origin. Ovulation plays a leading role in this process. In a healthy woman, it happens imperceptibly and they think about it only when they begin to plan the appearance of a baby in the family. During this period, the expectant mother may hear from the doctor the unfamiliar term “late ovulation”, which is alarming, like everything new.

What is it - a variant of the norm or pathology? Is it worth worrying? And, most importantly, can late ovulation be a hindrance to motherhood?

Ovulation means the release of a mature egg into the woman's abdominal cavity. It is impossible to predict in advance which day this will happen. Ovulation is considered normal in the middle of the menstrual cycle. With a period between periods of 28 days, maturation occurs approximately on day 14. If the cycle lasts 34 days, this should happen on the 17th day.

We can say that a woman has late ovulation if, during a cycle of 28 days, the egg matures, for example, on day 18.

This delay is due to a number of factors. This happens both in absolutely healthy women due to physiological characteristics, and under the influence of diseases and various third-party influences. Late ovulation and menstruation are related. The longer the egg matures, the longer the cycle will be.

The main question that worries a woman who is planning a baby is whether pregnancy is possible with late ovulation? Under the condition of a healthy body and with the help of minor medical correction, motherhood occurs. So pregnancy and late ovulation are not mutually exclusive.

What causes late ovulation?

The delay in egg maturation that occurs during late ovulation depends on many factors. Sometimes it is caused by the physiological characteristics of a woman and is considered a variant of the norm.

The most common causes of late ovulation are:

1. Increased physical and psychological stress. It is advisable to avoid them during pregnancy planning.
2. Infectious diseases of the reproductive organs.
3. Hormonal changes in the body.
4. Abuse of emergency contraception in the past.
5. Women's underweight. The lack of adipose tissue negatively affects the production of estrogen, which provokes late ovulation.
6. Increased power loads, playing sports in combination with taking steroids.
7. Spontaneous and, recent childbirth.

How to recognize deviation?

If a woman has a suspicion of a violation of the cycle, you should visit a doctor and undergo a diagnosis. There are various methods for determining ovulation. Some can be used at home, while others are carried out in a medical institution.

The simplest method for calculating the timing of egg maturation is to determine the basal temperature.

The measurement is made with a mercury thermometer immediately after waking up. This must be done in a rectal way, without getting out of bed. The data obtained is recorded for plotting. Just before the onset of ovulation, the basal temperature drops sharply, and the next day it increases.

To obtain reliable information, measurements are carried out for a long time (from 3 months or more).

The next method is an ultrasound of the pelvic organs, which allows you to see the maturation of the follicle and ovulation. For diagnosis, several ultrasound examinations are required, carried out at intervals of 2-3 days.

You can also use home tests that determine ovulation. They are available in most major pharmacies. The principle of the test is based on the determination of luteinizing hormone in the urine, which appears a few days before ovulation.

Of these methods, the most accurate results are obtained by an examination by a gynecologist with an ultrasound (ultrasound).

However, one-time observations cannot reliably judge the presence of late ovulation. Therefore, any method must be applied for several menstrual cycles.

Relationship between pregnancy and late ovulation

To understand whether late ovulation is a hindrance to pregnancy, it is necessary to establish its causes. If this phenomenon is caused by health problems, then the planning of the child may be delayed, since they rarely go away on their own.

In most cases, the treatment prescribed by the doctor contributes to the establishment of a regular cycle and the onset of a long-awaited pregnancy.

Even ovulation does not occur in the middle of the cycle, this does not indicate a violation. It is important that it occurs approximately 2 weeks before menstruation. When these dates are shifted in one direction or another, it is worth considering. Problems with conceiving a baby arise if the duration of the second half of the cycle is always shorter than the first.

Pregnancy with late ovulation can occur almost before menstruation. Therefore, determined by ultrasound and obstetric terms may differ. This must be taken into account in order to calmly respond to the allegedly existing fetal lag in development.

HCG with late ovulation is lower than expected at the corresponding obstetric period (counting from the first day of the last menstruation). You should not worry about this, but after detecting pregnancy, it is advisable to observe its growth in dynamics.

In the future, the expectant mother needs to inform the doctor of the antenatal clinic about the features of her menstrual cycle.

How to correct the cycle?

One of the drugs used to regulate the cycle is Duphaston.

The appointment of "Duphaston" for late ovulation is controversial today. He has many opponents. For example, in the UK, the product has not been released since 2008. However, in many countries, late ovulation and Duphaston go hand in hand. It is prescribed to stimulate menstruation, regulate the cycle.

But the drug is still not recommended for those who want to get pregnant as soon as possible. This is due to the need to use the tool on schedule. Even a single mistake in the time of administration or dosage can lead to an effect opposite to the desired one. That is, instead of a long-awaited pregnancy, menstruation will come.

Some experts in the field of medicine (Essen Institute for Medical Research and Education in Germany) argue that the use of the drug "Dufaston" to eliminate late ovulation is not only not justified, but can also lead to its complete absence, postponing the onset of motherhood.

Sometimes the prescription of the drug is not confirmed by the results of the analysis, but is based only on the assumption of a lack of progesterone in the blood. If there are doubts about the competence of the doctor recommending Duphaston, it is worth consulting other specialists on this issue. It is easier to undergo an additional examination than to eliminate the consequences of an illiterate and inept intervention in the body.

Most women who want to get pregnant track their ovulation every month, trying to conceive on certain days. But if all efforts are unsuccessful, and the test constantly shows one strip, you should not immediately think about infertility, IVF, and so on. Perhaps late ovulation is to blame for everything, and there is still a chance to get offspring by the natural method, you just need to know its features and be able to correctly calculate the date of release of the oocyte.

Usually, with an average cycle of 28 days, ovulation occurs on the 14th day - this is considered the norm. If the cycle length is longer, then the ovulatory process occurs later, since the egg needs more time to mature. For example, it makes no sense to talk about late ovulation if, during a cycle of 30–32 days, the egg leaves the ovary on the 18–20th day. For such a period, this is the norm, since the hormonal background causes the follicles to develop at such a speed.

With a cycle of 26 days, the onset of this process will be earlier, which is also quite normal. And also it is worth considering that the date of ovulation can vary within 2-3 days.

Real late ovulation occurs if, with a cycle of 28 days, the oocyte leaves 2-3 days later than the due date, that is, after the 17th day.

It follows from this that late ovulation with a cycle of any length is an infrequent phenomenon, it is just that many confuse it with the normal maturation process, if it is slightly more than average. But the presence of this symptom may indicate a pathology that needs to be treated. Although this does not always happen.

Ovulation can be a week before menstruation or less for various factors:

• stressful situations;
• abrupt climate change due to moving, for example, to hot countries;
• prolonged overheating in the sun;
• viral and chronic diseases;
• the effect of drugs in the treatment of gynecological diseases.

All this can lead to a delay in the development of the oocyte. In this way, the woman's body is protected from poor-quality conception. That is, the main reason for the displacement of the ovulatory process is unfavorable conditions that affect the quality of the genetic material of the embryo.

To understand whether the ovaries really “worked” later than the due date or there is a pathology, you need to pay attention to how ovulation takes place before menstruation.

The main signs of the ovulatory process, which began late, include:

• changes in basal temperature occurred later, which indicates the release of the oocyte a little later;
• an ovulation test showed a positive result later than expected;
• a change in well-being, which, however, does not always occur.

Late ovulation and menstruation are interconnected, however, this does not affect the nature or duration of critical days, in the absence of pathologies. But if the discharge became more abundant or, conversely, scarce, and the premenstrual syndrome was more pronounced than usual, you should consult a doctor.

It is worth noting that healthy women sometimes experience late ovulation and a slight delay in menstruation. However, this phenomenon is short-lived. With constant violations of the cycle, you should also consult a doctor.

If there was no ovulation, this does not affect menstruation. Perhaps in this period the follicle did not mature.

Late ovulation after discontinuation of oral contraceptives

As practice shows, oral contraceptives (OC) negatively affect the hormonal background of a woman and can lead to malfunctions of the reproductive system. After the cancellation of OK, the recovery period is 3 months. If after this period, for 2-3 cycles, the onset of the ovulatory process and menstruation later than the middle of the cycle is noticed, it is necessary to be examined.

But you should not panic, because the duration of recovery often depends on the duration of the medication. Therefore, the main goal is to find out what is the reason for the formation of an egg later than the due date - from the drug or the presence of any disease.

Is it possible to get pregnant with late ovulation

Yes, it is quite possible. If there are no serious diseases of the reproductive system, then late ovulation and pregnancy are quite compatible. You just need to know the duration of your own cycle so that the calculations for conception are correct. But, despite the fact that the long maturation of the follicle does not affect the process of conception, there are still "pitfalls" in this phenomenon.

If the displacement of the ovulatory process is rare, this will not affect future motherhood. However, with constant failures in the cycle, there are certain risks. If the late maturation of the oocyte for a woman is the norm of the physiological process, and she is completely healthy, you just need to correctly calculate the day of conception. But this is only possible if the second phase of the menstrual cycle is at least 12-14 days. That is how much time is needed for the preparatory processes of the internal environment of the uterus for the adoption of a fertilized egg.

If the cycle is lengthened not due to the first phase (prolonged maturation of the oocyte), but in the second period, this entails a lot of difficulties with conception.

The delayed ovulatory process can affect conception and pregnancy features if the following factors are present:

• diseases of the reproductive system;
• hormonal imbalance;
• diseases of the genitourinary system;
• age changes.

Cycle shift can be caused by such phenomena:

1. postpartum period. Its duration is 1 year after birth.
2. Abortion and termination of pregnancy. The system returns to normal after 3 months.
3. Infectious diseases - SARS, influenza, colds.
4. chronic stress.

It is worth noting that if ovulation occurred at the end of the cycle, menstruation may begin during pregnancy. Basically, this phenomenon is one-time, and in the future there should not be monthly.

Late ovulation and pregnancy: Duphaston

When planning pregnancy and childbirth, when the patient experiences menstrual irregularities, doctors often prescribe Duphaston. This drug normalizes the level of progesterone in the blood, which leads to the restoration of the reproductive organs.

Duphaston is taken in a special course, which the doctor prescribes based on the results of the diagnosis. To maintain pregnancy, especially in the first trimester, this drug is also prescribed. This helps to restore the necessary hormonal levels that contribute to the successful bearing of the fetus.

It is impossible to interrupt the course on your own, this will be done by the doctor on the basis of certain indicators or if necessary.

Pregnancy with late ovulation: how to determine the period?

It is worth noting that pregnancy with late ovulation has its own characteristics, one of which is the discrepancy between the timing of the onset of gestation and obstetric calculations. The fact is that the doctor determines the gestational age based on the last date of the onset of menstruation. But with late maturation and untimely release of the oocyte, this period is shifted by 2–3 weeks.

That is, if with an average cycle lasting 28 days, the ovulatory process begins on day 14, then in this case it will shift by about 2 more weeks, and will be 4 weeks. These data are conditional, since each woman has her own cycle duration, according to which the gestational age must be calculated. If, on average, the day of ovulation occurs on the 12-15th day, and the pregnant woman had them on the 20th day, then another 1 week should be added to the obstetric date of pregnancy.

Often, due to an incorrectly calculated period, the doctor makes an erroneous diagnosis of “fetal growth retardation”. In the very early stages of pregnancy, when the embryo is not yet visible during the diagnosis, the gynecologist can diagnose "anembryony", which is also wrong. But do not rush to prescribe treatment without confirming the diagnosis. And an ultrasound examination will help to establish the exact date.

It is worth paying attention to the signs of pregnancy, which, with late ovulation, also occur a few weeks late.

It will help in calculating the correct gestational age by determining the exact day the egg leaves the follicle. This can be done in various ways, such as:

• ovulation test;
• examination of mucus from the vagina;
• examination of saliva in the laboratory;
• temperature measurement;
• folliculometry;
• gynecological examination;
• blood test for hormone levels.

Late ovulation and pregnancy: when will it show on ultrasound?

The late process of oocyte release can affect the timing of pregnancy, so this should definitely be reported to the observing gynecologist. Otherwise, the terms calculated by him will not coincide with the real ones, which will entail unnecessary worries, manipulations, examinations and the appointment of unnecessary drugs. The result on ultrasound will also be different with this diagnosis.

When registering women with this problem, two options for the intended conception are recorded: according to the last menstruation and according to ovulation. And after the ultrasound examination, the date is corrected, which should be guided by.

In the normal course of pregnancy, the fetal egg on ultrasound is noticeable after 3-4 weeks. However, with a shift in the ovulatory process, these terms are shifted by another 2-3 weeks. That is, ultrasound is best done after 6-7 weeks, otherwise there is a risk of simply not seeing anything.

Diagnosis and treatment

Before prescribing treatment, it is necessary to carry out diagnostic procedures. The main diagnostic method is blood sampling for hormone levels:

• follicle-stimulating hormone - is involved in the process of follicle growth;
• luteinizing hormone - promotes the maturation of the oocyte;
• progesterone - prepares the endometrium of the uterus to receive the embryo;
• estradiol - changes the quality of cervical mucus;
• "Male" hormones - suppress the processes associated with conception.

If instead of menstruation there are symptoms of ovulation, this may indicate a pregnancy or gynecological disease that has begun. However, double ovulation in one cycle also happens. Sometimes the second release of the oocyte can be confused with late ovulation. With such signs, a woman has a chance to become pregnant with twins.

Late ovulation: Duphaston and Utrozhestan

If the late release of the egg is associated with a hormonal failure, drugs such as Duphaston and Utrozhestan will help solve the problem. But you can’t prescribe these funds for yourself. The doctor, in order to choose the right treatment regimen, will send for analysis. After determining the amount of hormones in the blood, it will be possible to prescribe drugs that will provide the body with the missing progesterone. This will prepare the woman for conception and pregnancy.

Useful video: determining ovulation at home

Conclusion

If the duration of the menstrual cycle has not changed, and the release of a mature egg is late, then there is a late ovulation. Regular recurrence of this problem requires immediate examination. But do not forget about a healthy lifestyle, which also significantly affects the work of all internal organs, including reproductive ones. And the ovulatory process can be negatively affected by a negative emotional state or an irregular sex life. By changing your habits, you can improve your health.

When to do an ovulation test?

They are made 5-7 days before its expected start. This is with the condition of a regular menstrual cycle, since otherwise you need to buy more tests and use them about 10 days before the rupture of the follicle, that is almost every day.

Late onset of the luteal phase it is advisable to use the device on the 13-21st day of the menstrual cycle. After receiving a positive result, the test will no longer be needed, since it has fulfilled its function.

Is it possible to correct/restore the cycle?

From a medical standpoint, it's easy to do., but it is important to understand why you need to interfere with the menstrual cycle.

If late ovulation norm variant, then there is no need to restore the cycle for the "average value", since the consequences will be unpredictable.

In cases of persistent hormonal imbalance(increase / decrease in prolactin, progesterone), serious diseases, it is necessary to correct and restore the menstrual cycle. For this, there are special drugs inhibitors or analogues of hormones that normalize the hormonal status.

For example, among gynecologists uses popular medicine"Duphaston". It stimulates the onset of the luteal phase, and is also an analogue of progesterone.

Sometimes combined oral contraceptives are used. However, if a woman has it, then it is most reasonable. After 2 months, the cycle will recover on its own.

Is it possible to conceive, how does it affect pregnancy?

late ovulation is not an obstacle for pregnancy and subsequent gestation. However, it is permissible to say so only if it refers to a variant of the norm and is just a consequence of a long menstrual cycle.

Minor hormonal imbalances of a short-term nature also do not pose a danger to conception, but in the case of serious diseases and significant endocrine disorders, pregnancy is unlikely.

For example, with elevated prolactin or insufficient amounts of progesterone, fertilization is almost impossible, indicating the need for medical attention. Each case is individual.

Who is most likely to conceive?

Untimely rupture of the follicle does not affect gender future child. Here it is impossible to calculate with accuracy and in advance, since such biological parameters depend to a greater extent on the partner. It is in a man that the Y chromosome has an X and Y program, unlike the egg.

Scientists have found some connection between the sex of the child and the woman's ovulation. For example, you need to have sexual intercourse just before ovulation, and then 2-3 days before its onset, stop sexual relations.

happens to the boy everything is exactly the opposite: it is desirable to start sexual intercourse during ovulation.

key factor here is the exact definition of the luteal phase of the cycle, which will indirectly help to influence the sex of the unborn child.

In conclusion, it must be said that late ovulation is not a standalone diagnosis., but only a symptom, which can be a variant of the norm or pathology. With a long menstrual cycle, a late rupture of the follicle is logical and natural. This does not speak in favor of a serious illness.

If the doctor or patient has doubts or an alarming clinical picture, then it is necessary to carefully examine and check the hormonal status.

Only after diagnostic results final conclusions can be drawn. In any case, it makes no sense to panic, since the data of laboratory studies will answer all your questions.

According to medical terminology, late ovulation with a cycle of 28 days is the release of a mature egg into the abdominal cavity after 18 days. Normally, this should be observed exactly in the middle of the menstrual cycle, i.e. around day 14.

The reasons are quite numerous, and it is not always possible for doctors, after the conducted studies, to reliably determine exactly the one that caused the violation. Let's try to name the main ones.

To begin with, it must be said that in order to assert that this process occurs with some delay in a woman, it is necessary to conduct observation for at least 3 cycles in a row. Isolated cases of delayed ovulation are possible in almost every, even an absolutely healthy woman.

Speaking about why a woman's body has late ovulation, doctors usually name the following factors:

• severe overvoltage, stressful situations, poor environmental conditions;
• diseases of the reproductive system;
• disruption of the hormonal system;
• premenopausal period;
• a consequence of the presence of abortions in the past;
• period after childbirth.

How is late ovulation diagnosed?

In order to determine whether a particular woman can ovulate late, the patient's assumptions alone are not enough. In such cases, doctors prescribe an ultrasound examination. It is this method with high accuracy that allows you to determine the moment of release of the egg from the follicle. In this case, a woman needs to undergo this examination almost every 2-3 days, starting from the 12-13th day of the cycle.

Assuming the fact that a girl has a late ovulation with a cycle of 28 days, a blood test for the two methods listed above is carried out exclusively with the participation of physicians. However, a woman herself can determine the approximate time of ovulation. To do this, it is enough to use special test strips, which are sold in every pharmacy.

2011-09-02 14:45:48

Tanya asks:

Good afternoon. I am 26. There were no pregnancies, only I plan to. Usually the cycle for years was regular 28-29 days. In July, all the necessary tests for TORCH and STDs were passed. Nothing was found, everything is normal. The last cycle (06.07 - 15.08.) For some reason, 41 days !!, possibly due to nerves, there were prerequisites .. On the 16th day (20.07) an intravaginal ultrasound was done. They said that the endometrium does not correspond to the day of the cycle (6.5 mm is too thin for pregnancy), i.e. endometrial hypoplasia. The rest is pathological. (Later I began to connect this, perhaps with a later ovulation, because the cycle, as it turned out, was already 41 days old!). Since July, we have not been using protection, there have been no attempts to get pregnant earlier. The next cycle began on 16.08. M proceeded as usual 5-6 days. On August 31 (on the 16th day of the cycle), an intravaginal ultrasound was done again, the result was without pathologies (the body of the uterus: length 46, thickness 30, width 44). The follicles correspond to the day of the cycle, the endometrium is thin - 5.1 mm). (According to the measurement of BT, there was no ovulation yet, but already 18 days) The doctor said to build up the endometrium, take Tazalok drops for about a couple of months until pregnancy occurs. If pregnancy does not occur during this period, then in an emergency, with “her ardent desire”, it will be necessary to donate blood for hormones and, according to the results of hormones, force ovulation. In the instructions for Tazalok, I read that it is taken for endometrial hyperplasia, but I have hypoplasia. Whether there will be a return action of a medicine in my case? What alternative options are there for endometrial augmentation? For example, perhaps you need to take some vitamins E, C, or others, exercise, include foods rich in iron in the diet, etc.? I will be very grateful for the answer

Responsible Gunkov Sergey Vasilievich:

Dear Tatyana. Your attention to appointments does you credit. It should be noted that Tazalok is a homeopathic remedy and it is not true to narrow its action to certain indications - homeopathic remedies normalize regulatory processes and give the body a chance to cope with the pathological process on its own. In our view, the appointment is justified, because the specialist was guided by the principle: “The body must cope with the disease on its own, because serious trials lie ahead.”

2011-08-04 00:23:30

Nune asks:

Hello! I am 42 years old, did not give birth, there was no pregnancy. 5 years ago, she underwent surgery to remove bilateral endometriosis ovarian cysts (about 4 cm), a myomatous node about 3 cm was also removed, the patency of the tubes was not impaired, the level of all hormones was at the lower limit.
Then she took nemestrane for 6 months. For 5 years, the cycle was regular, follicles were formed, but there was almost no ovulation. The follicle increased to 3-4 cm or vice versa decreased. Late ovulation occurred several times (on the 20-21st day of the cycle). Hormone stimulation was performed 2 times, but this only led to the formation of a follicular cyst. The best effect was after taking homeopathic remedies: several follicles developed, but still pregnancy did not occur. On ultrasound, the thickness of the endometrium corresponds to the stages of the cycle
The last menstruation was very painful, the cycle is regular, from 26-28 days. Passed tests:
LG-7.68, FLG-13.31 (with a norm of 3.5-12.5), E2 - 26.51, DHEA - 114, thyrotropin - 1.2, Anti-TPO - 7.73, Anti-TG - 22.11
Prolactin did not give up this time, because it was always within the normal range.
But the FLG is very high this time. The last time she took tests last year, the FLG was 8.13, and the LH - 4.03, then a month later the FLG became 6.3.
Please tell me, are these signs of menopause or could there be other reasons? And what to do. Is pregnancy possible?

Responsible Klochko Elvira Dmitrievna:

Hand over an blood test for AMG - it will show your reproductive capabilities. So far, nothing can be said for sure, although FSH is a little high.

2015-12-06 12:46:34

Natalia asks:

Hello! A year ago I had an ST for 7 weeks. It was possible to get pregnant only from the 5th cycle. I am 23 years old, this is the first, and unfortunately, ST. During the cleaning, they said that there is dysplasia sh / m. In February 2015, she treated dysplasia (according to histology, a mild degree) with a radio wave method. Now everything has healed and the doctor allowed me to get pregnant. Already the third cycle is not obtained. My cycle was usually 29-30, now it has slightly lengthened and became 30-32. I went for an ultrasound on the 24th day of the cycle: the result of the ultrasound is without morphology, the only thing is that there is a 19 mm follicle, the ultrasound doctor wrote a persistent follicle in question. I have now reasoned and come to the conclusion: perhaps a year ago I had late ovulation and a short second phase of the cycle, which could lead to STD. True, after the ST, I underwent an examination: torch infections, HPV, STIs, lupus anticoagulant, complete blood count, coagulogram, thyroid hormones - everything is normal. Sex hormones did not hand over. Now I'm planning and I'm afraid of repeating the ZB. My questions: 1. Can I ovulate on the 24th-25th day of the MC during my cycle? 2. Is late ovulation dangerous? 3. What other tests should I take? 4. Do I need folliculometry, if so, on what days of the MC should I do it?

Responsible Palyga Igor Evgenievich:

Hello, Natalia! To draw objective conclusions, it is necessary to undergo folliculometry from the 8th-9th day of the menstrual cycle to assess the growth of the dominant follicle and the passage of ovulation. It is also rational for 2-3 days m.c. take a blood test for FSH, LH, prolactin, estradiol, on day 21 m.c. progesterone. The delivery of free testosterone, DHEA, cortisol does not depend on the day of m.c. After receiving the results, it will be possible to speak in more detail.

2013-12-27 09:37:56

Anna asks:

Good evening of the day!
My problem is the following... 5 years ago I was diagnosed with primary infertility (All 5 years I was treated as best they could)))). This year, I finally decided to do a laparoscopy (resection for PCOS). She underwent stimulation (2 months) with clostilbegit, duphaston. On analyzes of hormones everything was restored (results of the last cycle). This month I was prescribed folk, vitamins e, B6, as well as cyclodinone ...
At this point, I'm on my fourth day of delay, light discharge, decreased appetite, and something like heartburn. Sometimes I feel sipping, tingling of the tummy on the left, the sensitivity of the chest has slightly increased.
What are these allocations? Why does the stomach sip? Also what it in general can be for a set of symptoms?
In advance, HUGE thanks for the answer!

December 27, 2013
Palyga Igor Evgenievich answers:
Reproductologist, PhD
consultant information
Did you live during the stimulation period of open sex? Theoretically, there may be a pregnancy, so I advise you to donate blood for hCG first.

Yes, sexual intercourse was regular. today is the fifth day of delay, but the tests are negative. If it was late ovulation (4 days before the expected start of menstruation), then on which day of delay should I take the test?
And what could it be if not pregnancy?
THANK!

Responsible Palyga Igor Evgenievich:

To accurately establish or refute the fact of pregnancy, I advise you to donate blood for hCG, its indicator will accurately make it clear whether you are pregnant. Tests in the early stages may give uninformative results. If you are not pregnant, then a hormonal failure has occurred and it is necessary to establish its cause. In this case, I recommend to undergo an ultrasound of the pelvic organs. PCOS can cause a delay. Have you had any delays before?

2013-08-28 08:12:48

Valentina asks:

Good afternoon!
Two months ago, on a planned ultrasound at a gestational age of 12 weeks, the diagnosis was made: anembryonia, non-developing pregnancy of 7 weeks.
Pregnancy was the first, long planned. The husband was treated because of the low percentage of live spermatozoa (less than 5%), it was possible to raise it to 28%. And before pregnancy, I had a low level of progesterone in the follicular phase, thin endometrium and late ovulation (on day 19, cycle - day 31). I drank "Yarina +" for three months and after a cycle after the cancellation, pregnancy occurred. There was a threat of miscarriage, persisted, took duphaston, utrozhestan (vaginally), magne B6 and foliber. Signs of pregnancy: nausea, chest pain, reaction to smells persisted to the last.
The day after the non-developing pregnancy was discovered, vacuum aspiration was performed. I drank antibiotics and began to take tests according to the doctor's recommendations.
Histology revealed nothing.
For TORH infections:
HSV 1/2: Lgg (+), LgM (-);
CMGV: Lgg (+), LgM (-);
Toxoplasma: Lgg (-); LGM(-);
Rubella: LgG (+); LgM(-) (had been ill in the 10th grade).
A coagulological blood test revealed no abnormalities, antibodies to LgM and LgM phospholipids were negative.
Hormonal analysis (on the 6th day of the cycle):
Anti-TPO - 392 U / ml (high, ref. values ​​0.0-5.6);
Cortisol - 20.0 mcg / dl (high, ref. values ​​3.7-19.4).
Other hormones: T4, TSH, anti-TG, luteinizing hormone, follicle-stimulating hormone, prolactin, progesterone, estradiol, testosterone, hCG, 17-hydroxyprogesterone, DHEA-S - within normal limits.
I was also recommended to take a culture tank from the cervical canal with sensitivity to antibiotics, hormones on the 22nd day of the cycle, and as I understand it, I need to check the avidity and PCR of detected TORH infections.
I have the following questions:
1. Could high levels of anti-TPO hormones and cortisol be the causes of miscarriage? Which specialists should I contact with this problem?
2. Does my spouse need to undergo treatment because of the CVM and HSV 1/2 antibodies detected in me? Should he also donate blood for TORH infections?
3. With the worst prognosis, how soon can we plan a pregnancy?

My husband and I are 27 years old, both have blood type II (+), neither he nor I had sexual contacts with other partners.

Thank you in advance! Sorry if there is too much information!

Responsible Purpura Roksolana Yosipovna:

There is not much information, you have described everything very well.
Now to the point.
Ig G indicate contact with the infection in the past and are not subject to sanitation, their presence indicates developed immunity (as in the situation with rubella). Ig M fix an acute infection, but they have not been detected in you.
If you are not sorry for the time and finances, then you can, of course, check the avidity and take the PCR, but I am sure that this will not work.
Your cortisol is slightly elevated, you should not worry about it, but the level of antibodies to thyroperoxidase is elevated, which indicates autoimmune thyroiditis, which most likely caused the pregnancy to fade.

I advise you to contact an endocrinologist who will prescribe a corrective treatment against which you can become pregnant and carry a child under the control of a blood test.
Do not worry, contact an endocrinologist and everything should work out for you, which I sincerely wish you!

2013-02-14 10:01:22

Eugene asks:

Hello!

January 19 was unprotected intercourse. January 20 began menstruation, lasted three days (usually 3-4 days).
On January 30, I had coitus interruptus, but, as it turned out later, I ovulated that day.
My period was supposed to come on February 13 (the cycle is usually 24 days). Since February 4, I feel almost all the signs of pregnancy. On the 10th I developed a temperature and runny nose, and very abruptly. The runny nose was cured, the temperature keeps on the 5th day - 36.8 in the morning - 37-37.1 from lunch to 6-7 in the evening. The delay is the second day, my stomach hurts like during menstruation, I recovered a little, but there is no hint of any discharge. I did a test in the evening on the first day of the delay - the result is negative.
What is it - pregnancy or is there time to wait for the arrival of menstruation?

2012-10-25 15:38:26

Natia asks:

Hello:)
I'm 26, I got married 9 months ago. There was no pregnancy (we don't use protection), 6 months after the start of the pancreas, I went for an examination to a gynecologist, all smears were clean and without STIs.
colposcopy - a small ectopic erosion, a picture of the 1st ultrasound, everything is normal and caught ovulation (17dmc), because the cycle is 32 days late ovulation.
In the next cycle, for the reliability of the functioning of the ovaries, they began to do folliculometry, the follicle matures and ovulation occurs (24mm) on the 17th dmc, but on the 15th day the m-echo is 15mm, on the 17th 15.6mm. In the same cycle, I passed the tests on the hormones LH FSH PRL progesterone estradiol testosterone-everything is normal ...... again an ultrasound was prescribed in the next cycle on the 6th day of mc to exclude pollip.
on the 6th day of the mc, a small accumulation against the background of spotting, then I come to the 10th dmc, they find an endometrial polyp 8mm by 4mm endometrium on the 17th dmc, the dominant follicle burst was 21mm, while the m-echo was 15.7
passed in the same cycle again PRL TSH FT4 (since there were 19-20 inclusions in the ovaries), only prolactin was high 25.4 (with a maximum of 24.) bromocriptine was prescribed for half a tab. I have been taking it 2 times a day for a month now and have been prescribed ultrasound for the 9th DMC in the next cycle, again to control the pollip
Already the current cycle passed ultrasound control on the 9th day:
the uterus is not enlarged 44-33-44mm cervix 28mm the contours are even, the shape is correct, the echogenicity is normal, the structure of the myometrium is homogeneous, the endometrium is heterogeneous due to areas of reduced echogenicity and m-echo 18mm, increased echogenicity in the C / z areas of increased echogenicity with fuzzy contours 5-3mm.
right ovary 30-20mm follicular
left ovary 40-30mm with the formation of D-24mm
free fluid is not detected
Diagnosis: endometrial hyperplasia, endometrial polyp in question, cyst of the left ovary.
the previous cycle was somewhat shortened from 32 days to 29 days and a length of 3-4 days (with a 32-day cycle it was 5-6 days)
I can’t understand how a cyst could have formed when ovulation occurred in the left ovary in the last cycle ...
or could it still be whining by a dominant follicle? and how dangerous is 18mm endometrium on the 9th day
at the moment I take only bromocriptine (already a month)
please tell me what it can be, how to proceed
I wanted to start taking dufaston for hyperplasia, but so far I have refrained (no one has prescribed it yet), I need to do an RDD or hysteroresectoscopy as quickly as possible (I think this is a more gentle method for reproductive age)
Thanks in advance for your replies :)

Responsible Palyga Igor Evgenievich:

You need to have a hysteroscopy, which should provide answers, if there is a polyp, it will be removed. You do not need to take any medications on your own, after receiving the results of hysteroscopy, the gynecologist will prescribe hormone therapy.

2012-03-30 21:56:32

Inna asks:

Hello! I am 22 years old. The cycle has always been fickle. I have been treated for polycystic disease for almost a year now. Prolactin was almost doubled (55.44 ng/ml at a rate of 1.20-29.93 ng/ml). Saw Mastodion 3 months. After that, prolactin became 17.5 ng / ml. Then I did another analysis for hormones - follicle-stimulating hormone 7.3 Od/l, luteinizing hormone 16.3 Od/l, testosterone vilny 5 pmol/l. The analysis was made in the follicular phase. The doctor prescribed OK (Mavrelon) for 3 months, after the cancellation, you can become pregnant. On January 11, 2012 I finished drinking ok, on January 14 my period started. On day 35 m.c. pulling the lower abdomen, I thought there would be a menstruation. But there was a mucous discharge, like egg white. This went on for several days (3-4). I took a pregnancy test - negative. Then I realized that it was ovulation, because two weeks later menstruation began! But we missed ovulation! I had late ovulation, is it worth drinking duphaston from day 11 and how does it affect ovulation??? (second cycle after canceling OK) be also late ovulation?And tell me, please, effective methods of treatment to get pregnant with polycystic disease!!!Thank you very much!!!

Responsible Hometa Taras Arsenovich:

Hello Inna, it is best to evaluate the growth of follicles, endometrium and ascertain ovulation on ultrasound with a vaginal sensor. The discharge described by you can indeed appear in the periovulatory period, but does not reliably confirm the fact of ovulation. In addition, a long or irregular cycle is usually observed with an ovulatory cycle. In your case, support for the second phase of the cycle should be prescribed only after the ultrasound detection of ovulation or obviously after ovulation (if the cycle is regular).

2009-07-10 19:11:56

Irina asks:

I am tormented by doubts about whether I am ovulating. Periods go regularly, the cycle is 26-27 days. I am planning a pregnancy, but it does not occur for several cycles. I have been measuring my basal body temperature for several months. The graphs are very similar, with temperatures rising above 37.0 in the second half of the cycle. 2 times I did an ovulation test, which was positive for 10-11 days. On days 9-12, discharge appears that resembles egg white (which is considered an indirect sign of ovulation). When examined on the 11th day, the doctor said that I had a pupil symptom. Firstly, it confuses me that the basal temperature rises to 37.0 later than all the symptoms listed - usually only by 15-17 days (once it increased by 14th) and, secondly, on the 11th day of the cycle on ultrasound, the doctor saw the maximum follicles of 11 mm in the right ovary and 9 in the left (but on the same day the ovulation test was positive).
The doctor says that if the temperature rises steadily and holds, there is ovulation. In addition, he judges by progesterone on day 21 of the cycle - 140 nmol / l (norm 22-80).
Another contradiction:
I had elevated prolactin (on the 21st day of MC) - 433 (normal 40-240). The analysis for prolactin passed on the same day as for progesterone. It is believed that with increased prolactin, progesterone is reduced. But for some reason I didn't - both were promoted. After taking dostinex for 2 months, prolactin decreased almost three times and became normal - 151 (normal 40-240). True, the discharge from the nipples did not disappear anywhere. It is also surprising that the graphs of basal temperature and with increased prolactin were the same as with normal. Judging by them, then ovulation was then. To my assumption, the doctor replied that it was unlikely. But, looking at the latest charts (the same as before the dostinex treatment), she claims that ovulation is taking place. This way of thinking is not entirely logical, in my opinion.
I also have increased hair growth (on the arms, legs, around the nipples, chin, mustache). But testosterone is within the normal range - 1.8 nmol, l (the norm is up to 4.5). The doctor spoke. that according to the clinic, I could have assumed polycystic ovaries (at the same time, he already had the result of an analysis for testosterone). True, he “did not develop” this topic anymore, and later said that with polycystic BT does not rise, ovulation does not occur and progesterone does not happen the same as mine.
I beg you, dispel my doubts, is it possible to believe that I have the same ovulation.
Sincerely!
Irina

Responsible Doshchechkin Vladimir Vladimirovich:

Hello. Registration of a preovulatory LH peak (SOLO test) is not a direct confirmation of ovulation.
“A discharge resembling egg white appears on days 9-12 (which is considered an indirect sign of ovulation)” and “On examination on day 11, the doctor said that I have a pupil symptom” - both of these tests are markers in assessing estrogen saturation, which is necessary for ovulation, but this does not directly confirm the fact of ovulation. As well as do not confirm ovulation, BT schedules, which are uninformative in most women. In some women, despite the above normal indicators and markers of ovulation, ovulation still does not occur, but the syndrome of luteinization of the unovulated follicle develops. I believe that you still have ovulation, but only a serial ultrasound with a vaginal sensor (folliculometry) can confirm this.
The most informative when confirming ovulation is the ultrasound monitoring of the ovaries with an assessment of the presence of transitional formations in the ovaries immediately after menstruation, the presence of a growing (dominant) follicle, the presence of ovulation and the formation of a corpus luteum with its subsequent regression.
... But testosterone is within the normal range - 1.8 nmol, l (the norm is up to 4.5) ...
... prolactin decreased, but colostrum was preserved ...
Plasma testosterone, and even its free forms, is a very unreliable test in evaluating the hyperandrogenic factor. Judging by the doubts in assessing the presence or absence of PCOS (polycystic ovary syndrome), you should look for an alternative opportunity to have an ultrasound with a vaginal probe, for example, in a specialized center for infertility.
The presence of colostrum in the mammary glands can persist despite the normal values ​​of prolactin, with hypertrophy of lactophores in the mammary glands. This could happen, for example, with prolonged relative hyperestrogenism, oral contraceptives or pure estrogens.
So. Perform ultrasound monitoring of the cycle in a specialized center. Confirm ovulation and corpus luteum on ultrasound. Determine the level of progesterone in the presence of a corpus luteum and say goodbye to your doubts and anxieties. Do not forget to do a husband's spermogram, compatibility tests and check the fallopian tubes.
Good luck!