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Fertility / Infertility (Expert Forum)
Fertility concerns 2nd opinion
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
Fertility concerns 2nd opinion
by mv1910, Apr 21, 2009 04:50PM
Hi,
I"m 34 years old and trying to conceive for 3 months. I have irregular cycles - varying between 30-40 days. And I don't have PCOS neither other major problems.
In 2007 I had a miscarriage with 6 weeks. And the only test I did was the hormonal tests which came up OK.
I realized that I'm not ovulating every month using the ovulation sticks.
My last 5 months periods:
December 12 2008
January 11 2009
February 12 2009
March 17 2009
April 15 2009
How can I calculate when I am ovulating with these historic periods?
Should I worry with some fertility problems I may have?
What are your advices in my case? Tests? Treatments? What should I do?
Many Thanks
I"m 34 years old and trying to conceive for 3 months. I have irregular cycles - varying between 30-40 days. And I don't have PCOS neither other major problems.
In 2007 I had a miscarriage with 6 weeks. And the only test I did was the hormonal tests which came up OK.
I realized that I'm not ovulating every month using the ovulation sticks.
My last 5 months periods:
December 12 2008
January 11 2009
February 12 2009
March 17 2009
April 15 2009
How can I calculate when I am ovulating with these historic periods?
Should I worry with some fertility problems I may have?
What are your advices in my case? Tests? Treatments? What should I do?
Many Thanks
Doctor's Answer
by Elaine Brown, MD, Apr 23, 2009 12:50AM
, Apr 23, 2009 12:50AMTo: mv1910
Hi!
It sounds to me like you are ovulating intermittently. For example,the Feb--March cycle is too long--you probably didn't ovulate. But the March--April is pretty good.
The way to calculate when you ovulated is to subtract 14 days from the first day of the menstrual period--So April 1 for example.
Using something like Metformin plus Femara, or just Femara alone, can regulate your cycles and speed up the process.
If you were my patient, I would check a prolactin level, a TSH and a progesterone level all on day 21 of your cycle. I would also check an FSH on cycle day 3 to evaluate your "ovarian reserve" which is the number of follicles remaining in the ovaries. Its that "age" thing.
Hope this is helpful!
Dr B
It sounds to me like you are ovulating intermittently. For example,the Feb--March cycle is too long--you probably didn't ovulate. But the March--April is pretty good.
The way to calculate when you ovulated is to subtract 14 days from the first day of the menstrual period--So April 1 for example.
Using something like Metformin plus Femara, or just Femara alone, can regulate your cycles and speed up the process.
If you were my patient, I would check a prolactin level, a TSH and a progesterone level all on day 21 of your cycle. I would also check an FSH on cycle day 3 to evaluate your "ovarian reserve" which is the number of follicles remaining in the ovaries. Its that "age" thing.
Hope this is helpful!
Dr B
