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Fertility / Infertility (Expert Forum)
what do i do next
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.
what do i do next
by hopebaby09, Jun 14, 2009 04:19PM
i have been off of birth control for a year and half. was on it for 5 years. my periods are not coming every month. so should i do next. im trying to get pregant.
Doctor's Answer
by Elaine Brown, MD, Jun 17, 2009 12:01AM
, Jun 17, 2009 12:01AMTo: hopebaby09
Hi!
If you were my patient, I would recommend a couple of things. I would suggest that you try ovulation predictors, and a couple of blood tests. I like to do my testing this way: If you consider the first day of your period to be cycle day 1, I do an FSH, TSH and prolactin level on cycle day 3. I then have my patients use the ovulation predictors on days 11-16. I then like to do a progesterone level on day 21 to confirm ovulation.
If my patient is not ovulating ( irregular periods certainly suggests that someone is not ovulating regularly) I would then consider some additional testing for Polycystic Ovary Syndrome, and would consider starting her on Metformin and/or Femara to help her ovulate each month and therefore increase the chances for conception.
Hope this helps!
Dr B
If you were my patient, I would recommend a couple of things. I would suggest that you try ovulation predictors, and a couple of blood tests. I like to do my testing this way: If you consider the first day of your period to be cycle day 1, I do an FSH, TSH and prolactin level on cycle day 3. I then have my patients use the ovulation predictors on days 11-16. I then like to do a progesterone level on day 21 to confirm ovulation.
If my patient is not ovulating ( irregular periods certainly suggests that someone is not ovulating regularly) I would then consider some additional testing for Polycystic Ovary Syndrome, and would consider starting her on Metformin and/or Femara to help her ovulate each month and therefore increase the chances for conception.
Hope this helps!
Dr B
