What does late ovulation mean during cycle 28. Signs of late ovulation and conception at the end of the cycle. What to do if you ovulate late

When to take an ovulation test?

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

With late onset of the luteal phase It is advisable to use the device on days 13-21 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?

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

If ovulation is late variant of the norm, 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 purpose, there are special drugs inhibitors or hormone analogues that normalize hormonal status.

For example, among gynecologists it is used 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 it is a woman, 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 illnesses and significant endocrine disorders, pregnancy is unlikely.

For example, at elevated prolactin or insufficient amounts of progesterone, fertilization is almost impossible, which indicates the need medical care. Each case is individual.

Who is most likely to conceive?

Untimely rupture of the follicle has no effect on gender future child. Here it is impossible to calculate accurately and in advance, since such biological parameters depend to a large 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 immediately before ovulation, and then 2-3 days before its onset, stop sexual relations.

Happens to the boy everything is exactly the opposite: it is advisable to start sexual intercourse during ovulation.

The key factor here is an accurate determination of the luteal phase of the cycle, which will indirectly help influence the gender of the unborn child.

In conclusion, it must be said that late ovulation is not an independent diagnosis, but just a symptom that can be a variant of the norm or pathology. With a long menstrual cycle, late rupture of the follicle is logical and natural. This in no way speaks 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, there is no point in panicking, since the data laboratory research will answer all your questions.

Many women do not pay attention to ovulation, especially if this process occurs without painful signs.

Exact dates egg maturation usually becomes necessary for those representatives of the fair sex who are starting to plan a pregnancy or for some reason cannot conceive a child for a long time.

The ovulatory period occurs in every body healthy woman, but it can be timely, early or late.

To understand what “late ovulation” means, you need to remember that the menstrual cycle consists of the following phases:

1. Menstrual - begins with the first days of menstruation, the same day is the beginning of a new cycle. During this period, the functional layer of the endometrium is rejected.
2. Follicular phase - follicle growth occurs under the influence of an increase in the hormone estrogen. The dominant follicle is determined, from which a mature egg will subsequently be released.
3. The shortest phase is the ovulatory phase, lasting about three days. During this period, the amount of estrogen reaches its peak and luteinizing hormone begins to be produced, the follicle bursts and a mature and ready-for-fertilization egg is released, the life of which is 12-24 hours, in rare cases reaching 48 hours.
4. The cycle ends with the luteal phase. During this period, thanks to the formed corpus luteum in the body, the hormone progesterone is produced, under the influence of which the thickness of the endometrium increases, this is necessary for the successful implantation of a fertilized egg to the wall of the uterus. If fertilization does not occur, corpus luteum dissolves, and accordingly the production of the hormone progesterone stops, which leads to the destruction of the endometrium. And the cycle begins all over again.

The phases of the menstrual cycle have their own duration. For example, the follicular phase can range from 7 to 22 days, with an average of 14.

REFERENCE! In a healthy woman, the length of the luteal phase has a certain framework and lasts 12–16 days (mostly 14 days); if the period is less than 12 days, then this may be a deviation from the norm and indicate possible pathologies.

But if, with a 32-day cycle, the egg is released on day 21 or later, then this type of ovulation is considered late. Important role When determining the timing of the ovulatory process, the duration of the cycle plays a role, which can range from 24 to 36 days.

ON A NOTE! If the cycle is 36 days, and ovulation occurs on days 20–24, this is not a deviation, but a natural feature of the body. to contents

With a 28 day cycle

In women with persistent 28-day menstrual cycle The release of the egg occurs in the middle - on the 14th day +/- 2 days. Late ovulation during this cycle will occur if the maturation of the egg occurs after the 17th day or later. Single moments of late exit do not always indicate any deviations in female body, sometimes this happens even in completely healthy girls.

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With a 30 day cycle

Late ovulation with a 30-day cycle occurs after the 19th day of the cycle. If this period fluctuates between 14–18 days, then this is the norm for this length of the cycle. If the cycle is unstable, and the ovulatory period begins closer to its end, then it is recommended to undergo an examination and identify the causes of the disorders.

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Late ovulation and delayed menstruation

Most women associate a delay in menstruation with the onset of pregnancy, but in this case there may not be conception. A late ovulatory period can be triggered by: taking medications, contraceptives, certain diseases, as well as frequent stressful situations. Late ovulation in combination with a delay in menstruation can occur even in healthy girls, but this phenomenon should not be permanent.

ON A NOTE! Even frequent periods can disrupt the periodicity of egg formation. colds and medications taken during treatment. In this case, this factor indicates excessive sensitivity of the body and is individual feature. to contents

Causes of late ovulation

Most of the factors that cause a late ovulatory period can be corrected special drugs or changes in lifestyle. It is enough to identify the circumstances that caused the cycle disruption and eliminate them. Difficulty may arise in the presence of diseases reproductive organs. In this case, it will be necessary to undergo a full course of treatment.

The reasons for the delayed formation of the egg may be the following factors:

• recent medical abortion;
• taking certain potent drugs;
• consequences of miscarriage;
• recent birth;
• constant stress or work abnormalities nervous system;
• infections reproductive system body;
• sudden change hormonal levels;
• taking contraceptives;
• approaching menopause;
• change climatic conditions;
• past infectious or viral diseases.

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Signs of late ovulation

You can detect late egg maturation at home. The most effective method is to conduct a special test, which is sold in pharmacies. If a woman regularly measures basal temperature, then determining the time of ovulation will also not be difficult for her.

In addition, every woman of childbearing age knows what signs accompany the ovulatory period, therefore its onset can be identified by changes general condition body. Signs of egg release are the following:

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What to do if you ovulate late?

Determine whether there are any deviations in operation internal systems which caused the late maturation of the egg can be determined using certain types of examination. In this case, it is better not to engage in self-diagnosis. Otherwise, existing diseases will progress and lead to complications, which will be much more difficult to get rid of in advanced stages.

1. examination by a gynecologist;
2. blood and urine tests.

If the delayed release of the egg occurs due to reasons such as abortion, miscarriage or recent childbirth, then there is no need to take any medications. Just wait a while and the cycle will be restored.

REFERENCE! Violation of the timing of the ovulatory period can also occur in a healthy woman due to the negative impact of environmental factors or as a result of changes in the body. The main problem of this state is the difficulty in calculating auspicious days to conceive a child.

The situation is different if internal diseases or hormonal disbalance. In this case, it is better to consult with a specialist and select special methods for restoring natural processes in the body.

The drug is available in tablet form and is taken in a special course, which is calculated by the doctor based on test results. Its main property is considered to be the restoration of the menstrual cycle and the normalization of progesterone levels in a woman’s body.

Main properties of the drug:

• replenishment of progesterone deficiency;
• elimination of premenstrual tension syndrome;
• normalization of irregular menstrual cycle;
• elimination of some forms of infertility.

IMPORTANT! It is necessary to take Duphaston if delayed egg maturation is detected only after consultation with a specialist. Some doctors recommend using it only in emergency cases, and, if possible, using other means of restoring the timing of ovulation.

When identifying signs of late ovulation, a woman should find out why it occurred. It is necessary not only to seek help from a specialist, but also to take measures to change your lifestyle: it is important to control your emotional condition and eliminate stress, sex life should be regular, a banal change in diet and refusal to bad habits.

baby.online

Late ovulation with a 28-day cycle

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

The reasons for late ovulation are quite numerous, and after research, doctors are not always able to reliably determine exactly what caused the disorder. Let's try to name the main ones.

Why can ovulation occur later than expected?

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

When talking about why late ovulation occurs in a woman’s body, doctors usually name the following factors:

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

How is late ovulation diagnosed?

In order to determine whether a particular woman’s ovulation may be late, the patient’s own assumptions alone are not enough. In such cases, doctors prescribe ultrasonography. It is this method that allows you to determine with high accuracy the moment the egg leaves 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.

A blood test for luteinizing hormone helps to suggest that a girl with a 28-day cycle has late ovulation. The two methods listed above are carried out exclusively with the participation of doctors. However, a woman herself can determine the approximate time of ovulation. To do this, just use special test strips, which are sold in every pharmacy.

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womanadvice.ru

Late ovulation: probable causes and methods of determination

Normally, the menstrual cycle for most women lasts from 21 to 35 days. The release of the egg from the ovary occurs in the middle of the cycle. If its duration is 28 days, then ovulation occurs 13–15 days after the start of menstruation. Late ovulation in a 28-day cycle occurs if the egg matures with a delay - only by 18–19 days.

A clear menstrual cycle and timely onset of ovulation play a decisive role in the emergence of a new life. But the hormonal system, which regulates all processes in a woman’s body, is very sensitive. Ovulation may occur due to illness or influence external factors 18 days after the start of the cycle.

When a woman is healthy, this phenomenon is not considered a serious problem. For some women, ovulation, which occurs a little later, is an individual feature of the functioning of the reproductive system. It is believed that late ovulation with a cycle of 32 days is not at all late, but normal for such a duration.

In the absence of pathology associated with the genital organs, pregnancy is quite possible. Inconvenience appears if a woman is protected using a physiological method. In this case, in order to accurately determine the onset of ovulation, the calendar method will not be enough.

Reasons for late maturation of the egg

When a woman’s menstrual cycle is regulated, and all the main phases occur on time, the egg leaves the follicle around the 14th day. The onset of ovulation 18 days after the start of the cycle or later can be caused by various factors.

The main reasons for late ovulation are:

• gynecological pathologies;
• past infectious and non-infectious diseases;
• postpartum period;
• recent termination of pregnancy;
• prolonged stress;
• climate and time zone change.

Changes in hormonal levels have a particularly strong effect on the ripening of the egg. When the content of estradiol in the body decreases and at the same time the level of testosterone increases, the follicle develops more slowly than when normal level hormones. Progesterone deficiency also slows down this process.

Late ovulation and delayed menstruation can be associated with peculiarities of the constitutional structure. Thin women usually have an insufficient ratio of fat tissue to total body weight. With low levels of estrogen production, which is directly related to the amount of fat, ovulation may be delayed, and sometimes amenorrhea occurs. In the latter case, there is no menstruation at all.

In nursing mothers, the menstrual cycle may also differ from the ideal; most of them experience all the signs of late ovulation. This happens especially often in the first six months after childbirth.

Girls who are seriously interested in bodybuilding know firsthand what late ovulation is. Many hours power training V gym themselves force the reproductive organs to work in energy conservation mode. And if the athlete also takes steroids, then her periods stop.

Determination of late ovulation

If a failure is suspected monthly cycle, it is advisable for the girl to consult a gynecologist. To find out why this happened and find out when your last ovulation was, there are many methods. Some of them can be used independently, while others can only be applied to a clinic.

The most accessible and simple method of determining ovulation is based on measuring basal temperature (in the rectum). It must be measured every morning immediately after waking up. Temperature indicators must be recorded and, based on them, a graph must be built. On the eve of the release of a mature egg, the temperature drops sharply, and within a day it rises. In order for the information to be as reliable as possible, measurements must be carried out for at least 3 months.

It is convenient to use pharmacy tests at home. They respond to an increase in luteinizing hormone, which is observed immediately before ovulation. Based on the moment when the test shows a darker line than the control line, you can prepare for the long-awaited ovulation to occur on the second day.

More accurate results may show medical examinations. Folliculometry allows you to observe the dynamics of follicle development and accurately determine when ovulation occurs. This procedure is carried out using ultrasound machine(vaginal ultrasound or transabdominal) several times with intervals of 1–2 days.

It is prescribed in cases where:

• it is necessary to find out how well the ovaries work;
• confirm the fact of ovulation and determine the days of the monthly cycle;
• define possible reasons hormonal imbalance;
• you need to decide whether ovulation stimulation is necessary.

In a laboratory, a blood test is performed that shows the hormone levels. They are produced when ovulation occurs. Just before the egg begins to be released and on the day the follicle bursts, the test will show high levels of estrogen and luteinizing hormone.

Analyzes performed using a microscope have high reliability (96–99%). After placing a drop of mucus from the cervix and drying it, you need to examine the smear. If ovulation has occurred, then on this day the microscope will show a pattern resembling a fern leaf. This is due to the fact that as the follicle matures, the content of potassium and sodium in the body increases. When dried, the salts present in the mucus crystallize, taking on a characteristic shape.

Signs of late ovulation

Even very late ovulation, which occurs after the 18th or 19th day of the cycle, rarely differs in its manifestations from normal ovulation, which occurs on time. The hormone estrogen, which reaches its maximum concentration on this day, makes a woman feel strong sexual attraction. This is an unconscious reaction inherent in nature itself. This is how the body lets you know that it is ready to conceive.

Almost all women become more attractive and confident in their own abilities as ovulation approaches. Unpleasant sensations Not everyone experiences the stress associated with this period. If a woman is healthy, she may not notice symptoms and not know that there could be late ovulation that day.

Nagging pain in the lower abdomen, tingling on the right or left side, swelling and increased sensitivity breasts - these signs of ovulation are familiar to many women. But almost all ladies notice copious discharge vaginal mucus. Its consistency resembles egg white, which means ovulation has taken place.

If, after examination, a woman has hormonal imbalances that have caused a delay in follicle maturation, then there is the possibility of drug correction of this condition. Many women have heard the phrase “late ovulation and duphaston.” This is explained by the fact that the drug is often prescribed in cases where stimulation is necessary for luteal insufficiency or correction of the menstrual cycle.

Possibility of conceiving and carrying a pregnancy during late ovulation

Women dreaming of a child are interested in whether late ovulation can cause normal pregnancy. Another question is when to do the test? Experts believe that late ovulation and conception do not contradict each other. The only thing worth considering is that due to the slower maturation of the egg, the opportunity to become pregnant does not appear every 30 days, but less often. Often the interval between ovulations is 35–40 to 60 days.

In rare cases, women are prescribed drug stimulation to speed up the ripening of the egg. More often, stimulation is prescribed in the complete absence of ovulation after a thorough examination of the couple. It is carried out when pregnancy does not occur for a long time or as preparation for insemination.

Considering that pregnancy with late ovulation can occur almost before the onset of menstruation, it is not easy for a woman to determine its due date on her own. If she is going to do a home test to determine pregnancy, she should know that with such a phenomenon as late ovulation and hCG will be lower. Therefore, the test strip may show a biased result.

The most accurate and informative results will be those obtained when ultrasound examination. They will confirm or deny the fact of pregnancy and help accurately determine its duration.

omesyachnyh.ru

Late ovulation with a 28-day cycle - normal or pathological

Most physiological processes in a woman’s body occur unnoticed if they do not cause a feeling of discomfort and are the norm. This also applies to the reproductive sphere. Thoughts about what late ovulation is in a 28-day cycle usually occur to women who cannot fulfill the dream of motherhood. When hearing this medical term for the first time, many feel anxious. How justified is this worry?

What is late ovulation?

The menstrual cycle in women lasts between 21–35 days. These indicators are the absolute norm. The “gold standard” in gynecology is a 28-day cycle, in which the egg is released on days 13–14. However, with a cycle of 30, 32, 34 days, ovulation is observed 2, 4, 6 days later. And this is also considered a sign of the norm. Longer maturation of the egg is due to the influence of external and internal factors, and does not always indicate pathology.

Each woman has an individual hormonal background that regulates the process of maturation and release of the egg. For example, if the menstrual cycle lasts 32 days and ovulation occurs on the 16th day constantly, then this indicates the normal functioning of the reproductive sphere. If, with a normal cycle of 28 days, ovulation is delayed by 5–10 days, then this is exciting and requires consultation with a gynecologist.

Late ovulation is a common occurrence in gynecological practice. The true reasons for this circumstance can be very diverse. A set of diagnostic measures using laboratory and instrumental research methods will allow a physiological feature of the body to be excluded.

The diagnostic complex includes the following procedures:

• blood test for hormones (progesterone, testosterone, prolactin, FSH, LH);
• folliculometry (ultrasound diagnostics of the dynamics of egg development over 3 menstrual cycles);
• ultrasound examination of the pelvic organs;
• special tests to determine ovulation;
• measurement of basal body temperature (for 3 – 6 months).

After studying the patient's medical history, the doctor can explain why ovulation is delayed.

Diagnostics can be carried out independently at home:

1. Measuring body temperature in the rectum. Before ovulation, a slightly lower temperature is noted, which increases to 37 degrees when the egg leaves the follicle.
2. Minor nagging pain in the lower abdomen may indicate the onset of ovulation. This process is often accompanied by the appearance of transparent mucous discharge from the vagina and droplets of blood on underwear.
3. Changes in the nature of cervical mucus. The vaginal secretion becomes viscous, thick, and has a consistency similar to egg white.
4. Moderate pain in the lateral abdomen (on the side where the egg is released).

The listed signs are relative. They can be caused by other reasons, so examination of the body in a specialized medical institution is recognized as an objective diagnostic method.

Late ovulation is not the cause of female infertility. A thorough diagnosis of the body will reveal the true reason why reproductive function is impaired.

Factors that provoke late ovulation

Among the most common causes of late egg maturation are the following:

• Individual characteristics of the hormonal system. In most cases, there is a hereditary factor. If late ovulation was observed on the maternal side, then it is assumed that the daughter also has this feature.
• Increased levels of male hormones in the body. Androgens in quantities exceeding normal levels suppress ovulation and slow down the development of the egg.
• Hormonal imbalance during puberty. Late maturation of the egg may continue until the menstrual cycle is fully established.
• Postpartum period and breastfeeding. After the birth of a child, active hormonal changes occur in a woman’s body, which can cause late maturation of the egg. In nursing mothers, the menstrual cycle often lengthens to 35–45 days due to late ovulation.
• Premenopause is a common cause of late ovulation in women over 40 years of age. When the first signs of approaching menopause appear, gynecologists suggest this factor.
• Infectious diseases of the pelvic organs. The most common cause of delayed ovulation. After eliminating the signs of inflammation, reproductive function is usually restored.
• Viral respiratory infections, including influenza, reduce overall immunity. A weakened body blocks the ovulation process in order to prevent genetic mutation.
• Increased physical activity. This is a stressful situation for the body, which is trying to restore lost function by prolonging the development of the egg. This is how the body signals that it is not ready to conceive.
• Psycho-emotional instability after suffering stress also affects the female body. Many women do not pay due attention to this phenomenon. Constant thoughts about the impossibility of getting pregnant can cause the egg to overripe.
• Use of medications. Hormonal therapy (including oral contraceptives) radically changes hormonal levels. With long-term use of contraceptives, the recovery period can last up to 6 months after discontinuation of the drug.
• Surgical manipulations on the reproductive organs. Abortion (spontaneous or medical), curettage of the uterine cavity, surgical treatment of the cervix and uterine body, fallopian tubes and ovaries can delay ovulation for a long time.
• Climate change provokes a shift in the menstrual cycle in one direction or another. However, this does not mean that a serious hormonal change has occurred. Upon returning to the usual climatic zone, physiological indicators return to normal.

Correction of hormonal levels

Late ovulation, depending on the cause of its occurrence, may require correction of the ratio of hormones in the body. Women often have questions about whether hormone therapy can eliminate delayed egg maturation and is there any benefit from it?

Hormone therapy really helps restore hormonal levels. But the answer to the question of how to advance the ovulation process should be sought by the attending physician. Independent use of synthetic hormone analogues can cause irreversible processes in the body.

A striking example of hormonal therapy are the drugs Duphaston, Utrozhestan and their analogues. These drugs are successfully used in the treatment of gynecological diseases caused by hormonal changes.

Hormonal therapy is recommended for menstrual irregularities and infertility. The dose of the drug and the treatment regimen should be adjusted by the attending physician. Missing just one pill can cause your period to start early.

The rationality of using hormonal drugs must be justified by test results. Irrational use of Duphaston and its analogues causes a complete absence of ovulation.

Late ovulation in itself is not dangerous for a woman and does not create obstacles to motherhood. In the absence of gynecological pathology, successful conception of a child and pregnancy is possible. If late ovulation is caused by any diseases, you must first undergo a full course of treatment from a gynecologist.

Late ovulation can cause unwanted pregnancy. When using the calendar method as contraception, there is a high probability of making a mistake and mistaking fertile days for a safe period. Gynecologists recommend using the ERP (natural regulation of conception) method or using other reliable methods of contraception (COCs, IUDs) to protect against unwanted pregnancy.

In order for physiological indicators to return to normal, you must adhere to the following recommendations:

• timely treatment of systemic diseases;
• elimination of infectious and inflammatory processes in the reproductive organs through the rational use of antibacterial and antiviral agents;
• immediately seek qualified help if unusual symptoms appear;
• limiting physical and mental stress;
• elimination of stress factors;
• daily walks in the fresh air;
• regular sex life with a regular sexual partner, promoting active blood circulation in the pelvic organs;
• proper rest (including night sleep);
• balanced diet, free of preservatives, carcinogens, food additives;
• absence of bad habits (alcohol, smoking).

Timely diagnosis of diseases, a competent approach and adequate therapy contribute to the establishment of a regular cycle. Routine consultations with a gynecologist should become the norm in the life of any woman who dreams of experiencing the joy of motherhood.

2011-09-02 14:45:48

Tanya asks:

Good afternoon. I am 26 years old. I haven't been pregnant, I'm just planning. Usually the cycle for years was regular 28-29 days. All were completed in July necessary tests for TORCH, for STDs. Nothing was found, everything is normal. Last cycle(06.07 – 15.08.) for some reason 41 days!!, perhaps due to nervousness, there were prerequisites.. On the 16th day (20.07) they did an intravaginal ultrasound. They said that the endometrium does not correspond to the day of the cycle (6.5 mm - too thin for pregnancy), i.e. endometrial hypoplasia. The rest is without pathologies. (Later I began to connect this, perhaps, with later ovulation, because the cycle, as it turned out, was already 41 days!). We haven't taken any precautions since July; we haven't tried to get pregnant before. The next cycle began on August 16. M proceeded as usual for 5-6 days. On August 31 (on the 16th day of the cycle), an intravaginal ultrasound was done again, the result was without pathologies (uterine body: 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 BT measurement, ovulation has not yet occurred, but it is already 18 dc) 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, if “her ardent desire” occurs, it will be necessary to donate blood for hormones and, based on the results, the hormones will force ovulation. In the instructions for Tazalok, I read that it is taken for endometrial hyperplasia, but I have hypoplasia. Won't it be reverse action medications in my case? What alternative options are there for endometrial augmentation? For example, you may need to take some vitamins E, C, or others, do physical exercise include food in your diet, rich in iron etc? I will be very grateful for the answer

Answers Gunkov Sergey Vasilievich:

Dear Tatyana. Your attentive attitude to appointments does you credit. It should be noted that Tazalok is a homeopathic medicine and it is not correct to narrow its action to certain indications - homeopathic remedies normalize regulatory processes and give the body a chance to cope with pathological process on one's own. In our opinion, 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, I have not given birth, I have not been pregnant. 5 years ago I underwent surgery to remove bilateral endometriotic ovarian cysts (about 4 cm), a myomatous node of 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 Nemestran 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, conversely, decreased. Late ovulation occurred several times (on days 20-21 of the cycle). Stimulation with hormones was carried out 2 times, but this only led to the formation follicular cyst. Best effect was after the appointment 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 was regular, from 26-28 days. Passed tests:
LG-7.68, FLG-13.31 (at normal 3.5-12.5), E2 - 26.51, DHEA - 114, thyrotropin - 1.2, Anti-TPO - 7.73, Anti-TG - 22.11
I didn’t test prolactin this time, because it was always within the normal range.
But FLG this time is very high. The last time I took tests last year, FLG was 8.13, and LH was 4.03, then a month later FLG became 6.3.
Please tell me, are these signs of menopause or could there be other reasons? And what needs to be done. Is pregnancy possible?

Answers Klochko Elvira Dmitrievna:

Donate blood for AMH - it will show your reproductive capabilities. It’s impossible to say anything for sure yet, although FSH is quite high.

2015-12-06 12:46:34

Natalia asks:

Hello! A year ago I had a TB for 7 weeks. I managed to get pregnant only from the 5th cycle. I am 23 years old, this is my first, and unfortunately, ST. During the cleaning they said that there is dysplasia of the b/m. In February 2015, she treated dysplasia (according to histology mild degree) radio wave method. Now everything has healed and the doctor allowed me to get pregnant. Already the third cycle is not working. My cycle was usually 29-30, now it has lengthened a little and became 30-32. I went for an ultrasound on the 24th day of the cycle: the ultrasound result - no morphology, the only thing is that there is a 19 mm follicle, the ultrasound doctor wrote that the persistent follicle is in question. I’ve now thought about it and come to the conclusion: perhaps a year ago I had late ovulation and a short second phase of the cycle, which could have caused ST. True, after the ST I was examined: Torch infections, HPV, STIs, lupus anticoagulant, general analysis blood, coagulogram, hormones thyroid gland- everything is normal. I did not take sex hormones. Now I’m planning and I’m afraid of a repeat of the ST. My questions: 1. Can ovulation occur on day 24-25 of MC during my cycle? 2. Is late ovulation dangerous? 3. What other tests should I take? 4. Do I need folliculometry, if so, on which days of the MC is it best for me to do it?

Answers 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 occurrence of ovulation. It is also rational for 2-3 days of m.c. take a blood test for FSH, LH, prolactin, estradiol, on the 21st day of m.c. progesterone. Change free testosterone, DHEA, cortisol does not depend on the day of m.c. After receiving the results, it will be possible to speak more specifically.

2013-12-27 09:37:56

Anna asks:

Good evening!
My problem is this... 5 years ago I was diagnosed with primary infertility (All 5 years they treated me with whatever they could)))). This year I finally decided to have a laparoscopy (resection for PCOS). She underwent stimulation (2 months) with clostilbegit and duphaston. According to hormone tests, everything was restored (results of the last cycle). This month I was prescribed Folka, vitamins E, B6, as well as cyclodinone...
At this moment I am on the fourth day of my delay, light discharge, decreased appetite, and something like heartburn. Sometimes I feel stretching and tingling in my left abdomen, and the sensitivity of my chest has increased a little.
What kind of discharge is this? Why is my stomach churning? And what kind of set of symptoms could this even be?
In advance, Thanks a lot for answer!

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

Yes, there were sexual intercourse regularly. 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 what day of the delay should I do the test?
And what could it be, if not pregnancy?
THANK YOU!

Answers Palyga Igor Evgenievich:

To accurately establish or refute the fact of pregnancy, I advise you to donate blood for hCG, its indicator will accurately indicate whether you are pregnant. Tests for early stages may give uninformative results. If you are not pregnant, then there is a hormonal imbalance and it is necessary to establish its cause. In this case, I recommend undergoing an ultrasound scan of the pelvic organs. PCOS may cause a delay. You probably had delays before?

2013-08-28 08:12:48

Valentina asks:

Good afternoon
Two months ago, during a routine ultrasound at 12 weeks of pregnancy, the diagnosis was made: anembryonics, non-developing pregnancy of 7 weeks.
This was my first pregnancy and had been planned for a long time. My husband was undergoing treatment due to low rate the percentage of live sperm (less than 5%) was raised to 28%. And I was diagnosed before pregnancy low level progesterone in the follicular phase, thin endometrium and late ovulation (on day 19, cycle - 31 days). I took Yarina+ for three months and a cycle after discontinuation I became pregnant. There was a threat of miscarriage, but it persisted; she took Duphaston, Utrozhestan (vaginally), Magne B6 and Foliber. Signs of pregnancy: nausea, chest pain, reaction to smells persisted until the end.
The day after the non-developing pregnancy was discovered, vacuum aspiration was performed. I took antibiotics and started taking tests as recommended by the doctor.
Histology results revealed nothing.
For TORH infections:
HSV 1/2: Lgg (+), LgM (-);
CMV: Lgg (+), LgM (-);
Toxoplasma: Lgg (-); LgM (-);
Rubella: LgG (+); LgM(-) (I got sick in 10th grade).
A coagulological blood test revealed no abnormalities; antibodies to phospholipids LgM and LgM were negative.
Hormonal analysis (on day 6 of the cycle):
Anti-TPO - 392 U/ml (high, ref. values ​​0.0-5.6);
Cortisol - 20.0 mcg/dl (high, reference values ​​3.7-19.4).
Other hormones: T4sv, TSH, anti-TG, luteinizing hormone, follicle-stimulating hormone, prolactin, progesterone, estradiol, testosterone, hCG, 17-hydroxyprogesterone, DHEA-S - within normal limits.
It is also recommended that I donate the seed tank from cervical canal with sensitivity to antibiotics, hormones on the 22nd day of the cycle, and as I understand it, you need to check the avidity and PCR of detected TORH infections.
I have the following questions:
1. Could they high performance hormones Anti-TPO and cortisol cause missed abortion? Which specialists should I contact in person 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 have his blood tested for TORH infections?
3. Given the worst prognosis, how soon can we plan a pregnancy?

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

Thank you in advance! Sorry if there is a lot of unnecessary information!

Answers Purpura Roksolana Yosipovna:

There is no such thing as too much information, you described everything very well.
Now to the point.
Ig G indicates contact with infection in the past and cannot be sanitized; their presence indicates developed immunity (as in the situation with rubella). Ig M detects acute infection, but they have not been detected in you.
If you don’t mind the time and finances, then you can, of course, check the avidity and take a PCR test, but I’m sure that this will not give anything.
Your cortisol is slightly elevated, there is no need to worry, but the level of antibodies to thyroid peroxidase is elevated, which indicates autoimmune thyroiditis, which most likely caused the pregnancy to fail.

I advise you to contact an endocrinologist who will prescribe corrective treatment, against the background of which you can become pregnant and bear a child under the control of a blood test.
Don’t worry, contact an endocrinologist and everything should work out for you, which is what I sincerely wish for you!

2013-02-14 10:01:22

Evgeniya asks:

Hello!

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

2012-10-25 15:38:26

Natia asks:

Hello:)
I’m 26, got married 9 months ago. I wasn’t pregnant (we don’t use contraception), 6 months after the start of my pregnancy I went for an examination to a gynecologist; all the smears were clean and without STIs.
colposcopy - small ectopic erosion, picture of the 1st ultrasound, everything is normal and ovulation was caught (17 dmc), because the cycle is 32 days late ovulation.
In the next cycle, to confirm the functioning of the ovaries, they began to do folliculometry, the follicle matures and ovulation occurs (24 mm) on the 17th dmc, but on the 15th day the m-echo was 15 mm, on the 17th 15.6 mm. In the same cycle, I took tests for hormones LH FSH PRL progesterone estradiol testosterone - everything is normal......an ultrasound was again prescribed in the next cycle on the 6th day of the cycle to exclude polyp.
on the 6th day of mts a small accumulation against the background of bloody discharge, then I come to the 10th dmts they find an endometrial polyp 8 mm by 4 mm endometrium on the 17th dmts the dominant follicle burst was 21 mm, while the m-echo was 15.7
In the same cycle I tested PRL TSH FT4 again (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 tablet. I’ve been taking it twice a day for a month now and in the next cycle I was prescribed an ultrasound scan on the 9th DMC, again to control the polyp.
already current cycle passed ultrasound control 9th ​​day:
the uterus is not enlarged 44-33-44mm cervix 28mm smooth contours, regular shape, normal echogenicity, homogeneous myometrium, heterogeneous endometrium due to areas of reduced echogenicity and m-echo 18mm, increased echogenicity in the N/W areas of increased echogenicity with unclear contours 5-3mm.
right ovary 30-20mm follicular
left ovary 40-30mm with formation D-24mm
no free liquid detected
Diagnosis: Endometrial hyperplasia, endometrial polyp in question, left ovarian cyst.
the previous cycle was slightly shortened from 32 days to 29 days and lasted 3-4 days (with a 32-day cycle it was 5-6 days)
I can’t understand how a cyst could form when ovulation occurred in the left ovary in the last cycle...
Or could it still be a dominant follicle? And how dangerous is an 18mm endometrium on the 9th day?
V currently I only take bromocriptine (for a month now)
please tell me what it could be and how to proceed
I wanted to start taking duphaston for hyperplasia, but I have abstained for now (no one has prescribed it yet), I really need to do an RDV or hysteroresectoscopy (I think for reproductive age this is a more gentle method)
Thanks in advance for your answers :)

Answers Palyga Igor Evgenievich:

You need to have a hysteroscopy, which should give answers; if a polyp is present, it will be removed. There is no 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 undergoing treatment for polycystic disease for almost a year now. Prolactin increased almost twofold (55.44 ng/ml compared to the norm of 1.20-29.93 ng/ml). Saw Mastodion 3 months. After this, prolactin became 17.5 ng/ml. Then I did another test for hormones - follicle-stimulating hormone 7.3 U/L, luteinizing hormone 16.3 U/L, testosterone 5 pmol/L. The analysis was done in the foliculin phase. The doctor prescribed OK (Mavrelon) for 3 months, after discontinuation you can get pregnant. On January 11, 2012, I stopped drinking, and on January 14, my period began. On the 35th day m.c. I felt a tug in my lower abdomen, I thought I was about to menstruate. But mucous discharge appeared, like egg white. This lasted for several days (3-4). I took a pregnancy test - negative. Then I realized that it was ovulation, because menstruation began two weeks later! But we missed ovulation! ((((((I went to the doctor, they wanted to stimulate ovulation with clomiphene, but then the doctor called and said not to stimulate it for now, and this month to try to get pregnant again and drink duphaston with 11 dmc. But if I had late ovulation, is it worth taking duphaston from the 11th day and how does it affect ovulation??? Now I’m already 29 dmc and there are no hints of ovulation, much less menstruation. Tell me, maybe in this cycle (second cycle after stopping OK) could it also be late ovulation? And please tell me effective treatment methods to get pregnant with polycystic disease!!! Thank you very much!!!

Answers Khometa Taras Arsenovich:

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

2009-07-10 19:11:56

Irina asks:

I have doubts as to whether I am ovulating. My periods are regular, the cycle is 26-27 days. I'm planning a pregnancy, but it doesn't happen for several cycles. I have been measuring my basal temperature for several months. The graphs are very similar, with temperatures rising above 37.0 in the second half of the cycle. I took an ovulation test 2 times, which was positive on days 10-11. On days 9-12, a discharge resembling egg white appears (which is considered indirect sign ovulation). When examined on the 11th day, the doctor said that I had a pupillary symptom. What confuses me, firstly, is that the basal temperature rises to 37.0 later than all the listed symptoms - usually only on days 15-17 (once it increased by 14th) and, secondly, on the 11th day of the cycle, on an ultrasound, the doctor saw 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 stays there, ovulation exists. In addition, he judges by progesterone on the 21st day of the cycle - 140 nmol/l (normal 22-80).
Another contradiction:
I had elevated prolactin (on day 21 of MC) - 433 (normal 40-240). I took the prolactin test on the same day as the progesterone test. It is believed that with increased prolactin, progesterone is decreased. But for some reason it’s not like that for me - both were promoted. After taking Dostinex for 2 months, prolactin decreased almost threefold and became normal - 151 (normal 40-240). True, the discharge from the nipples has not disappeared anywhere. It is also surprising that the graphs of basal temperature with elevated prolactin were the same as with normal prolactin. Judging by them, ovulation occurred then too. To this assumption of mine, the doctor replied that it was unlikely. But, looking at the latest graphs (the same as before treatment with Dostinex), he claims that ovulation is occurring. This line of thought is not entirely logical, in my opinion.
I also have increased hair growth (on my arms, legs, around the nipples, chin, mustache). But testosterone is within normal limits - 1.8 nmol.l (normal is up to 4.5). The doctor spoke. that according to the clinic, one could assume that I have polycystic ovaries (and he already had the result of a testosterone test). True, he “didn’t develop this topic further,” and later said that with polycystic disease, BT does not rise, ovulation does not occur and progesterone is not the same as mine.
I beg you, dispel my doubts whether it is possible to believe that I am ovulating.
Sincerely!
Irina

Answers Doshchechkin Vladimir Vladimirovich:

Hello. Registration of the preovulatory LH peak (SOLO test) is not a direct confirmation of ovulation.
“On days 9-12, a discharge appears that resembles egg white (which is considered an indirect sign of ovulation)” and “When examined on day 11, the doctor said that I have a pupillary 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. Just as BT charts do not confirm ovulation, which are not informative for most women. In some women, despite the normal above indicators and ovulation markers, ovulation still does not occur, but luteinization syndrome of a non-ovulated follicle develops. I believe that you are still ovulating, but only serial ultrasound with a vaginal sensor (folliculometry) can confirm this.
The most informative way to confirm ovulation is to conduct 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 the corpus luteum with its subsequent regression.
... But testosterone is within normal limits - 1.8 nmol, l (normal is up to 4.5) ...
...prolactin decreased, but colostrum remained...
Plasma testosterone, and even its free forms, is a very unreliable test in assessing the factor of hyperandrogenism. 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 scan with a vaginal probe, for example, in a specialized infertility center.
The presence of colostrum in the mammary glands may persist despite normal values prolactin, with hypertrophy of lactophores in the mammary glands. This could happen, for example, with prolonged relative hyperestrogenism, taking oral contraceptives or estrogen in its pure form.
So. Perform ultrasound cycle monitoring at a specialized center. Confirm the presence of ovulation and the corpus luteum with an ultrasound. Determine the level of progesterone in the presence of the corpus luteum and say goodbye to your doubts and worries. Don't forget to get your husband's spermogram, compatibility tests and check the fallopian tubes.
Good luck!

Many women do not pay attention to it, especially if this process occurs without painful signs.

Exact dates usually become necessary for those representatives of the fair sex who are starting or for some reason cannot conceive a child for a long time.

The ovulatory period occurs in the body of every healthy woman, but it can be timely or late.

Phases of the menstrual cycle

To understand what “late” means, you need to remember that the menstrual cycle consists of the following phases:

1. Menstrual- begins with the first days of menstruation, the same day is the beginning of a new cycle. During this period, the functional layer of the endometrium is rejected.
2. Follicular phase - follicle growth occurs under the influence of an increase in the hormone estrogen. The dominant follicle is determined, from which the mature one will subsequently emerge.
3. The shortest phase is ovulatory, lasts about three days. During this period, the amount of estrogen reaches its peak and luteinizing hormone begins to be produced, the follicle bursts and emerges mature and ready for pregnancy, which takes 12-24 hours, in rare cases reaches 48 hours.
4. The cycle ends luteal phase. During this period, thanks to the formed corpus luteum in the body, the hormone progesterone is produced, under the influence of which it increases, this is necessary for successful implantation to the wall of the uterus. If this does not happen, the corpus luteum dissolves, and accordingly the production of the hormone progesterone stops, which leads to the destruction of the endometrium. And the cycle begins all over again.

The phases of the menstrual cycle have their own duration. For example, the follicular phase can range from 7 to 22 days, with an average of 14.

REFERENCE! In a healthy woman, the length of the luteal phase has a certain framework and lasts 12–16 days (mostly 14 days); if the period is less than 12 days, then this may be a deviation from the norm and indicate possible pathologies.

What does late ovulation mean?

If we subtract the luteal phase from a woman’s cycle, which differs in its constant duration, then we get a day at normal . For example, if the menstrual cycle is 32 days, then minus the luteal phase (14 days), it will be on the 18th day +/- 2 days. This process is timely.

But if, with a 32-day cycle, exit occurs on day 21 or later, then this type is considered late. An important role in determining the timing of the ovulatory process is played by the duration of the cycle, which can range from 24 to 36 days.

ON A NOTE! If the cycle is 36 days and begins on days 20–24, this is not a deviation, but a natural feature of the body.

With a 28 day cycle

In women with a stable 28-day menstrual cycle, the release occurs in the middle - on the 14th day +/- 2 days. Late for a given cycle will be if occurs after 17 days and later Isolated moments of late exit do not always indicate any abnormalities in the female body; sometimes this happens even in completely healthy girls.

With a 30 day cycle

Late with a cycle of 30 days occurs after the 19th day of the cycle. If this period fluctuates between 14–18 days, then this is the norm for this length of the cycle. If the cycle is unstable, and the ovulatory period begins closer to its end, then it is recommended undergo examination and identify the causes of violations.

Late ovulation and delayed menstruation

Most women associate a delay in menstruation with the onset of pregnancy, but in this case there may not be conception. Provoke late ovulatory period may: taking medications, contraceptives, certain diseases, as well as frequent stressful situations. Late in combination with a delay in menstruation can occur even in healthy girls, but this phenomenon should not be permanent.

ON A NOTE! Even frequent colds and medications taken during treatment can disrupt the frequency. In this case, this factor indicates excessive sensitivity of the body and is an individual feature.

Causes of late ovulation

Most of the factors that cause a late ovulatory period can be corrected with special medications or lifestyle changes. It is enough to identify the circumstances that caused cycle disruption, and eliminate them. Difficulty may arise in the presence of diseases of the reproductive organs. In this case, it will be necessary to undergo a full course of treatment.

The reasons for the delay may be the following factors:

• recent medical abortion;
• taking certain potent drugs;
• consequences of miscarriage;
• recent childbirth;
• constant stress or abnormalities in the functioning of the nervous system;
• infections of the body's reproductive system;
• a sharp change in hormonal levels;
• taking contraceptives;
• approximation menopause;
• changes in climatic conditions;
• past infectious or viral diseases.

Signs of late ovulation

You can detect it later at home. The most effective method is to carry out special test, which is sold in pharmacies. If a woman regularly measures her basal temperature, then determining the time of onset will also not be difficult for her.

In addition, every woman of childbearing age knows what signs accompany the ovulatory period, therefore, its onset can be identified by changes in the general condition of the body. Signs of exit are the following symptoms:

• changing its size and increasing its sensitivity;
• characteristic ;
• increased sexual desire;
• discomfort in the area, or.

What to do if you ovulate late?

It is possible to determine the presence of deviations in the operation of internal systems that caused the delay using certain types of examination. In this case, it is better not to engage in self-diagnosis. Otherwise available diseases will progress and lead to complications, which will be much more difficult to get rid of in advanced stages.

1. examination by a gynecologist;
2. blood and urine tests.

If the delayed exit is due to reasons such as abortion, miscarriage or recent childbirth, then there is no need to take any medications. Just wait a while and cycle will recover.

REFERENCE! Violation of the timing of the ovulatory period can also occur in a healthy woman due to the negative impact of environmental factors or as a result of changes in the body. The main problem of this condition is the difficulty in calculating favorable days for conceiving a child.

The situation is different if internal diseases or hormonal disbalance. In this case, it is better to consult with a specialist and select special methods for restoring natural processes in the body.

Late ovulation and Duphaston

One of the most common drugs that appointed by specialists at later, is Duphaston.

The drug is available in tablet form and is taken in a special course, which is calculated by the doctor based on test results. Its main property is considered recovery a woman must find out why it arose. It is necessary not only to seek help from a specialist, but also to take measures to change your lifestyle: it is important to control your emotional state and eliminate stress, sex life should be regular, a banal change and giving up bad habits can improve the condition of the body.