Signs of late ovulation and conception at the end of the cycle. Late ovulation - better late than never, or does it still need to be treated? What is the process of ovulation

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

Exact dates usually become necessary for those women who begin 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- starts from 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 - the growth of follicles 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 ovulatory, lasts about three days. During this period, the amount of estrogen reaches a peak and luteinizing hormone begins to be produced, the follicle bursts and comes out ripe and ready for, which is 12-24 hours, in rare cases it reaches 48 hours.
4. The cycle ends luteal phase. During this period, due 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 uterine wall. If it does not happen, the corpus luteum resolves, respectively, the production of the hormone progesterone stops, which leads to the destruction of the endometrium. And the cycle starts over.

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 speak of possible pathologies.

What does late ovulation mean?

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

But if, with a 32-day cycle, the output occurs on day 21 or later, then this species 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 occurs on the 20-24th day, this is not a deviation, but is a natural feature of the body.

With a cycle of 28 days

In women with a stable 28-day menstrual cycle, the output occurs in its middle - on day 14 +/- 2 days. Late for this cycle will be if comes after 17 days and later.Single moments of a belated exit do not always indicate some kind of deviation in the female body, sometimes this happens even in perfectly healthy girls.

With a 30 day cycle

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

Late ovulation and missed periods

Delayed menstruation in most women is associated with the onset of pregnancy, but conception in this case may not be. Induce a late ovulatory period can: 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 drugs that are taken during treatment can disrupt the frequency. In this case, this factor indicates the 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 drugs or lifestyle changes. It suffices to identify the circumstances that caused a disruption, and eliminate them. Difficulty can 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;
• the consequences of a miscarriage;
• recent childbirth;
• constant stress or deviations in the functioning of the nervous system;
• infections of the reproductive system of the body;
• a sharp change in hormonal levels;
• taking contraceptives;
• approximation menopause;
• changing climatic conditions;
• transferred infectious or viral diseases.

Signs of late ovulation

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

In addition, every woman of childbearing age knows how signs accompanied by an ovulatory period Therefore, it is possible to identify its beginning by changing the general state of the body. Exit symptoms are:

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

What to do with late ovulation?

It is possible to determine the presence of deviations in the operation of internal systems that caused the lateness with the help of some 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 late exit is due to reasons such as abortion, miscarriage, or recent delivery, then there is no need to take any drugs. It is enough to wait a while and cycle 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 a restructuring of the body. The main problem of this condition is the difficulty in calculating favorable days for conceiving a child.

The situation is different if such violations were caused by internal diseases or hormonal disbalance. In this case, it is better to consult a specialist and choose special methods for restoring natural processes in the body.

Late ovulation and Duphaston

One of the most commonly used drugs appointed by experts at later, is Duphaston.

The drug is available in the form of tablets and is taken in a special course, which is calculated by the doctor based on the results of the tests. Its main property is 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 lifestyle: it is important to control your emotional state and eliminate stress, sex life should be regular, a banal change and the rejection of bad habits can improve the condition of the body.

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.

Women who are planning a pregnancy are sensitive to their own ovulation and scrupulously calculate its date. But sometimes it happens that the middle of the cycle has already passed, and a couple more days, and the basal temperature chart has not changed and the ovulation test shows only one strip. And just before the most monthly, the long-awaited signs suddenly appear.

This situation is called late ovulation. It may occur occasionally, for reasons unrelated to disease, but observed every month, this condition indicates a pathology. Below we will analyze its main causes, as well as such a question, is it possible to get pregnant with late ovulation and how to determine that conception has occurred.

Definition of late ovulation

The release of the egg (oocyte) from the follicle must occur at a strictly defined time. Usually, this period is considered the middle of the cycle, that is, with a cycle of 25-26 days, “day X” is expected on days 12-13, but in fact the calculation is a little more complicated.

The menstrual cycle is divided in two: the period before ovulation (follicular phase) and after it (luteal phase). In the first period complex processes take place. Initially, the functional layer of the endometrium, which did not accept the embryo, is rejected within three days, then the wound surface begins to heal, and by day 5, the formation of a new endometrium begins to replace the rejected one. The synthesis of a "fresh" functional layer continues for 12-14 days (starting from the 5th day of the cycle).

The duration of this period is not strictly fixed, because the uterus needs not only to “grow” new cells, but also to give them the opportunity to grow up to 8 mm, and also to provide them with a large number of tubular glands.

The duration is strictly defined only for the second phase of the cycle and is 14 ± 1 day (this is how long the corpus luteum lives in anticipation of pregnancy). That is, to find out the day of maturation of the oocyte, you need to subtract 13, maximum 14 days from the first day of the alleged menstrual bleeding. And if this figure is less than 13 days, ovulation is considered late. That is, late ovulation with a cycle of 30 days - when it occurred later than 17 days from the first day of the expected menstruation. When the cycle is longer, for example, 35 days, then the release of the oocyte, which occurred later than 21-22 days, can be called late.

Many women are interested in the question of when the latest ovulation can be. The answer is difficult to calculate, because it depends on the duration of the cycle. So, if the cycle is up to 30-35 days, then the release of the egg rarely occurs later than 10-11 days before menstruation. That is, later than 25 days (if from one period to another - no more than 35 days), you should not wait for it. Most likely, this cycle is anovulatory, and if you are under 35 years old, and anovulation occurs 1-2 times a year, this is a normal situation that does not require intervention.

If more than 35 days pass between menstruation, then in itself such a cycle is already considered a sign of an illness that requires examination, and it is very difficult to predict the release of an egg here.

Hormonal maintenance of the menstrual cycle

To understand why a doctor may prescribe a certain hormonal drug to normalize the cycle and eliminate late ovulation, consider what mechanisms control the period from one period to another.

The regulation of the menstrual cycle is carried out by a 5-level system:

1. The cerebral cortex and its structures such as the hippocampus, limbic system, amygdala.
2. Hypothalamus. This is the body that "commanders" the entire endocrine system. He does this with the help of two types of hormones. The first are liberins, which stimulate the production of the necessary “subordinate” hormones (for example, folliberin gives the pituitary gland a command to produce follicle-stimulating hormone, and luliberin gives the “order” to synthesize luteinizing hormone). The second are statins, which inhibit the production of hormones by the underlying endocrine glands.
3. Pituitary. It is he who, at the command of the hypothalamus, produces FSH, a hormone that activates the synthesis of estrogens, and luteinizing (LH) hormone, which triggers the production of progesterone.
4. Ovaries. They produce progesterone and estrogen. Depending on the balance of these hormones, the production of which is controlled by the hypothalamic-pituitary system, the phase and duration of the menstrual cycle depend.
5. Hormonal balance is also affected by organs that are sensitive to changes in the level of sex hormones. These are the mammary glands, adipose tissue, bones, hair follicles, as well as the uterus itself, the vagina and the fallopian tubes.

In the first phase of the cycle, the pituitary gland produces FSH and LH. The latter causes the synthesis of male hormones in the ovary, and FSH - the growth of follicles, the maturation of the egg in one or more of them. During this period, there is a small amount of progesterone in the blood. It should be a strictly defined amount, because both the decrease and the increase will negatively affect the onset of ovulation.

In addition to its effect on the follicles, FSH causes the conversion of androgens into estrogens. When the amount of estrogen reaches its maximum and because of this the amount of LH increases, after 12-24 hours the oocyte should leave the follicle. But if the luteinizing hormone or androgens becomes more than normal, ovulation does not occur.

After the release of the oocyte into "free swimming", LH decreases, and the level of progesterone increases, reaching its peak by 6-8 days after the release of the oocyte (20-22 days of the 28-day cycle). These days, estrogen also rises, but not as much as in the first phase.

If the egg leaves the follicle late, on the 18th day or later, this may be the result of one of the following situations:

• During the period before ovulation, estrogen “dominates” in the blood, to which the body cannot “oppose” anything. This prevents the uterus from preparing for pregnancy. If a woman wants to get pregnant, she is prescribed progesterone during late ovulation, in a course of 5-10 days from the second half of the cycle (usually from 15-16 to 25 days, but optimally - immediately after determining the release of the follicle, even if it happened late).
• The concentration of LH and androgens increases. In this case, contraceptives with an action that suppresses the production of androgens help to solve the problem.
• There is a deficiency of estrogen, which can be suspected already by the fact that the growth of follicles during late ovulation is very slow. This is corrected by the appointment of estradiol preparations in the first half of the cycle (usually from the 5th day). Against the background of taking synthetic estrogens, pregnancy cannot be planned.

Causes of "late" ovulation

Late release of the egg can be provoked by: prolonged stress, climate and time zone changes, abortion or cancellation of OK. The reason is the change in hormonal balance in the first year after childbirth, if a woman is breastfeeding. Past illnesses, especially infectious ones (flu, etc.), can cause a violation of the menstrual cycle by the type of late ovulation. Also, the shortening of the second period of the cycle will be characteristic of the upcoming one. Finally, sometimes such a deviation in the functioning of the reproductive system can be an individual feature of a woman.

Often the causes of late ovulation are gynecological diseases, which are characterized by an increase in estrogen in the blood (, some types), diseases with an increased level of male hormones (, pathologies of the adrenal cortex). Late ovulation with a cycle of 28 days may be the only sign of sluggish inflammation of the uterus or fallopian tubes, ovarian cysts, as well as infections of the genital tract caused by chlamydia, Trichomonas, ureaplasma.

A similar symptom (it is impossible to call the displacement of the release of the egg a disease) is also found in various endocrine pathologies of the pituitary gland, hypothalamus, adrenal glands or ovaries. It also develops in obesity, which is also a disease, because adipose tissue is involved in the metabolism of hormones.

Symptoms

To find out that the release of the oocyte still takes place, although later than the due date, the following signs will prompt:

1. Change in the vaginal secretion: it becomes similar in viscosity to chicken protein, streaks of blood may appear in it, and all the mucus may come out colored brown or yellowish. Similarly, implantation bleeding occurs only after ovulation, a week later.
2. Drawing sensations in the lower abdomen, usually below the navel and on one side.
3. Enlargement and extreme sensitivity of the mammary glands: any touch causes discomfort or even pain.
4. Irritability, sudden mood swings, increased emotionality.
5. Enhanced sex drive.

2011-09-02 14:45:48

Tanya asks:

Good afternoon. I am 26 years old. 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 performed 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 correct 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 endometriotic 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 I took tests last year, FLG was 8.13, and LH - 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 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 bit 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 much as 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 YOU!

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: T4sv, 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 tank culture 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 increased, 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 mc there is a small accumulation against the background of bloody discharge, 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 m-echo 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 duphaston for hyperplasia, but so far I have refrained (no one has prescribed it yet), so quickly I need to do an RDD or hysteroresectoscopy (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!

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 12th–15th day, and in a pregnant woman they were 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 a 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 not prescribe yourself the reception of these funds. 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.