Why does late ovulation occur? Causes and signs. What factors affect delayed ovulation? Late ovulation: probable causes and methods for determining

2011-09-02 14:45:48

Tanya asks:

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

Responsible Gunkov Sergey Vasilievich:

Dear Tatyana. Your attention to appointments does you credit. It should be noted that Tazalok is a homeopathic remedy and it is not 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 she took tests last year, the FLG was 8.13, and the LH - 4.03, then a month later the FLG became 6.3.
Please tell me, are these signs of menopause or could there be other reasons? And what to do. Is pregnancy possible?

Responsible Klochko Elvira Dmitrievna:

Hand over an blood test for AMG - it will show your reproductive capabilities. So far, nothing can be said for sure, although FSH is a 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 best they could)))). This year, I finally decided to do a laparoscopy (resection for PCOS). She underwent stimulation (2 months) with clostilbegit, duphaston. On analyzes of hormones everything was restored (results of the last cycle). This month I was prescribed folk, vitamins e, B6, as well as cyclodinone ...
At this point, I'm on my fourth day of delay, light discharge, decreased appetite, and something like heartburn. Sometimes I feel sipping, tingling of the tummy on the left, the sensitivity of the chest has slightly increased.
What are these allocations? Why does the stomach sip? Also what it in general can be for a set of symptoms?
In advance, HUGE thanks for the answer!

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

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

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 elevated, which indicates autoimmune thyroiditis, which most likely caused the pregnancy to fade.

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

2013-02-14 10:01:22

Eugene asks:

Hello!

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

2012-10-25 15:38:26

Natia asks:

Hello:)
I'm 26, I got married 9 months ago. There was no pregnancy (we don't use protection), 6 months after the start of the pancreas, I went for an examination to a gynecologist, all smears were clean and without STIs.
colposcopy - a small ectopic erosion, a picture of the 1st ultrasound, everything is normal and caught ovulation (17dmc), because the cycle is 32 days late ovulation.
In the next cycle, for the reliability of the functioning of the ovaries, they began to do folliculometry, the follicle matures and ovulation occurs (24mm) on the 17th dmc, but on the 15th day the m-echo is 15mm, on the 17th 15.6mm. In the same cycle, I passed the tests on the hormones LH FSH PRL progesterone estradiol testosterone-everything is normal ...... again an ultrasound was prescribed in the next cycle on the 6th day of mc to exclude pollip.
on the 6th day of 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 normal indicators and markers of ovulation above, 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!

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

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

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

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

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

How is late ovulation diagnosed?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Late ovulation after discontinuation of oral contraceptives

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

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

Is it possible to get pregnant with late ovulation

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

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

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

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

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

Cycle shift can be caused by such phenomena:

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

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

Late ovulation and pregnancy: Duphaston

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

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

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

Pregnancy with late ovulation: how to determine the period?

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

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

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

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

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

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

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

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

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

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

Diagnosis and treatment

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

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

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

Late ovulation: Duphaston and Utrozhestan

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

Useful video: determining ovulation at home

Conclusion

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

Any woman knows what ovulation is and how important this phenomenon is for the process of conceiving a baby. With a regular menstrual cycle, the release of the egg into the abdominal cavity often occurs unnoticed by the woman herself, which is the norm. Therefore, often healthy women do not bother about ovulation, knowing that everything happens on its own as it should.

Women usually begin to think about the topic of timely ovulation during the period of planning a child. And rightly so, because on what period of the menstrual cycle ovulation occurs, it depends on how fast the conception will be.

Sometimes, after hearing the term “late ovulation” from the lips of a doctor, women planning to become mothers begin to panic. It seems to them that this can become an obstacle to conception. Are late ovulation and pregnancy really incompatible?

What is "late ovulation"?

Before torturing yourself with worries, it is worth understanding what late ovulation means and why it happens. Normally, the period of release of a mature egg falls in the middle of the menstrual cycle.

Usually, the duration of the menstrual cycle is always the same, therefore, ovulation occurs every time at the same time of the cycle. So, for example, with an ideal cycle of 28 days, ovulation should be expected on the 14th day after the start of menstruation. If it comes later, say, on the 19th day, it can be considered late.

If a woman's cycle lasts, for example, 34 days (while being regular and stable), then in her case, ovulation on days 17-18 is the norm.

In general, doctors say that the interval between ovulation and the next period should be at least 11-12 days. Everything that fits into this framework can be considered normal, since a one or two day shift in ovulation is quite acceptable.

But what about pregnancy?

Constant late ovulation is actually a rarity. If it takes place in a woman's life, this is a serious pathology that really interferes with getting pregnant and causes infertility. But this is not a hopeless situation. Experienced specialists in the field of reproductive medicine are able to help a woman in such a situation.

But, often, late ovulation occurs at a certain period in a woman's life and is not an ailment that accompanies her all her life. This problem is faced by many healthy girls and women who have a regular menstrual cycle. In this case, late ovulation does not mean at all that conception can now remain only a dream.

In women who have been diagnosed with delayed ovulation, the chance of getting pregnant easily is, of course, slightly reduced, as it becomes more difficult to calculate this time.

But the very likelihood of pregnancy is as high as with timely ovulation. At the same time, conception occurs absolutely normally, the pregnancy proceeds as usual, and there are no deviations in the development of the born baby.

Since late ovulation itself is quite infrequent, faced with it, it is important to identify the reason why it arose. Most of the factors that lead to delayed ovulation can be corrected to make conception more likely.

The causes of late ovulation can be both physical and psychological in nature:

• infections of the female reproductive system;
• hormonal imbalance;
• stress and overexertion;
• violation of the menstrual cycle;
• abortion or miscarriage;
• childbirth;
• the period before the onset of menopause.

It is possible to identify signs of late ovulation at home. There are several ways to do this:

• observation of basal temperature;
• ovulation test;
• health monitoring.

Women who regularly take their temperature in the rectum will notice a delay in ovulation quite easily. But this method is practically useless for those who do not conduct such observations.

An ovulation test can give a reliable answer, but not always. Its result may be untrue, in case of gynecological diseases, taking certain medications, etc. It is also important to take the test at the right time, which is difficult to calculate.

Some women during the period of ovulation experience mild malaise, pulling sensations in the lower abdomen, dizziness, and similar symptoms. Focusing on their physical condition, such women can determine when they ovulated. But this condition does not always indicate ovulation. These may be signs of some kind of disease, pregnancy, etc.

In general, the effectiveness of methods that determine the signs of late ovulation at home is quite low. For a more accurate picture, it is better to go to the hospital. Studies that will help identify signs of ovulation that did not occur on time:

• gynecological examination;
• folliculometry (ultrasound monitoring);
• analysis of the level of pituitary hormones.

It is desirable to conduct research over several menstrual cycles, this will enable the doctor to more accurately see the signs of late ovulation. All these methods that help to detect signs of ovulation failure are most effectively used directly at the time when the conception of a baby is planned.

Is it necessary to be treated?

Since the occurrence of late ovulation is most often due to certain factors, in this case there is no treatment for ovulation itself. With medical help, you can correct the onset of ovulation, that is, make sure that it occurs at the right time. To do this, you need to see the signs and establish the cause of this situation.

For example, if the failure occurred due to a miscarriage, then you should just wait a few months and everything should recover on its own. If the cause is more complex, for example, the presence of an infectious disease, then you need to undergo a certain course of treatment, after which ovulation will return to normal, etc.

Treatment is usually required when disruptions in ovulation cause infertility. Some women may notice signs that they are not ovulating at all. This also makes conception impossible. In such serious situations, gynecologists prescribe ovulation stimulation. After such treatment, there is a chance that a woman will be able to become a mother and bear a healthy baby.

Actions to promote recovery

Women facing problems in the onset of ovulation need to follow certain rules that will help them recover faster:

1. Obey the gynecologist and follow all his recommendations.
2. Avoid stressful situations.
3. Eat wholesome healthy foods (no diets).
4. Quit smoking and excessive drinking.
5. Move more, breathe fresh air.
6. Live an active sexual life with one partner (do not use protection).

The main thing to remember is that the most important thing is not what the signs of the problem indicate, but how much a woman is ready to make an effort to get rid of her. Delayed ovulation is not a sentence. You can influence the situation, you just need to have a little patience and, perhaps, very soon the dream of a tiny little man will come true.

Ovulation is the period when the female body is maximally ready for conception. In order for the chances of the birth of a new life to be high, it is important to know exactly the date of ovulation. Unfortunately, even with an “ideal”, 28-day cycle, the process of an egg leaving the follicle may differ in different women, because menstrual cycles are a very difficult phenomenon. They start and end at different times, and the duration and onset of the fertile moment can vary under the influence of various factors:

• stress and anxiety;
• level of physical activity;
• hormonal background of a woman.

Regardless of the regularity of the cycle or the frequent change of dates, it is important to accurately monitor when ovulation occurs. This is important not only for those who are planning the birth of a child, but also for fans of the calendar calculation as a method of contraception.

What is the process of ovulation?

The process of release of a mature egg from the follicle is a certain period of the menstrual cycle, which is called the “ovulation phase”. During this period, the egg, ready for conception, leaves the follicle, breaking it, and descends into the fallopian tube. This is accompanied by hormonal changes in the body, in particular, increased levels of estrogen and luteinizing hormone. The latter is responsible for fertilization at the time of the fusion of the sex cells of a woman and a man.

As for when conception can occur at the time of the release of the egg, it is difficult to predict anything here. The menstrual cycle can sometimes change in an individual woman. It is believed that the most common cycle is 28 days, when ovulation occurs at the equator of the cycle, however, fluctuations from 21 to 35 days are acceptable. The most difficult thing is for women with constant changes in the cycle, because then it is impossible to know which days are suitable for conception.

According to a common statement, ovulation usually occurs 14 days before menstruation. So, with a 28-day cycle, it should occur two weeks after menstruation. Unfortunately, such a schedule is not accurate, and the day of ovulation can occur both on the 10th day of the cycle, and 20 days after the end of menstruation. In order to prevent failures in the calendar, it is worth carefully monitoring the symptoms of the body, as well as using other methods of determination.

How long is the ovulatory period? The moment when the egg is most receptive to conception is 24 hours from the onset of the ovulatory period. However, a high probability of becoming pregnant remains 2-3 days after the egg has left the follicle.

Sometimes girls may not ovulate at all. There may be several reasons:

• Gynecological diseases;
• postpartum period;
• recent abortion;
• Strong stressful situations.

It should be understood that the female body is a rather fragile system that can fail under the influence of the above factors. The cessation of menstruation does not mean that the egg does not mature. If your periods are gone, and the reason for this is not pregnancy or the postpartum period, you should immediately consult a doctor. The cause may be a cyst, severe stress, or a sexually transmitted disease.

Why track ovulation?

It is important for every woman to know on what day her egg matures. There are many reasons and life aspects in which this is necessary.

With irregular periods, tracking ovulation will help to avoid surprises in the form of “red days” that have begun at the wrong time. This is especially necessary with an irregular monthly cycle, after an abortion, as well as polycystic or endometriosis.
The ovulation period is the most fertile for a woman. If you want to get pregnant, you need to know which days are most likely to conceive a child.

Women who do not want to become pregnant, who are sexually active, often take control of the days of the cycle in order to avoid an unplanned pregnancy. If you do not make love during the fertile phase, then the risk of seeing two stripes on the test this month will be significantly reduced.

Physiological signs of ovulation

Can a woman independently determine the beginning of the release of a mature egg? You can determine favorable days for conception by physiological signs:

1. Increased sensitivity of the breast. On ovulatory days, women's nipples swell a little, the breasts harden and become more sensitive. Pain in the lower abdomen. The beginning of the process is evidenced by unpleasant, "pulling" sensations in the lower abdomen. These sensations last as long as the days of ovulation.
2. Increase in basal body temperature. The release of the egg from the follicle is accompanied by a slight increase in temperature, which will help to accurately determine ovulation.
3. Improvement of skin, hair and nails. In the middle of the cycle, nails and hair become stronger, and the skin is cleansed, small pimples disappear.

To confirm the onset of ovulation by 100%, it is better to do a test using a pharmacy indicator test, since information based on calendars and subjective sensations may not be accurate.

What causes late ovulation?

The situation is quite common: a cycle of 28 days, when menstruation occurs much later than 2 weeks after the end of menstruation. Many women begin to consider late ovulation as a deviation from the norm or a sign of a serious illness. It is worth understanding that 1 month of observations is not enough to set up late ovulation. If, for three or more months, ovulation can begin later than after 18 days, there is reason to talk about late maturation of eggs.

A shift in the timing of the maturation of female germ cells is not necessarily a symptom of the disease; this occurs for a number of other reasons:

• chronic fatigue, nervous tension;
• hormonal changes;
• infectious diseases;
• before the onset of menopause;
• the period after abortion and miscarriage, as well as after childbirth.

Is it possible to get pregnant with late ovulation?

With signs of a late release of the egg from the ovary, you should not immediately panic. This symptom is not a mandatory sign of infertility, and pregnancy with late ovulation will not affect the development and birth of a healthy baby. The only exceptions may be infectious diseases or hormonal imbalances, so it is extremely important to do something as important as seeing a doctor. If necessary, undergo treatment.

You can detect late maturation of eggs using an ultrasound examination, analyzes of pituitary gland indicators, or using rapid ovulation tests. Usually, determining ovulation is most relevant for women who are planning a pregnancy soon. If any problems are found, complex treatment is required to eliminate the cause of this phenomenon.

If the delayed release of the egg is one of the symptoms of hormonal disorders or infectious diseases, this phenomenon is often accompanied by other complaints. These are hair loss, an increase in body fat in the waist area, the appearance of acne, irregular periods and a change in their nature, as well as discharge during the middle of the cycle. Having found several of the above symptoms, you should see a doctor for the necessary tests and prescribe therapy.

What to do if ovulation does not occur at all?

In some cases, ovulation can not only occur with a delay, but also not come at all. For women planning a pregnancy, this can be both a great hope and a big disappointment. Since the absence of ovulation is the main sign of pregnancy. But it may indicate the course of chronic diseases. If for some reason ovulation has not occurred, you should do the following:

• Take a test to make sure you're not pregnant.
• Make an appointment with a specialist to accurately determine the causes of this phenomenon with the help of tests and the appointment of complex therapy.
• If ovarian dysfunction is detected, you should not be nervous - stress will only make it worse.
• HCG injections will help to significantly increase the likelihood of becoming pregnant in the absence of the ovulatory phase.
• One of the most radical ways is to stimulate ovulation with the help of Clomifel citrate. Before using the product, you should consult with your doctor. Ovulation induction has a number of contraindications, such as fever, pregnancy and lactation.

Delayed ovulation with a 28-day cycle is not at all a serious pathology, and it is quite possible to get pregnant in this case. However, it is undesirable to ignore this feature, since late ovulation can be a sign of a serious illness. You can increase the chances of conceiving and giving birth to a healthy child by giving up bad habits and minimizing the level of stress in life. This will help to correct the cycle in the absence of serious diseases. Do not forget about the timely determination of ovulation with the calendar planning method, and this will help to avoid unwanted pregnancy or see the cherished two stripes.