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30 Jul 2008

should i be worried?
kindly help with the following.

had irregular periods for some years. ultrasound revealed multiple ovarian cysts on left ovary. (is this the same thing as PCOS?). was told everything was working fine and i could use contraceptives to induce regular periods, merely for psychological benefits. had d& c in 2002 and periods became rather regular since then, except for some cycles here and there.

my last 8 cycles have been 33, 34, 36, 30, 34, 33, 47, 42 days respectively. been trying to conceive for 9 months. frequency has been 2 or 3 times around suspected ovulation time. wondering if our timing is the problem since the cycles haven' t been exactly the same.

cervical fluid was thick and stretchy till about 2 years ago. now its creamy and watery. can this affect chances of conceptions.
also always have pain that fits description of mittleshmirtz every cycle. can we rely on this to predict ovulation. mine lasts for around 5 days and often coincides with time of cervical fluid.

should i give it more time or should i be worried at this point?

i anticipate your response. thank you very much
Answer 471 views
Expert
Fertility expert
fertility expert

01 Jan 0001

Dear Baby

It sounds very much like you probably do have Polycystic Ovarian Syndrome. Your cycles appear quite irregular and therefore this would indicate that you may not be ovulating every month. I suggest that you see you gynaecologist so that he can find out if ovulation is taking place. There are essentially 3 methods to ascertain if ovulation is taking place.
1.A mid-luteal phase progesterone done between day 21 – 25 in your cycle would be helpful. An increase in the progesterone level would then indicate ovulation is taking place.
2. Another method would be for serial ultrasound to be done.
3. And lastly, you could also do urinary testing for an LH surge. This can be done by using commercial urine-ovulation test kits available at your pharmacy.
If any of the 3 methods would indicate that ovulation is not taking place then you may need to go on some medication to help you with ovulation.

Answered by: Dr. Y. Dasoo
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