Predicting Ovulation with Irregular Periods – What to Expect

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Infertility occurs for a great number of reasons. At times, it may even be undetermined. However, thirty to forty percent of infertility is caused by irregular of abnormal ovulation accounts.

Sometimes irregular ovulation may be accompanied by having irregular periods, no periods at all or abnormal bleeding. This condition is known as anovulation and can indicate that you are not ovulating correctly.

1. Can Anovulation be Treated?

Typically, anovulation is treatable when the woman is administered fertility drugs. However, it is important that you doctor looks for other conditions that may be causing problems with your ovulation as well. Some other issues may be problems with your thyroid as well as abnormalities in your adrenal or pituitary glands.

causes-of-anovulation

2. How to Get Pregnant if I’m Having Ovulation Issues

After you and your doctor has determined that the issue is indeed with your ovulation cycle and not caused by any other medical condition, it is likely that fertility drugs will be prescribed to you. More than likely you will begin taking either Clomid or Serophene, which are forms of clomiphene, which are the most popular forms of fertility drugs to start with.

most-doctors-recommend-clomid

One of the benefits in this type of fertility drugs is the fact that you can take it orally rather than being required to inject it as you are with most other fertility drugs. These drugs are used to help regulate ovulation and increase egg production that is completed by the ovaries.

3. Is Clomiphene Effective?

Most women with anovulation are able to ovulate when they take Clomiphene. Most couples are able to become pregnant after three cycles of taking these drugs. There are some side effects that should be kept in mind if you are considering taking Clomiphene, however.

clomid.

For example, nearly 10% of women who begin taking Clomiphene end up having a multiple birth pregnancy. Typically this involves the woman giving birth to twins. This is nearly a nine percent increase in the chances of becoming pregnant with twins over that of the remainder of the population.

4. Dosage of Clomiphene

Most women start out with 50 milligrams per day for five days of clomiphene. They start on the third, fourth or fifth day after their period begins and can expect to ovulate about seven days after the final dose of the drug has been taken. This dosage can be increased by 50 milligrams per day, up to 150 milligrams, if the woman still does not ovulate.

Clomiphene-helps-with-anovulation

After your ovulation has been regulated, it is usually suggested that a woman continues to take the drug for three to six months before they are finally referred to a fertility specialist. You may then try another drug or be referred to a fertility specialist for further medical evaluation and treatment.

5. Hostile Cervical Mucus

One issue that is sometimes reported by women who are taking these fertility drugs is the development of hostile cervical mucus. This mucus can actually work as a barrier between sperm and the uterus and can prevent pregnancy.

artificial-insemination

Treatment for this might be artificial or intrauterine insemination, which means that the sperm is injected directly into the uterus in order to fertilize the egg.

6. Other Fertility Drugs

If Clomiphene is not successful and depending on your specific situation, your doctor may decide that other fertility drugs, like Gonal-F will be a better fit. These are injectable and are sometimes referred to super-ovulation drugs and are normally injected just under the skin.

gonal-f

These drugs can sometimes overstimulate the ovaries which may cause bloating and discomfort. At times, this may require you to be hospitalized and it is important that your condition is monitored carefully when you are taking these drugs. Approximately 90% of women ovulate when they begin taking these types of drugs and about 20 to 60 percent of these women eventually become pregnant.

7. Conclusion

While irregular periods sometimes go hand in hand with ovulation issues, this is not always the case. If you are struggling to become pregnant, it is important that you track your ovulation on your own and do not rely on your period. By charting it yourself, you will be able to learn exactly when you are ovulating and will be able to see if there are any issues with your ovulation that you may need to discuss with your doctor.

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Regina Ledoux, RN, CNM

Ms. Ledoux began her career as an ObGyn nurse practitioner prior to becoming a practicing midwife in the Santa Cruz community. Working together with ObGyn physicians in her own practice, she has over 20 years experience in women's health, pregnancy and childbirth.