HomeAnswersObstetrics and Gynecologydelayed conceptionI am a 29-year-old woman unable to conceive despite having intercourse during my fertile days. Please help.

What might be contributing to difficulty in conceiving despite having intercourse during fertile days?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At December 20, 2023
Reviewed AtDecember 20, 2023

Patient's Query

Hi doctor,

I am 29 years old and trying to conceive. I tracked my ovulation, and we had intercourse four times during the fertile window. My period is now six days late, but my pregnancy tests have all come back negative. I am currently 17 days post-ovulation. I have a history of ovarian cysts, but there were no visible anomalies on an ultrasound conducted two years ago. I occasionally take Ondansetron, and I use asthma inhalers. Why would this be happening?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concerns about the delay in your period and negative pregnancy test results, especially since you had intercourse during your fertile window. There could be several reasons why this might happen, and I will try to provide you with some possible explanations:

  1. Timing of ovulation: While tracking ovulation can help increase your chances of conception, it is important to remember that ovulation may not occur exactly when expected. Variations in the menstrual cycle can happen, even for those with regular cycles. It is possible that ovulation occurred later than anticipated, which would also delay the expected start of your period.
  2. Stress or hormonal imbalances: Emotional or physical stress can affect the timing of your menstrual cycle and even delay ovulation. Hormonal imbalances, such as those caused by conditions like polycystic ovary syndrome (PCOS), can also lead to irregular cycles.
  3. False-negative pregnancy test: Pregnancy tests are generally reliable, but occasionally they can produce false-negative results, especially if taken too early or if the test is not done correctly. It is recommended to wait a few more days and retest using a sensitive pregnancy test or consult with a healthcare professional for a blood test, which is more accurate.
  4. Other health factors: Certain health conditions or medications can potentially affect menstrual cycles and fertility. If you have any underlying health conditions or if you are taking any medications, it might be worth discussing with your healthcare provider to rule out any potential causes.
  5. If your period does not arrive after a few more days, and you still have concerns or ongoing irregularities in your menstrual cycle, it would be advisable to consult with a healthcare professional. They can evaluate your specific situation, conduct any necessary tests, and provide appropriate guidance and support.

    I hope this has helped you. Please feel free to reach me again, in case of further queries.

    Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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