Late Conception

The point in the menstrual cycle at which a woman ovulates may vary on an average between day 12 to 15 of her cycle. But, it may even happen a few days after that due to stress or other factors. If a woman conceives after ovulating late, the calculation of pregnancy date differs widely from the actual age of the baby. Due to this difference, the doctor may be unable to see anything on the scan and the heartbeat of the fetus may not be detectable on the expected ultrasound visit.

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Can I get pregnant naturally without an IVF at the age of 43?

Query: Hi doctor,I have been trying for a baby for five years. I am now 43 years old. I have not done any IVF treatments. I have done ovaries rejuvenation treatment(PRP), but after that, no results. Can I get pregnant naturally without doing IVF? Kindly help.  Read Full »

Dr. Sathya Balasubramanyam

Answer: Hi, Welcome to I can understand your concern. With increasing age, there is a reduction in both the number and quality of eggs. At 43 majority of the eggs would be chromosomally normal. So the probability of success in an IVF (in-vitro fertilization) is also very low. If you do not w...  Read Full »

Why are my periods shifting by one day after taking Clomid 50 mg?

Query: Hi doctor, I am a 24-year-old female. My husband and I have been trying for the last six months for a baby. But I discovered that I had PCOS (polycystic ovarian syndrome) and diabetes three months back. Now diabetes is under control as I am taking Metformin 500 mg twice a day. I am walking and exerc...  Read Full »

Dr. Poonguzhali Liston

Answer: Hello, Welcome to I can understand your concern. Yes, Clomid (Clomiphene) can help in ovulation. It induces the growth of one ovum, which usually does not occur in PCOS (polycystic ovarian syndrome). But this ovulation has to be followed up with either follicular study (scan to see w...  Read Full »

Should I go for tubal laparoscopy if I do not get pregnant this month?

Query: Hello doctor, I am trying to conceive for the last six months, so my doctor advised to take Caberlin, Siphene, and Duphaston, in the first three months. In the third and fourth month, Gestin. And this month, Letrozole and Duphaston. My doctor said if I do not get pregnant this month, then I should g...  Read Full »

Dr. Neha Rathod

Answer: Hi, Welcome to The treatment is definitely the correct one. Please get a laparoscopy done to know the exact cause. Difficultly in conception could be because of hormonal changes, problems related to tubes and ovaries, or some seminal problems in your partner. Do get back to me wi...  Read Full »

Why am I not able to conceive even though I have regular periods?

Query: Hi doctor, I am 29 years old with regular periods and have a kid of 6 years old. I have been trying to conceive for four to five months, but no result. I am looking for a consultation regarding delayed conception. I do not have any pain or cramps during the cycle and gained weight recently in the l...  Read Full »

Dr. Richa Agarwal

Answer: Hi, Welcome to I understand your concern. You should take alternate days of sex, and I would suggest a tablet of Folic acid daily. Do not take any stress for the same. Kindly revert for more queries. Thank you.  Read Full »

Why am I not able to conceive even after stopped taking contraceptive pills?

Query: Hello doctor, I came off the Depo birth control injection about seven months ago. I have been trying to conceive, but nothing yet. I have prolonged periods, some lasting 38 days. For the past few months I have been using ovulation tests, but I never get a positive result. I have an application on m...  Read Full »

Dr. Balakrishnan. R

Answer: Hello, Welcome to How are you doing? The Depo-Provera (medroxyprogesterone) is supposed to disappear from the body within four months, but for some women, it takes longer. As per your history, the hormone balance is not yet achieved. In every cycle, only if the hormone balance is norma...  Read Full »

Does presence of fibroids play a role in delayed pregnancy?

Query: Hello doctor, Please guide me regarding fibroid treatment as I am trying to conceive since the last four years.  Read Full »

Dr. Aishwarya Parthasarathy

Answer: Hello, Welcome to Fibroids are the most common benign tumor in the uterus. It occurs in 40 % of the women. They can cause infertility, but not every fibroid causes infertility. They can lead to an altered sperm movement if present in the cervical canal, causing infertility. What...  Read Full »

Can a 40-year-old woman with diabetes and thyroid disease conceive?

Query: Hi doctor, I am a 40-year-old female. I am married for eight years, but I cannot conceive till now. My AMH report is 0.3 ng/ml. EmbrometicThickness is 7 to 8 mm with a complex ovarian cyst of 41x21 mm with septation in the right ovary. I am diabetic and have thyroid disorders also. Can you please t...  Read Full »

Dr. Poonguzhali Liston

Answer: Hello, Welcome to Getting straight to the point, you have various comorbidities which are preventing you from conceiving like: 1) Age. 2) AMH (Anti-mullerian hormone) of 0.3 ng/ml - This hormone indicates the ability of your ovaries to produce an ovum or egg. For the age of 40, it s...  Read Full »

Can a woman with PCOS conceive naturally?

Query: Hi doctor,I am 35 years old with a weight of 88 kilograms. I have PCOS. It really makes me hard to reduce my weight. Is there any natural way of conceiving after reducing my weight within three months? Do I need IVF or any other treatments? My local general practitioner told me that I can have abnor...  Read Full »

Dr. Poonguzhali Liston

Answer: Hi, Welcome to If you are having post-coital bleeding and going to do a PAP (Papanicolaou test) smear, then it is advisable to be abstinent from sex for atleast a week before the procedure. In the condition of PCOS (polycystic ovarian syndrome), it is difficult to lose weight and you ...  Read Full »

Why am I not conceiving even after eight months of marriage?

Query: Hi doctor,I got married eight months back and we are trying for a baby. But I am not yet got conceived. I am sending my test report and ultrasound report. Please go through it and suggest me. Do I need to do other tests? Do you recommend any medicines for me? Now I am taking Vida-Z tablets.   Read Full »

Dr. Reetika

Answer: Hi, Welcome to I fully understand your concern. I understand that you are under a lot of pressure to become a mother soon. But getting pregnant is a joint responsibility of both husband and wife. Both you and your husband need to get examined. We recommend treatments if the couple...  Read Full »

Is it possible to be pregnant and not see anything on an ultrasound?

Query: Hi doctor, My wife is 8 weeks 2 days pregnant. But, our doctor is unable to see anything on the day of scanning. I am worried. Please help.  Read Full »

Dr. Purushottam Sah

Answer: Hi, Welcome to Sometimes, the pregnancy will be detected late on ultrasound. If she has no problem and the urine pregnancy test is positive, then repeat the ultrasound after two weeks. For further information consult an obstetrician and gynaecologist online -->  Read Full »

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