Lh Surge

LH or luteinizing hormone is one of the hormones that the pituitary gland produces. It is usually secreted at a very low level throughout the entire menstrual cycle. But if the egg follicle has grown to a certain size, the level of LH surges increases, and as a result, triggers ovulation. This marks the beginning of the fertile period, and couples who have been trying to get pregnant should try during this period as the chances of getting pregnant are very high. This window usually lasts for 24-36 hours.

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Can I be pregnant if the condom fell out?

Query: Hello doctor, Two months ago, I underwent an egg retrieval. I am fairly regular with my cycle; however, my last cycle lasted for 35 days. My current cycle is of 30 days. While having sex, I had a condom fall off when he pulled out. I am confused if I was in ovulation or not? I took multiple LH (lute...  Read Full »


Dr. Reetika Joshi

Answer: Hello,Welcome to icliniq.com.I completely understand your concern and will surely try to help you. However, to get pregnant, the sperms have to be released inside the vagina of the female. These sperms then need to fertilize an egg which may or may not be available depending upon the ovulation patte...  Read Full »

Will the progesterone level be high in a chemical pregnancy?

Query: Hi doctor, My height is 5 feet 5 inches, and I am 145 lb. My last menstrual bleeding was on the 24th, four months back. I got my progesterone level checked on the 21st day of my cycle. I got my reports on the 16th of next month as 4.7. After that, I did not get my menstrual bleeding. A week later, ...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. You have not mentioned the units of progesterone, which makes it difficult to decipher here with regards to luteal phase defect or deficiency (Ideally, serum progesterone levels in nonpregnant women in the luteal phase is 2 to 25 ng/mL or 6.4 to 89 nmol/L). Consideri...  Read Full »

Will over the counter supplement for inducing fertility help in getting pregnant?

Query: Hello doctor, I am a 29-year-old woman. I am trying to get pregnant, but I am a little concerned that I may not be ovulating. I checked for LH hormone surge last month, and I could not detect one using ovulation test kits. I have hypothyroidism, for which I am taking 75 mg Levothyroxine, and curren...  Read Full »


Dr. Lorena Zijaj

Answer: Hello, Welcome to icliniq.com. The good news is that the TSH (thyroid-stimulating hormone) hormone is normal because the abnormal level can affect ovulation. I would recommend trying to conceive on the 12th to 16th day of your cycle. It is the period there is a high chance. Second, I would rec...  Read Full »

Is it normal to attain puberty at the age of 9?

Query: Hello doctor, Is it fine for a 9-year-old to start her period?  Read Full »


Dr. Faisal Abdul Karim Malim

Answer: Hello, Welcome to icliniq.com. It is less likely that a girl age 9 years would have started her periods. A detailed evaluation with probably MRI brain (for pituitary status), levels of LH (luteinizing hormone), FSH (follicle-stimulating hormone), TSH (thyroid-stimulating hormone), etc., will be r...  Read Full »

Will Folic acid help to conceive naturally at the age of 44?

Query: Hello doctor, I have just got married and I am planning to have a child. I am 44 years old have not had a child before and have no medical problems. I wish to check if I need to take any medical tablets like Folic acid, etc or shall I just go proceed naturally. As mentioned before, I have no health ...  Read Full »


Dr. Deepali Raina

Answer: Hello, Welcome to icliniq.com. Congratulations on your wedding. First thing you should do is to start Folic acid and try for timed intercourse. For that, if your periods are regular you can download an application of period tracking. It will tell you the most fertile days of your cycle. Since you ...  Read Full »

When should Histrelin implant be removed in precocious puberty?

Query: Hello doctor, I am a female. I was diagnosed seven years ago for central precocious puberty and was treated with three annual implants of Histrelin. The third implant still has not been removed after about four years. I have looked at procedure guidelines online that say that the implant must be re...  Read Full »


Dr. Sumit Srivastava

Answer: Hi, Welcome to icliniq.com. Yes, Histrelin implant should have been removed after one year. Please speak about this to your doctor. Histrelin implant is a synthetic analogue of gonadotropin-releasing hormone (GnRH) agonist. It works by decreasing the production of certain hormones, which reduces e...  Read Full »

What is the cause for negative LH surge and spotting while on DHEA?

Query: Hello doctor, I am 41 years old and trying to conceive for 13 months. My AMH is 4.3 and FSH is 8.2. Thyroid and uterus are all normal. I was put on IVF short protocol before six months and managed to get only one egg and IUI failed. I fell pregnant naturally after three months but had a miscarriag...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. If there has been no LH (luteinizing hormone) surge positivity in the kit and you have spotted, it simply means that this is irregular shedding where the endometrium has grown till mid-cycle and is unsupported in the absence of progesterone which is released post ovu...  Read Full »

My report says that my plasma levels are raised in comparision to LH. What does it mean?

Query: Hello doctor,I had a fertility blood test and scan. All came out fine except it said I had slightly raised plasma levels in comparison to LH. Does this mean I have problems, and what does it mean?  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. Raised plasma levels of LH or Leutinizing Hormone indicates a premature ovarian failure in women less than 35 years. And in a woman above 40, it indicates perimenopausal status (if she is still menstruating) or menopausal (is she has not menstruated for a year). Howe...  Read Full »

Will high LH impact ovulation and healthy pregnancy in a PCOS patient?

Query: Hello doctor, I am 32. I have PCOS for past seven years. Now planning to conceive with Gonadotropin injection and timed intercourse. But my day two blood work shows FSH 4.7, LH 11.2 and prolactin 9. Due to high LH will I get ovulation and if so, how will be the chances of having a healthy pregnancy?...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The LH levels are more than 10 as expected in PCOD, ideally should be less than 7, but still on the lower side. You can continue with the protocol and ideally LH surge occurs at 20 and usually the follicle is matter at 18 mm size. So, pertaining to your query that wh...  Read Full »

What happens to the unreleased follicle eggs in a PCOD patient?

Query: Hello doctor, I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? C...  Read Full »


Dr. Sharmila Naik Shashikant

Answer: Hello, Welcome to icliniq.com. The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is ge...  Read Full »

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