HomeAnswersInfertilitymissed periodIn the case of missed periods, when does the next ovulation occur?

I did not get periods in the last two months. When will I ovulate next?

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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.

Answered by

Dr. Uzma Arqam

Medically reviewed by

Dr. Sneha Kannan

Published At October 8, 2020
Reviewed AtFebruary 4, 2021

Patient's Query

Hi doctor,

I have missed my period for two months. I am worried about whether I have ovulation or not.

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

Many factors can delay periods such as stress, anxiety, strenuous exercise, sudden weight gain or weight loss, strict diet, hormonal imbalance, contraceptives, and medications. Unprotected sex leads to pregnancy. It can also cause it. You need to have lifestyle modification for diet. You need to do physical activities and have a balanced weight. You need to quit recreational drugs if you are taking them. You have disturbance in ovulation and cycle regulation. If you do not have a pregnancy, then you can follow these steps.

For getting periods or withdrawal bleed, you can take a tablet Duphaston 10 mg (Dydrogesterone) twice daily for seven days and wait for getting periods. After getting bleeding for two days, you can check hormonal blood profiles such as LH (luteinizing hormone), FSH (follicle-stimulating hormone), thyroid function test, prolactin, insulin, testosterone, and progesterone.

You can take an ultrasound of the pelvis to look for any pathology. Have a follow up with all the reports. Diane 35 (Cyproterone with Ethinyl estradiol) can be taken for three cycles to have hormonal support. Have a walk, yoga, and do exercise daily. Have a balanced diet. Try to maintain your weight and BMI (body mass index). Take less salt, sugar, oil, and spices in your diet.

The Probable causes

You have a delay due to hormonal changes or conception.

Investigations to be done

You need to do a hormonal profile and ultrasound.

Treatment plan

Follow the treatment as mentioned above.

Regarding follow up

Have a follow-up with the reports.

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

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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