How to plan a pregnancy in case of irregular periods?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My clear blue ovulation test said I was at peak the day of my period starting. My periods are somewhat regular at the moment, except this one coming earlier. I do not think I ovulate like a normal woman on a certain cycle day. I am just not sure what to do or what day to try to conceive. I have been trying for six months; I have poly ovaries and high estrogen, with more eggs than normal women. I have been told that I can get pregnant alone. I have also got Crohn's disease and have not taken medication for anything. I do not trust my ovulation tests right now, and I am at an all-time low.

Answered by Dr. Purushottam Sah

Hi,

Welcome to icliniq.com.

If you are at the peak of the day, your period started, then the test is wrong. Your periods are regular, so most of the time, you are ovulating. An occasional cycle may be erratic; it is quite common. You should check blood sugar PP (postprandial), TSH (thyroid-stimulating hormone), prolactin, and testosterone. Depending on the reports, treatment is decided. I hope your PCOD (polycystic ovarian disease) is diagnosed by ultrasound. Though ovulation tracking is good for conception yet, you can conceive any day of the cycle. If your cycles are fairly regular, then you can deduct 17 days from your shortest cycle length and have sex starting two days before that for a week. For example, if your shortest cycle length is 29 days, then 29-17= 12, start sex on day 10 for a week. You can also check by ultrasound Folliculometry.

Patient's Query

Thank you, doctor, for your reply.

The days in between my menstrual cycle change frequently, so hard to know when I ovulate. And sometimes it can be 14 days since my last period.

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

Yes, it is because you might have a hormonal imbalance, for which I have suggested you do the hormones tests. After which treatment will regularise your periods. Another option is to take cyclical oral contraceptive pills to get bleeding regularly for three months; you will not conceive your cycles will become more regular. Another option is to take Clomid (Clomifene) from the third to the seventh day of the period. And Duphaston (Dydrogesterone) or Progesterone from day 16 to 25 th of the cycle. This way, your period will be regular and will have the possibility of conceiving from day 9 to 15 of the cycle. Remember, conception occurs if you have sex for five days before and on the day of ovulation and not after that.

Patient's Query

Hello doctor,

Thanks for your reply,

Can you tell me the dosage of Clomid and Progesterone?

Answered by Dr. Purushottam Sah

Hello,

Welcome back to icliniq.com.

1. Tablet Clomid 50 mg once daily at night for five days from day 3 to 7 of menstruation.

2. Tablet Duphaston 10 mg once daily at night for ten days from day 16 to 25 of menstruation.

Both to be repeated for three cycles. Consult a local doctor, get a prescription, and then start the medication.

Investigations to be done

Hb (hemoglobin), TC (total count), DC (differential count), sugar PP, TSH, prolactin, and Testosterone.

Probable diagnosis

Oligomenorrhea.

Treatment plan

Clomid and Duphaston.

Patient's Query

Hi doctor,

Thanks for your reply.

It all sounds great, but the pharmacy in my country will only give it to me if it is in script form and signed. I am hoping that you can send that to me.

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

I am sorry, but I cannot issue a prescription for overseas patients. I can suggest the medicines, but you have to consult a local doctor for medicines and prescriptions.

Patient's Query

Hi doctor,

Thank you for your reply.

Answered by Dr. Purushottam Sah

Hello,

Welcome back to icliniq.com.

You should be healthy without any disease and with normal blood pressure. If you have any other medical problem, consult a relevant doctor. It would help if you did not take alcohol with medicines and also avoid driving at night. In case of an emergency, you should go to a hospital.

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Answered by Dr. Purushottam Sah

Medically reviewed by Dr. Preetha. J

November 4, 2020

August 10, 2024

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

Dr. Purushottam Sah

Obstetrics and Gynecology

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