Is late ovulation a normal option or an obstacle to motherhood? Why does late ovulation occur? Causes and signs Signs of late ovulation

Many women do not pay attention to it, especially if this process occurs without painful signs.

Exact dates usually become necessary for those representatives of the fair sex who are starting or for some reason cannot conceive a child for a long time.

The ovulatory period occurs in the body of every healthy woman, but it can be timely or late.

Phases of the menstrual cycle

To understand what “late” means, you need to remember that the menstrual cycle consists of the following phases:

1. Menstrual- begins with the first days of menstruation, the same day is the beginning of a new cycle. During this period, the functional layer of the endometrium is rejected.
2. Follicular phase - follicle growth occurs under the influence of an increase in the hormone estrogen. The dominant follicle is determined, from which the mature one will subsequently emerge.
3. The shortest phase is ovulatory, lasts about three days. During this period, the amount of estrogen reaches its peak and luteinizing hormone begins to be produced, the follicle bursts and emerges mature and ready for pregnancy, which takes 12-24 hours, in rare cases reaches 48 hours.
4. The cycle ends luteal phase. During this period, thanks to the formed corpus luteum in the body, the hormone progesterone is produced, under the influence of which it increases, this is necessary for successful implantation to the wall of the uterus. If this does not happen, the corpus luteum dissolves, and accordingly the production of the hormone progesterone stops, which leads to the destruction of the endometrium. And the cycle begins all over again.

The phases of the menstrual cycle have their own duration. For example, the follicular phase can range from 7 to 22 days, with an average of 14.

REFERENCE! In a healthy woman, the length of the luteal phase has a certain framework and lasts 12–16 days (mostly 14 days); if the period is less than 12 days, then this may be a deviation from the norm and indicate possible pathologies.

What does late ovulation mean?

If we subtract the luteal phase from a woman’s cycle, which differs in its constant duration, then we get a day at normal . For example, if the menstrual cycle is 32 days, then minus the luteal phase (14 days), it will be on the 18th day +/- 2 days. This process is timely.

But if, with a 32-day cycle, exit occurs on day 21 or later, then this type is considered late. An important role in determining the timing of the ovulatory process is played by the duration of the cycle, which can range from 24 to 36 days.

ON A NOTE! If the cycle is 36 days and begins on days 20–24, this is not a deviation, but a natural feature of the body.

With a 28 day cycle

In women with a stable 28-day menstrual cycle, the release occurs in the middle - on the 14th day +/- 2 days. Late for a given cycle will be if occurs after 17 days and later Isolated moments of late exit do not always indicate any abnormalities in the female body; sometimes this happens even in completely healthy girls.

With a 30 day cycle

Late with a cycle of 30 days occurs after the 19th day of the cycle. If this period fluctuates between 14–18 days, then this is the norm for this length of the cycle. If the cycle is unstable, and the ovulatory period begins closer to its end, then it is recommended undergo examination and identify the causes of violations.

Late ovulation and delayed menstruation

Most women associate a delay in menstruation with the onset of pregnancy, but in this case there may not be conception. Provoke late ovulatory period may: taking medications, contraceptives, certain diseases, as well as frequent stressful situations. Late in combination with a delay in menstruation can occur even in healthy girls, but this phenomenon should not be permanent.

ON A NOTE! Even frequent colds and medications taken during treatment can disrupt the frequency. In this case, this factor indicates excessive sensitivity of the body and is an individual feature.

Causes of late ovulation

Most of the factors that cause a late ovulatory period can be corrected with special medications or lifestyle changes. It is enough to identify the circumstances that caused cycle disruption, and eliminate them. Difficulty may arise in the presence of diseases of the reproductive organs. In this case, it will be necessary to undergo a full course of treatment.

The reasons for the delay may be the following factors:

• recent medical abortion;
• taking certain potent drugs;
• consequences of miscarriage;
• recent childbirth;
• constant stress or abnormalities in the functioning of the nervous system;
• infections of the body's reproductive system;
• a sharp change in hormonal levels;
• taking contraceptives;
• approximation menopause;
• changes in climatic conditions;
• past infectious or viral diseases.

Signs of late ovulation

You can detect it later at home. The most effective method is to carry out special test, which is sold in pharmacies. If a woman regularly measures her basal temperature, then determining the time of onset will also not be difficult for her.

In addition, every woman of childbearing age knows what signs accompany the ovulatory period, therefore, its onset can be identified by changes in the general condition of the body. Signs of exit are the following symptoms:

• changing its size and increasing its sensitivity;
• characteristic ;
• increased sexual desire;
• discomfort in the area, or.

What to do if you ovulate late?

It is possible to determine the presence of deviations in the operation of internal systems that caused the delay using certain types of examination. In this case, it is better not to engage in self-diagnosis. Otherwise available diseases will progress and lead to complications, which will be much more difficult to get rid of in advanced stages.

1. examination by a gynecologist;
2. blood and urine tests.

If the delayed exit is due to reasons such as abortion, miscarriage or recent childbirth, then there is no need to take any medications. Just wait a while and cycle will recover.

REFERENCE! Violation of the timing of the ovulatory period can also occur in a healthy woman due to the negative impact of environmental factors or as a result of changes in the body. The main problem of this condition is the difficulty in calculating favorable days for conceiving a child.

The situation is different if internal diseases or hormonal disbalance. In this case, it is better to consult with a specialist and select special methods for restoring natural processes in the body.

Late ovulation and Duphaston

One of the most common drugs that appointed by specialists at later, is Duphaston.

The drug is available in tablet form and is taken in a special course, which is calculated by the doctor based on test results. Its main property is considered recovery a woman must find out why it arose. It is necessary not only to seek help from a specialist, but also to take measures to change your lifestyle: it is important to control your emotional state and eliminate stress, sex life should be regular, a banal change and giving up bad habits can improve the condition of the body.

2011-09-02 14:45:48

Tanya asks:

Good afternoon. I am 26 years old. I haven't been pregnant, I'm just planning. Usually the cycle for years was regular 28-29 days. In July, all the necessary tests were taken for TORCH and STDs. Nothing was found, everything is normal. The last cycle (07/06 – 08/15) for some reason was 41 days!!, perhaps due to nervousness, there were prerequisites.. On the 16th day (07/20) they did an intravaginal ultrasound. They said that the endometrium does not correspond to the day of the cycle (6.5 mm - too thin for pregnancy), i.e. endometrial hypoplasia. The rest is without pathologies. (Later I began to connect this, perhaps, with later ovulation, because the cycle, as it turned out, was already 41 days!). We haven't taken any precautions since July; we haven't tried to get pregnant before. The next cycle began on August 16. M proceeded as usual for 5-6 days. On August 31 (on the 16th day of the cycle), an intravaginal ultrasound was done again, the result was without pathologies (uterine body: length 46, thickness 30, width 44). The follicles correspond to the day of the cycle, the endometrium is thin - 5.1 mm). (According to the BT measurement, ovulation has not yet occurred, but it is already 18 dc) The doctor said to build up the endometrium, take Tazalok drops for about a couple of months until pregnancy occurs. If pregnancy does not occur during this period, then in an emergency, if “her ardent desire” occurs, it will be necessary to donate blood for hormones and, based on the results, the hormones will force ovulation. In the instructions for Tazalok, I read that it is taken for endometrial hyperplasia, but I have hypoplasia. Will the effect of the medicine be reversed in my case? What alternative options are there for endometrial augmentation? For example, perhaps you need to take some vitamins E, C, or others, do physical exercise, include foods rich in iron in your diet, etc.? I will be very grateful for the answer

Answers Gunkov Sergey Vasilievich:

Dear Tatyana. Your attentive attitude to appointments does you credit. It should be noted that Tazalok is a homeopathic drug and it is not correct to narrow its action to certain indications - homeopathic remedies normalize regulatory processes and give the body a chance to cope with the pathological process on its own. In our opinion, the appointment is justified, because the specialist was guided by the principle: “The body must cope with the disease on its own, because serious trials lie ahead.”

2011-08-04 00:23:30

Nune asks:

Hello! I am 42 years old, I have not given birth, I have not been pregnant. 5 years ago I underwent surgery to remove bilateral endometriotic ovarian cysts (about 4 cm), a myomatous node of about 3 cm was also removed, the patency of the tubes was not impaired, the level of all hormones was at the lower limit.
Then she took Nemestran for 6 months. For 5 years, the cycle was regular, follicles were formed, but there was almost no ovulation. The follicle increased to 3-4 cm or, conversely, decreased. Late ovulation occurred several times (on days 20-21 of the cycle). Hormone stimulation was carried out twice, but this only led to the formation of a follicular cyst. The best effect was after taking homeopathic remedies: several follicles developed, but still pregnancy did not occur. On ultrasound, the thickness of the endometrium corresponds to the stages of the cycle
The last menstruation was very painful, the cycle was regular, from 26-28 days. Passed tests:
LG-7.68, FLG-13.31 (at normal 3.5-12.5), E2 - 26.51, DHEA - 114, thyrotropin - 1.2, Anti-TPO - 7.73, Anti-TG - 22.11
I didn’t test prolactin this time, because it was always within the normal range.
But FLG this time is very high. The last time I took tests last year, FLG was 8.13, and LH was 4.03, then a month later FLG became 6.3.
Please tell me, are these signs of menopause or could there be other reasons? And what needs to be done. Is pregnancy possible?

Answers Klochko Elvira Dmitrievna:

Donate blood for AMH - it will show your reproductive capabilities. It’s impossible to say anything for sure yet, although FSH is quite high.

2015-12-06 12:46:34

Natalia asks:

Hello! A year ago I had a TB for 7 weeks. I managed to get pregnant only from the 5th cycle. I am 23 years old, this is my first, and unfortunately, ST. During the cleaning they said that there is dysplasia of the b/m. In February 2015, dysplasia (mild according to histology) was treated using the radio wave method. Now everything has healed and the doctor allowed me to get pregnant. Already the third cycle is not working. My cycle was usually 29-30, now it has lengthened a little and became 30-32. I went for an ultrasound on the 24th day of the cycle: the ultrasound result - no morphology, the only thing is that there is a 19 mm follicle, the ultrasound doctor wrote that the persistent follicle is in question. I’ve now thought about it and come to the conclusion: perhaps a year ago I had late ovulation and a short second phase of the cycle, which could have caused ST. True, after the ST I was examined: Torch infections, HPV, STIs, lupus anticoagulant, general blood test, coagulogram, thyroid hormones - everything was normal. I did not take sex hormones. Now I’m planning and I’m afraid of a repeat of the ST. My questions: 1. Can ovulation occur on day 24-25 of MC during my cycle? 2. Is late ovulation dangerous? 3. What other tests should I take? 4. Do I need folliculometry, if so, on which days of the MC is it best for me to do it?

Answers Palyga Igor Evgenievich:

Hello, Natalia! To draw objective conclusions, it is necessary to undergo folliculometry from the 8th-9th day of the menstrual cycle to assess the growth of the dominant follicle and the occurrence of ovulation. It is also rational for 2-3 days of m.c. take a blood test for FSH, LH, prolactin, estradiol, on the 21st day of m.c. progesterone. The delivery of free testosterone, DHEA, and cortisol does not depend on the day of the m.c. After receiving the results, it will be possible to speak more specifically.

2013-12-27 09:37:56

Anna asks:

Good evening!
My problem is this... 5 years ago I was diagnosed with primary infertility (All 5 years they treated me with whatever they could)))). This year I finally decided to have a laparoscopy (resection for PCOS). She underwent stimulation (2 months) with clostilbegit and duphaston. According to hormone tests, everything was restored (results of the last cycle). This month I was prescribed Folka, vitamins E, B6, as well as cyclodinone...
At this moment I am on the fourth day of my delay, light discharge, decreased appetite, and something like heartburn. Sometimes I feel stretching and tingling in my left abdomen, and the sensitivity of my chest has increased a little.
What kind of discharge is this? Why is my stomach churning? And what kind of set of symptoms could this even be?
Thank you very much in advance for your answer!

December 27, 2013
Palyga Igor Evgenievich answers:
Reproductologist, Ph.D.
information about the consultant
Did you live during the period of open sexual stimulation? Theoretically, there could be a pregnancy, so I advise you to first donate blood for hCG.

Yes, there were sexual intercourse regularly. Today is the fifth day of delay, but the tests are negative. If it was late ovulation (4 days before the expected start of menstruation), then on what day of the delay should I do the test?
And what could it be, if not pregnancy?
THANK YOU!

Answers Palyga Igor Evgenievich:

To accurately establish or refute the fact of pregnancy, I advise you to donate blood for hCG, its indicator will accurately indicate whether you are pregnant. Early tests may give uninformative results. If you are not pregnant, then there is a hormonal imbalance and it is necessary to establish its cause. In this case, I recommend undergoing an ultrasound scan of the pelvic organs. PCOS may cause a delay. You probably had delays before?

2013-08-28 08:12:48

Valentina asks:

Good afternoon
Two months ago, during a routine ultrasound at 12 weeks of pregnancy, the diagnosis was made: anembryonics, non-developing pregnancy of 7 weeks.
This was my first pregnancy and had been planned for a long time. The husband underwent treatment due to a low percentage of live sperm (less than 5%), and managed to raise it to 28%. And before pregnancy, I was diagnosed with low levels of progesterone in the follicular phase, thin endometrium and late ovulation (on day 19, cycle - 31 days). I took Yarina+ for three months and a cycle after discontinuation I became pregnant. There was a threat of miscarriage, but it persisted; she took Duphaston, Utrozhestan (vaginally), Magne B6 and Foliber. Signs of pregnancy: nausea, chest pain, reaction to smells persisted until the end.
The day after the non-developing pregnancy was discovered, vacuum aspiration was performed. I took antibiotics and started taking tests as recommended by the doctor.
Histology results revealed nothing.
For TORH infections:
HSV 1/2: Lgg (+), LgM (-);
CMV: Lgg (+), LgM (-);
Toxoplasma: Lgg (-); LgM (-);
Rubella: LgG (+); LgM(-) (I got sick in 10th grade).
A coagulological blood test revealed no abnormalities; antibodies to phospholipids LgM and LgM were negative.
Hormonal analysis (on day 6 of the cycle):
Anti-TPO - 392 U/ml (high, ref. values ​​0.0-5.6);
Cortisol - 20.0 mcg/dl (high, reference values ​​3.7-19.4).
Other hormones: T4sv, TSH, anti-TG, luteinizing hormone, follicle-stimulating hormone, prolactin, progesterone, estradiol, testosterone, hCG, 17-hydroxyprogesterone, DHEA-S - within normal limits.
I was also recommended to take a culture tank from the cervical canal with sensitivity to antibiotics, hormones on the 22nd day of the cycle, and as I understand it, I need to check the avidity and PCR of detected TORH infections.
I have the following questions:
1. Could high levels of the hormones Anti-TPO and cortisol be the causes of missed abortion? Which specialists should I contact in person with this problem?
2. Does my spouse need to undergo treatment because of the CVM and HSV 1/2 antibodies detected in me? Should he also have his blood tested for TORH infections?
3. Given the worst prognosis, how soon can we plan a pregnancy?

My husband and I are 27 years old, both have blood type II (+), and neither he nor I have had sexual contact with other partners.

Thank you in advance! Sorry if there is a lot of unnecessary information!

Answers Purpura Roksolana Yosipovna:

There is no such thing as too much information, you described everything very well.
Now to the point.
Ig G indicates contact with infection in the past and cannot be sanitized; their presence indicates developed immunity (as in the situation with rubella). Ig M detects acute infection, but they have not been detected in you.
If you don’t mind the time and finances, then you can, of course, check the avidity and take a PCR test, but I’m sure that this will not give anything.
Your cortisol is slightly elevated, there is no need to worry, but the level of antibodies to thyroid peroxidase is elevated, which indicates autoimmune thyroiditis, which most likely caused the pregnancy to fail.

I advise you to contact an endocrinologist who will prescribe corrective treatment, against the background of which you can become pregnant and bear a child under the control of a blood test.
Don’t worry, contact an endocrinologist and everything should work out for you, which is what I sincerely wish for you!

2013-02-14 10:01:22

Evgenia asks:

Hello!

On January 19, there was unprotected sexual intercourse. On January 20, my period began and lasted three days (usually 3-4 days).
On January 30 there was a coitus interruptus, but, as it later turned out, I was ovulating that day.
My period was supposed to come on February 13 (the cycle is usually 24 days). Since February 4, I have felt almost all the signs of pregnancy. On the 10th, a fever and runny nose appeared, and very suddenly. The runny nose was cured, the temperature lasted for the 5th day - 36.8 in the morning - 37-37.1 from lunch until 6-7 pm. The delay is the second day, my stomach hurts like during menstruation, I have recovered a little, but there is no hint of any discharge. I took a test in the evening on the first day of the delay - the result was negative.
Is this pregnancy or is there time to wait until my period arrives?

2012-10-25 15:38:26

Natia asks:

Hello:)
I’m 26, got married 9 months ago. I wasn’t pregnant (we don’t use contraception), 6 months after the start of my pregnancy I went for an examination to a gynecologist; all the smears were clean and without STIs.
colposcopy - small ectopic erosion, picture of the 1st ultrasound, everything is normal and ovulation was caught (17 dmc), because the cycle is 32 days late ovulation.
In the next cycle, to confirm the functioning of the ovaries, they began to do folliculometry, the follicle matures and ovulation occurs (24 mm) on the 17th dmc, but on the 15th day the m-echo was 15 mm, on the 17th 15.6 mm. In the same cycle, I took tests for hormones LH FSH PRL progesterone estradiol testosterone - everything is normal......an ultrasound was again prescribed in the next cycle on the 6th day of the cycle to exclude polyp.
on the 6th day of mts a small accumulation against the background of bloody discharge, then I come to the 10th dmts they find an endometrial polyp 8 mm by 4 mm endometrium on the 17th dmts the dominant follicle burst was 21 mm, while the m-echo was 15.7
In the same cycle I tested PRL TSH FT4 again (since there were 19-20 inclusions in the ovaries), only prolactin was high 25.4 (with a maximum of 24). Bromocriptine was prescribed for half a tablet. I’ve been taking it twice a day for a month now and in the next cycle I was prescribed an ultrasound scan on the 9th DMC, again to control the polyp.
already current cycle passed ultrasound control 9th ​​day:
the uterus is not enlarged 44-33-44mm cervix 28mm smooth contours, regular shape, normal echogenicity, homogeneous myometrium, heterogeneous endometrium due to areas of reduced echogenicity and m-echo 18mm, increased echogenicity in the N/W areas of increased echogenicity with unclear contours 5-3mm.
right ovary 30-20mm follicular
left ovary 40-30mm with formation D-24mm
no free liquid detected
Diagnosis: Endometrial hyperplasia, endometrial polyp in question, left ovarian cyst.
the previous cycle was slightly shortened from 32 days to 29 days and lasted 3-4 days (with a 32-day cycle it was 5-6 days)
I can’t understand how a cyst could form when ovulation occurred in the left ovary in the last cycle...
Or could it still be a dominant follicle? And how dangerous is an 18mm endometrium on the 9th day?
I’m currently only taking bromocriptine (for a month now)
please tell me what it could be and how to proceed
I wanted to start taking duphaston for hyperplasia, but I have abstained for now (no one has prescribed it yet), I quickly need to do an RDV or hysteroresectoscopy (I think for reproductive age this is a more gentle method)
Thanks in advance for your answers :)

Answers Palyga Igor Evgenievich:

You need to have a hysteroscopy, which should give answers; if a polyp is present, it will be removed. There is no need to take any medications on your own; after receiving the results of hysteroscopy, the gynecologist will prescribe hormone therapy.

2012-03-30 21:56:32

Inna asks:

Hello! I am 22 years old. The cycle has always been fickle. I have been undergoing treatment for polycystic disease for almost a year now. Prolactin increased almost twofold (55.44 ng/ml compared to the norm of 1.20-29.93 ng/ml). Saw Mastodion 3 months. After this, prolactin became 17.5 ng/ml. Then I did another test for hormones - follicle-stimulating hormone 7.3 U/L, luteinizing hormone 16.3 U/L, testosterone 5 pmol/L. The analysis was done in the foliculin phase. The doctor prescribed OK (Mavrelon) for 3 months, after discontinuation you can become pregnant. On January 11, 2012, I stopped drinking, and on January 14, my period began. On the 35th day m.c. I felt a tug in my lower abdomen, I thought I was about to menstruate. But mucous discharge appeared, like egg white. This lasted for several days (3-4). I took a pregnancy test - negative. Then I realized that it was ovulation, because menstruation began two weeks later! But we missed ovulation! ((((((I went to the doctor, they wanted to stimulate ovulation with clomiphene, but then the doctor called and said not to stimulate it for now, and this month to try to get pregnant again and drink duphaston with 11 dmc. But if I had late ovulation, is it worth taking duphaston from the 11th day and how does it affect ovulation??? Now I’m already 29 dmc and there are no hints of ovulation, much less menstruation. Tell me, maybe in this cycle (second cycle after stopping OK) could it also be late ovulation? And please tell me effective treatment methods to get pregnant with polycystic disease!!! Thank you very much!!!

Answers Khometa Taras Arsenovich:

Hello Inna, it is best to assess the growth of follicles, endometrium and determine ovulation using an ultrasound scan using a vaginal sensor. The discharge you described may indeed appear in the periovulatory period, but does not reliably confirm the fact of ovulation. In addition, long or irregular cycles are usually observed during the ovulatory cycle. In your case, support for the second phase of the cycle should be prescribed only after ultrasound confirmation of ovulation or obviously after ovulation (if the cycle is regular).

2009-07-10 19:11:56

Irina asks:

I have doubts as to whether I am ovulating. My periods are regular, the cycle is 26-27 days. I'm planning a pregnancy, but it doesn't happen for several cycles. I have been measuring my basal temperature for several months. The graphs are very similar, with temperatures rising above 37.0 in the second half of the cycle. I took an ovulation test 2 times, which was positive on days 10-11. On days 9-12, a discharge resembling egg white appears (which is considered an indirect sign of ovulation). When examined on the 11th day, the doctor said that I had a pupillary symptom. What confuses me, firstly, is that the basal temperature rises to 37.0 later than all the listed symptoms - usually only on days 15-17 (once it increased by 14th) and, secondly, on the 11th day of the cycle, on an ultrasound, the doctor saw maximum follicles of 11 mm in the right ovary and 9 in the left (but on the same day the ovulation test was positive).
The doctor says that if the temperature rises steadily and stays there, ovulation exists. In addition, he judges by progesterone on the 21st day of the cycle - 140 nmol/l (normal 22-80).
Another contradiction:
I had elevated prolactin (on day 21 of MC) - 433 (normal 40-240). I took the prolactin test on the same day as the progesterone test. It is believed that with increased prolactin, progesterone is decreased. But for some reason it’s not like that for me - both were promoted. After taking Dostinex for 2 months, prolactin decreased almost threefold and became normal - 151 (normal 40-240). True, the discharge from the nipples has not disappeared anywhere. It is also surprising that the graphs of basal temperature with elevated prolactin were the same as with normal prolactin. Judging by them, ovulation occurred then too. To this assumption of mine, the doctor replied that it was unlikely. But, looking at the latest graphs (the same as before treatment with Dostinex), he claims that ovulation is occurring. This line of thought is not entirely logical, in my opinion.
I also have increased hair growth (on my arms, legs, around the nipples, chin, mustache). But testosterone is within normal limits - 1.8 nmol.l (normal is up to 4.5). The doctor spoke. that according to the clinic, one could assume that I have polycystic ovaries (and he already had the result of a testosterone test). True, he “didn’t develop this topic further,” and later said that with polycystic disease, BT does not rise, ovulation does not occur and progesterone is not the same as mine.
I beg you, dispel my doubts whether it is possible to believe that I am ovulating.
Sincerely!
Irina

Answers Doshchechkin Vladimir Vladimirovich:

Hello. Registration of the preovulatory LH peak (SOLO test) is not a direct confirmation of ovulation.
“On days 9-12, a discharge appears that resembles egg white (which is considered an indirect sign of ovulation)” and “When examined on day 11, the doctor said that I have a pupillary symptom” - both of these tests are markers in assessing estrogen saturation, which is necessary for ovulation, but this does not directly confirm the fact of ovulation. Just as BT charts do not confirm ovulation, which are not informative for most women. In some women, despite the normal above indicators and ovulation markers, ovulation still does not occur, but luteinization syndrome of a non-ovulated follicle develops. I believe that you are still ovulating, but only serial ultrasound with a vaginal sensor (folliculometry) can confirm this.
The most informative way to confirm ovulation is to conduct ultrasound monitoring of the ovaries with an assessment of the presence of transitional formations in the ovaries immediately after menstruation, the presence of a growing (dominant) follicle, the presence of ovulation and the formation of the corpus luteum with its subsequent regression.
... But testosterone is within normal limits - 1.8 nmol, l (normal is up to 4.5)...
...prolactin decreased, but colostrum remained...
Plasma testosterone, and even its free forms, is a very unreliable test in assessing the factor of hyperandrogenism. Judging by the doubts in assessing the presence or absence of PCOS (polycystic ovary syndrome), you should look for an alternative opportunity to have an ultrasound scan with a vaginal probe, for example, in a specialized infertility center.
The presence of colostrum in the mammary glands can persist despite normal prolactin values, with hypertrophy of lactophores in the mammary glands. This could happen, for example, with prolonged relative hyperestrogenism, taking oral contraceptives or estrogen in its pure form.
So. Perform ultrasound cycle monitoring at a specialized center. Confirm the presence of ovulation and the corpus luteum with an ultrasound. Determine the level of progesterone in the presence of the corpus luteum and say goodbye to your doubts and worries. Don't forget to get your husband's spermogram, compatibility tests and check the fallopian tubes.
Good luck!

Ovulation is the period when the female body is most ready to conceive. In order for the chances of a new life to be born high, it is important to know exactly the date of ovulation. Unfortunately, even with an “ideal” 28-day cycle, the process of the release of an egg from the follicle may differ from one woman to another, because menstrual cycles are a very complex phenomenon. They begin and end at different times, and the duration and onset of the fertile moment can change under the influence of various factors:

• stress and anxiety;
• level of physical activity;
• hormonal background of a woman.

Regardless of the regularity of your cycle or the frequent change of dates, it is important to monitor exactly when ovulation occurs. This is important not only for those who are planning the birth of a child, but also for fans of calendar calculation as a method of contraception.

What is the process of ovulation?

The process of the release of a mature egg from the follicle is a certain period of the menstrual cycle, which is called the “ovulation phase”. During this period, the egg, ready for conception, leaves the follicle, breaking it, and descends into the fallopian tube. This is accompanied by hormonal changes in the body, in particular, the level of estrogen and luteinizing hormone increases. The latter is responsible for fertilization at the moment of fusion of the germ cells of a woman and a man.

As for when conception can occur at the moment the egg is released, it is difficult to predict anything. The menstrual cycle can sometimes vary for an individual woman. The most common cycle is considered to be 28 days, with ovulation occurring at the equator of the cycle, but variations from 21 to 35 days are acceptable. It is most difficult for women with constant changes in their cycle, because then it is impossible to know which days are suitable for conception.

According to a common statement, ovulation usually occurs 14 days before menstruation. This means that with a 28-day cycle, it should occur two weeks after menstruation. Unfortunately, this schedule is not accurate, and the day of ovulation can occur either on the 10th day of the cycle or 20 days after the end of menstruation. To prevent disruptions in the calendar, it is worth carefully monitoring the body’s symptoms, as well as using other detection methods.

How long does the ovulatory period last? The moment when the egg is most receptive to conception is 24 hours from the onset of the ovulatory period. However, a high probability of becoming pregnant remains 2-3 days after the egg leaves the follicle.

Sometimes ovulation in girls may not occur at all. There may be several reasons:

• Gynecological diseases;
• Postpartum period;
• Recent abortion;
• Severe stressful situations.

It is worth understanding that the female body is a rather fragile system that can fail under the influence of the above factors. The cessation of menstruation does not mean that the egg does not mature. If your periods have disappeared, and the reason for this is not pregnancy or the postpartum period, you should immediately consult a doctor. The cause may be a cyst, severe stress or sexually transmitted diseases.

Why do you need to track ovulation?

It is important for every woman to know what day her egg matures. There are many reasons and aspects of life in which this is necessary.

If you have irregular periods, tracking ovulation will help you avoid surprises in the form of “red days” that start at the wrong time. This is especially necessary for irregular monthly cycles, after termination of pregnancy, as well as polycystic disease or endometriosis.
The period of ovulation is the most fertile period for a woman. If you want to get pregnant, you need to know which days you are most likely to conceive.

Women who do not want to get pregnant and are sexually active often take control of the days of their cycle in order to avoid an unplanned pregnancy. If you do not make love during the fertile phase, then the risk of seeing two lines on the test this month will be significantly reduced.

Physiological signs of ovulation

Can a woman independently determine the beginning of the release of a mature egg? You can determine days favorable for conception by physiological signs:

1. Increased breast sensitivity. On ovulatory days, women's nipples swell a little, their breasts harden and become more sensitive. Pain in the lower abdomen. The beginning of the process is indicated by unpleasant, “pulling” sensations in the lower abdomen. These sensations last as long as ovulation lasts.
2. Increase in basal temperature. The release of the egg from the follicle is accompanied by a slight increase in temperature, which will help accurately determine ovulation.
3. Improved skin, hair and nails. In the middle of the cycle, nails and hair become stronger, the skin becomes clearer, and small pimples disappear.

To confirm the onset of ovulation 100%, it is better to do a test using a pharmacy indicator test, since information based on calendars and subjective feelings may not be accurate.

Why does late ovulation occur?

A fairly common situation: a 28-day cycle, when menstruation occurs much later than 2 weeks after the end of menstruation. Many women begin to consider late ovulation as a deviation from the norm or a sign of a serious illness. It is worth understanding that 1 month of observation is not enough to determine late ovulation. If, within three or more months, ovulation can begin later than after 18 days, there is reason to talk about late maturation of the eggs.

A shift in the timing of maturation of female germ cells is not necessarily a symptom of the disease; it occurs for a number of other reasons:

• chronic fatigue, nervous tension;
• changes in hormonal levels;
• infectious diseases;
• before the onset of menopause;
• the period after abortion and miscarriage, as well as after childbirth.

Is it possible to get pregnant if you ovulate late?

If there are signs of a late release of the egg from the ovary, do not immediately panic. This symptom is not a mandatory sign of infertility, and pregnancy with late ovulation will not in any way affect the development and birth of a healthy baby. The only exception may be infectious diseases or hormonal imbalances, so it is extremely important to do something as important as consult a doctor. If necessary, undergo a course of treatment.

Late maturation of eggs can be detected using an ultrasound examination, tests of pituitary gland indicators, or using rapid ovulation tests. Typically, determining ovulation is most relevant for women who are planning a pregnancy soon. If any problems are detected, it is necessary to undergo comprehensive treatment to eliminate the cause of this phenomenon.

If the delay in egg release is one of the symptoms of hormonal imbalances or infectious diseases, this phenomenon is often accompanied by other complaints. These include hair loss, increased fat deposits in the waist area, the appearance of acne, irregular periods and changes in their character, as well as discharge during the middle of the cycle. If you notice several of the above symptoms, you should see a doctor for the necessary tests and therapy.

What to do if ovulation does not occur at all?

In some cases, ovulation may not only be delayed, but may not occur at all. For women planning a pregnancy, this can be both great hope and great disappointment. Because lack of ovulation is the main sign of pregnancy. But it may indicate the course of chronic diseases. If for some reason ovulation does not occur, you should do the following:

• Take a test to make sure you are not pregnant.
• Make an appointment with a specialist to accurately determine the causes of this phenomenon using tests and prescribing complex therapy.
• If you detect ovarian dysfunction, do not be nervous - stress will only make it worse.
• HCG injections will help significantly increase the likelihood of getting pregnant in the absence of the ovulatory phase.
• One of the most radical methods is to stimulate ovulation using the drug Clomifel citrate. Before using the product, you should consult your doctor. Inducing ovulation has a number of contraindications, such as fever, pregnancy and lactation.

Delayed ovulation in a 28-day cycle is not at all a serious pathology, and getting pregnant in this case is quite possible. However, it is undesirable to ignore this feature, since late ovulation can be a sign of a serious illness. You can increase your chances of conceiving and having a healthy child by giving up bad habits and minimizing the level of stress in your life. This will help correct the cycle in the absence of serious illnesses. We must not forget about timely determination of ovulation using the calendar planning method, and this will help avoid unwanted pregnancy or see the coveted two stripes.

Any woman knows what ovulation is and how important this phenomenon is for the process of conceiving a baby. With a regular menstrual cycle, the release of an egg into the abdominal cavity often occurs unnoticed by the woman herself, which is the norm. Therefore, often healthy women do not bother about ovulation, knowing that everything happens as it should.

Women usually begin to think about the topic of timely ovulation during the period of planning a child. And this is correct, because how fast conception will be depends on what period of the menstrual cycle ovulation occurs.

Sometimes, hearing the term “late ovulation” from a doctor, women planning to become mothers begin to panic. It seems to them that this may interfere with conception. Are late ovulation and pregnancy really incompatible?

What is “late ovulation”?

Before tormenting yourself with worries, it’s worth understanding what late ovulation means and why it happens. Normally, the period when a mature egg is released falls in the middle of the menstrual cycle.

Usually, the duration of the menstrual cycle is always the same, therefore, ovulation occurs every time at the same time in the cycle. So, for example, with an ideal cycle lasting 28 days, ovulation should be expected on the 14th day after the start of menstruation. If it occurs later, say, on the 19th day, it can be considered late.

If a woman’s cycle lasts, for example, 34 days (and is regular and stable), then in her case ovulation on days 17-18 is the norm.

In general, doctors say that the interval between ovulation and the next menstruation should be at least 11-12 days. Everything that fits into these frameworks can be considered normal, since a shift in ovulation by one or two days is quite acceptable.

What about pregnancy?

Consistently late ovulation is actually very rare. If it occurs in a woman’s life, it is a serious pathology that really interferes with getting pregnant and can cause infertility. But this is not a hopeless situation. Experienced specialists in the field of reproductive medicine are able to help a woman who finds herself in such a situation.

But, often, late ovulation occurs at a certain period in a woman’s life and is not an ailment that accompanies her throughout her life. Many healthy girls and women who have a regular menstrual cycle face this problem. In this case, late ovulation does not mean at all that conception can now remain just a dream.

In women who have been diagnosed with delayed ovulation, the chance of getting pregnant easily is, of course, slightly reduced, since it becomes more difficult to calculate this time.

But the probability of pregnancy itself is as high as with timely ovulation. In this case, conception occurs absolutely normally, pregnancy proceeds as usual, and there are no developmental abnormalities in the born baby.

Since late ovulation itself is quite rare, when faced with it, it is important to identify the reason why it occurred. Most of the factors that lead to delayed ovulation can be corrected, making conception more likely.

The reasons for late ovulation can be both physical and psychological:

• infections of the female reproductive system;
• hormonal imbalance;
• stress and overexertion;
• menstrual irregularities;
• abortion or miscarriage;
• childbirth;
• the period before the onset of menopause.

You can also identify signs of late ovulation at home. There are several ways to do this:

• monitoring basal temperature;
• ovulation test;
• monitoring your well-being.

Women who regularly measure their rectal temperature will notice delayed ovulation quite easily. But this method is practically useless for those who do not conduct such observations.

An ovulation test can give a reliable answer, but not always. Its result may be false if you have gynecological diseases, take certain medications, etc. It is also important to do the test at the right time, which is difficult to calculate.

Some women during the period of ovulation experience slight malaise, a pulling sensation in the lower abdomen, dizziness and similar symptoms. Based on their physical condition, such women can determine when ovulation occurred. But this condition does not always indicate ovulation. These could be signs of some disease, pregnancy, etc.

In general, the effectiveness of methods that determine the signs of late ovulation at home is quite low. To get a more accurate picture, it is better to go to the hospital. Studies that will help identify signs of delayed ovulation:

• gynecological examination;
• folliculometry (ultrasound monitoring);
• analysis of pituitary hormone levels.

It is advisable to conduct studies over several menstrual cycles, this will enable the doctor to more accurately see the signs of late ovulation. All these methods to help detect signs of ovulation failure are most effective when used immediately at the time when you plan to conceive a baby.

Is it necessary to undergo treatment?

Since the occurrence of late ovulation is most often caused by certain factors, in this case there is no treatment for ovulation itself. With medical help, you can correct the onset of ovulation, that is, make it happen at the right time. To do this, you need to see the signs and establish the cause of this situation.

For example, if the failure occurred due to a miscarriage, then you should just wait a few months and everything should recover on its own. If the reason is more complex, for example, the presence of an infectious disease, then you need to undergo a certain course of treatment, after which ovulation will return to normal, etc.

Treatment is usually required when problems with ovulation cause infertility. Some women may notice signs that they are not ovulating at all. This also makes conception impossible. In such serious situations, gynecologists prescribe ovulation stimulation. After such treatment, there is a chance that the woman will be able to become a mother and bear a healthy baby.

Activities to promote recovery

Women facing problems with ovulation need to follow certain rules that will help them recover faster:

1. Listen to the gynecologist and follow all his recommendations.
2. Avoid stressful situations.
3. Eat fully healthy foods (no diets).
4. Quit smoking and excessive drinking.
5. Move more, breathe fresh air.
6. Live an active sex life with one partner (do not use protection).

The main thing to remember is that the most important thing is not what the signs of a problem indicate, but how much effort a woman is willing to make to get rid of it. Delayed ovulation is not a death sentence. You can influence the situation, you just need to have a little patience and, perhaps, very soon the dream of a tiny man will come true.

The menstrual cycle and ovulation are very individual. Despite existing norms, there are always failures and deviations. In our article we will try to understand what late ovulation is, on what day of the cycle it can occur and what causes it.

What ovulation is considered late?

As we know, a normal cycle lasts 25-29 days. But on average, the values ​​can vary within 21-35 days, which is not a significant deviation. The time of cell release is 14 days before menstruation. This is a static quantity that rarely changes. Thus, the normal time for ovulation in different cycles is 7-21 days from menstruation. Based on this, it is clear that it will be considered late for each case.

Let's try to understand the calculations using the example of one of the cycles. We know that a period of 28 days is considered ideal and the cell matures on the 14th day. Late ovulation will be considered if the cell is released after the 18th day. This shift is not pathological; pregnancy is also possible when the woman is healthy and this phenomenon is temporary. Using a similar principle, you can calculate for other cycles.

If we try to figure out what day of the cycle late ovulation occurs on, we come to the conclusion that there is no standard due to the individuality of processes in the body. For some it will be 18-19 days, for others it may be 21. Experts agree that the optimal interval between ovulation and the next menstruation should be at least 11-12 days, then conception will not be a particular problem. When this gap is shorter, the egg matures once every 35-40 days, which creates additional difficulties in the fertilization process.

How normal is late ovulation?

So, we looked at which day of the cycle is the latest for ovulation, now let’s find out what contributes to this. The reasons that can cause such a delay are usually quite understandable and can be observed in almost everyone:

• change of climate or time zones;
• constant stress;
• various gynecological or infectious diseases;
• hormonal imbalance, when a decrease in estrogen in the blood can slow down follicle growth;
• the period after childbirth or abortion;
• time before menopause.

If a woman has late ovulation, on what day exactly this event will occur can be found out using various methods:

• tests that analyze urine;
• rectal measurements and charting;
• examination and ultrasound.

Don't forget about physical changes. In particular, at this time there is breast tenderness, nagging pain or tingling in the area of ​​the ovaries , as well as copious viscous discharge, odorless and transparent.

When might late ovulation be a warning?

If pregnancy does not occur when the cell is released late, it is necessary to look for the cause of infertility. First of all, make sure that there are no diseases or other factors that can affect the processes. The most important thing is to make sure that there are no serious illnesses. It would be a good idea to get tested for hormone levels, in case the reason lies in a deficiency of one of them. All other reasons are completely removable, you just need:

• avoid stress;
• eat healthy;
• to refuse from bad habits.

Important

By the way, smoking or alcohol can prevent the egg from maturing in time, so you should renounce them if you want to become a mother.

So, we figured out what day of the cycle late ovulation occurs on. It can be caused by many reasons. If the expectant mother has a healthy body, follows proper nutrition and avoids bad habits, conceiving during late ovulation will not be a problem for her.