In detail

I want to get pregnant!

I want to get pregnant!

Question:

- Hi. I am 26 years old and I have a very irregular menstrual cycle between 31 and 51 days. I would like to ask you if I can have a child if my cycle is so irregular? I also did an ovulation test and it came out positive, within 72 hours they all came out positive, is it possible? However, I did not get pregnant. My doctor said that there is no problem as long as I have a menstrual cycle, but someone told me that if the cycle is so long there is no ovulation. What could I do, is it possible to get pregnant or not?

Answer:

The menstrual cycles follow one another as a result of the cyclical variation of the concentrations of several hormones, the same hormonal concentrations being responsible for the appearance of menstruation, as well as for the existence of ovulation (of course, along with a multitude of other factors).

The menstrual cycles follow one another as a result of the cyclical variation of the concentrations of several hormones, the same hormonal concentrations being responsible for the appearance of menstruation, as well as for the existence of ovulation (of course, along with a multitude of other factors).
In the vast majority of cases, a woman with such an irregular opening time appears due to a hormonal disorder; However, since the ovulation tests are positive, it means that this hormonal disorder (if it exists) does not prevent the ovulation from occurring, so the possibility of pregnancy can exist.
A confirmation of the presence of ovulation can be done by ultrasound monitoring of the evolution of the ovarian follicles.

Regardless of the length between menstruation, the doctor or ovulation tests can indicate a possible fertile period, which can be calculated taking into account the rate of occurrence of menstruation during the last six months.
The calculation of the fertile period (the period in which the sexual contacts made without means of protection can result in carrying out a pregnancy) will be done as follows:

  • if the cycles are regular, 28 days every month, then the fertile period is between days 10 and 17, considering day 1 the first day of menstrual bleeding;
  • if the cycles are irregular, follow the duration of the menstrual cycle for a minimum period of 6 months (for example: 27, 28, 26, 29, 35, 31) and keep the minimum number and maximum number of days of the menstrual cycle (ex. 26, 31), then:
  • from the minimum value is deducted 18, obtaining the first fertile day (ex 26-18 = 8)
  • of the maximum value is subtracted 11, and the last fertile day is obtained (31-11 = 20); This results in the fertile period (the period in which you must use a contraceptive method to avoid a possible pregnancy) from day 8 to day 20 (considering day 1 the first day of menstrual bleeding).
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