- If in the case of a regular cycle, at 24 days (with 2-3 days of spoting before its installation) and ovulation - detected by ovulation tests - on day 13, can a pregnancy be installed? I mention that after a HSG it was found that the left tube is obstructed, the hormonal analyzes on day 2 are fine and the infection with ureaplasma was detected (treated with doxycycline for 10 days). I am 27 years old and I would like to know what investigations and treatments I should do to get a pregnancy.Answer:
Regardless of the length between menstruation, the doctor or ovulation tests can indicate a possible fertile period, which can be calculated and taking into account the rate of occurrence of menstruation during the last six months.
The calculation of this 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:
Ureaplasma urealyticum is a bacterium that causes nonspecific vulvo-vaginitis, but that untreated can cause complications of the type: infertility, annexitis (inflammation of the trunk and ovary), salpingitis, miscarriages if it occurs in a pregnant woman, pelvic abscess, etc.
It is also necessary to treat the partner, even if the partner has no symptoms; and throughout the treatment, sexual contact is prohibited.
After completing the treatment it is advisable to perform a control test to verify the disappearance of the infection and only then your gynecologist will reassess the condition of the cervix and will inspect the presence or not of the possible lesions produced by this germ with the establishment of a therapeutic course and for this eventual lesion.
Treatment in the case of such infections is recommended according to the result of the antibiogram, and the diminution of the symptomatology can sometimes be obtained only at the end of the treatment; but it is advisable not to interrupt its administration even if the symptomatology is remitted during its course.
Regarding the difficulties that exist in trying to get pregnant, I recommend that you go to a clinic specialized in couple infertility and assisted human reproduction.
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology - Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu