Conceive, Trying to (cont.)

MEMBER QUESTION:
I don't have regular periods (my last one started April 7) and I haven't had one since. We have been trying to conceive only since April 30. I took a test on Saturday and it came up negative. Since I don't have regular periods - I sometimes go a month or two without one then have one every month for a few months -- is there anything I can do to regulate myself and still continue to try and conceive?

DR. AMOS:
Your regular periods come from ovulating regularly. Irregular cycles usually mean no or irregular ovulation. Doing a BBT chart on the WebMD Fertility Center will quickly tell you if that's the problem.

If you don't ovulate, then your doctor will usually do some tests to find out what the problem is. Once the tests are reviewed, your doctor can advise you what to do next and if treatments are necessary.

MEMBER QUESTION:
My question is how well does the saliva ovulation test work?

DR. AMOS:
The saliva ovulation test can tell you when your more fertile days are. Saliva changes from hormonal changes as your ovulation approaches. That test together with other signs can help you improve finding out when you ovulate and when your fertile days are.

MEMBER QUESTION:
I am currently on the Yasmin birth control pill and my husband and I always have sex unprotected. My chest is very tender lately and I sometimes spot after sex or in between my periods. Am I pregnant? I took a pregnancy test but it was negative. We are trying to conceive but I don't know if I should stop taking the pills because it regulates my periods. Should I get a blood test? What's the best way to get pregnant?

DR. AMOS:
Birth control pills are very effective at preventing you from getting pregnant. A negative pregnancy test means that you are usually not pregnant. A pregnancy blood test should confirm that you are not pregnant.

"The best way to figure out if and when you ovulate is to do the BBT chart at the WebMD Fertility Center. Once you plot your chart and do your daily temperatures you can pretty quickly identify what's going on."

MEMBER QUESTION:
After getting off birth control pills two years ago I was diagnosed with a microprolactinoma. I've been on bromocriptine ever since. I was told this wouldn't have an effect on my TTC, but haven't been able to for the past two years. Ovulation normally occurs between days 17-19, with an LP of about 10 days. Is there any way that my meds are causing such late ovulation and short LP?

DR. AMOS:
Your medication could result in these problems, though it could be something different. If you ovulate regularly, and you cannot get pregnant, then the next step is to check his sperm count. How would you know otherwise if it's your problem or his unless he gets tested first?

MEMBER QUESTION:
If my husband's motility and morphology are both 8%, sperm count 20 million, hormones normal, what may be the problem (besides a varicocele)?

DR. AMOS:
There are different ways to identify a sperm count. There is the total count and there is the count per cc. You didn't mention which it is, so it's not possible to answer your question whether the count is normal or not.

MEMBER QUESTION:
My husband and I are trying to get pregnant. However I am unsure as to when I am ovulating. My last two cycles have been 91 days long. I stopped taking Ortho TriCyclen in March 2004 (I was on the pill for about 4 years) and it was about four months before had a period. I am supposedly due for my next period around June 16. Is there any way for me to have an idea as to when I may be ovulating? I knew that it would take me awhile to get back to normal after getting off of the pill but I didn't think that it would take over a year and I am nowhere close to normal. Can you help? I am 25 years old.

DR. AMOS:
The best way to figure out if and when you ovulate is to do the BBT chart at the WebMD Fertility Center. Once you plot your chart and do your daily temperatures you can pretty quickly identify what's going on.

MEMBER QUESTION:
The last Depo-Provera shot that I took was in July 2004 and we have been trying ever since. My periods have been regular since December. I'm having pains on and off, and tightness since ovulation. Could this mean that I am pregnant? How soon can I test? The only other symptom that I have is tender breasts, but I know that is normal before your next cycle as well. How soon do you start having symptoms?

DR. AMOS:
You may be pregnant, but symptoms in general are not a good enough indication of pregnancy. Only a pregnancy test can tell you whether you are pregnant or not. Do one today and find out for sure.

MEMBER QUESTION:
At what point in time are blood clots in your period a concern? I have been told they are normal but the ones I have are extremely large?



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