What causes late ovulation?
Late ovulation occurs when the egg does not develop properly until after the last day of your menstrual period. A woman may have been pregnant before she became pregnant again, but it was too early or too late for her to conceive naturally. She had unprotected sexual relations with someone else during those days and did not get pregnant because she was already pregnant at that time. If she had been fertile at that time, then she would have become pregnant naturally. However, if she was not fertile at all, then it means that there is something wrong with her reproductive system.
The reason why women are sometimes unable to get pregnant even though they were sexually active for several months is due to their body being out of balance between two hormones: LH (Luteinizing Hormone) and FSH (Follicle Stimulating Hormone). These hormones regulate the release of eggs from the ovaries into the fallopian tubes.
When these hormones are out of balance, the eggs do not mature properly and they remain immature and cannot reach their destination.
In some cases, women who have a hormonal imbalance may experience irregular periods for years without knowing anything about it. They just think that they have PMS (Premenstrual Syndrome), which is caused by stress or other factors.
The truth is that a hormonal imbalance can cause PMS as well, but the difference is that the latter can cause infertility if it reaches an advanced stage.
The only way to detect these problems is through an endocrinology examination. The physician will make a full hormonal workup and he will also perform some tests at the same time.
A transvaginal ultrasound to check your ovaries. A transvaginal ultrasound allows the doctor to take a look at your ovaries using a medical instrument that is inserted into the vaginal canal.
He can take a look at your uterus and ovaries this way and check whether there are any cysts or other problems with them.
A blood test is needed in order to measure the level of different hormones that your body is releasing. In most cases high amounts of androgen (testosterone) are found in women with out of balance hormones.
A pelvic exam is performed as well. In this case the doctor will be able to check whether you have any problems with your cervical mucus or whether your cervix presents any changes.
Changes in the cervix could be a sign of an infection or other serious problems.
There might be other tests as well, but these depend on your age, your symptoms and the results of the hormonal workup. Ovulation usually takes place 14 days before the next period.
If your menstrual cycle lasts 28 days, that means that ovulation takes place on day 14. It is important that you know when you ovulate every month in order to know when you are fertile and when you should have sexual activity without using any birth control methods at all.
If you have irregular periods and you are not sure about when you ovulate, you should consult a doctor in order to find out. It is important that you know when exactly is the best time for you to have sexual activity if you don’t want to get pregnant.
How long can the ovulation be delayed?
Ovulation can be delayed for many different reasons. If it is a short period of time and the ovulation occurs shortly afterwards, there are no big consequences. You should keep having sexual activity regularly and you will probably get pregnant as soon as the ovulation takes place.
If the delay is too long, you might have to consult a fertility specialist in order to find out why your body does not release the eggs. There might be an infection in your ovaries, for example.
This has to be treated with the appropriate medication. If there are no other significant medical problems found, you just have to wait until your body releases the eggs.
If you are too old to get pregnant, this could be a sign of a more serious problem with your ovaries or some other organ in your body. In any case, it is important that you see a doctor as soon as possible in order to rule out any other causes of infertility before you start trying to conceive on your own.
If you are too young to get pregnant, there could also a serious disease that needs to be treated first. In any case, it is also important that you see a doctor as soon as possible.
You and your partner should also keep in mind that in some cases ovulation can be delayed because either one of you has an STD (a sexually transmitted disease). The infected person should seek medical treatment immediately.
There might be other causes as well for which you should seek medical advice immediately.
In most cases the ovulation takes place without causing any physical pain. Every now and then, though some women experience pain in the lower abdomen area just before or at the time of the ovulation.
This is quite normal and should not cause any concern. If the pain is very intense or if it continues even after the ovulation, you should see a doctor.
There are different theories as concerning what causes the ovulation pain. In some cases, it is simply an indication that you are about to ovulate.
In other cases, the pain could be a sign of an underlying problem like endometriosis or adenomyosis.
If you experience pain during sexual activity in your lower abdomen or pelvis area, this could indicate a problem with the ovulation. In any case, you should see a doctor to rule out the possibility of an STD or other infectious disease.
There are different types of treatments for different medical problems that might be causing this pain. In any case, if you experience ovulation pain along with other more serious symptoms or problems, don’t hesitate to see a doctor.
Ovulation pain accompanied by other symptoms
Ovulation pain can also be a sign of some other medical condition that needs treatment. In addition to the pain, women can experience some other symptoms just before, during or just after the ovulation.
If you are experiencing any of these problems you should see a doctor and get yourself checked as soon as possible.
If your periods are becoming irregular, this is usually a sign of hormonal imbalance. There can be several different causes for this type of disorder.
Premenstrual Syndrome (PMS). The disorder begins a week or so before your period starts and goes away soon after the start of the period.
Common causes of PMS are:
Excessive emotional stress in your life.
A poor diet, which could include too much sugar.
Lack of exercise.
Other factors such as smoking, drinking alcohol or using recreational drugs can also play a role in causing this condition.
Polycystic ovary syndrome (PCOS). The most common cause of irregular periods is a condition called Polycystic ovary syndrome or PCOS.
This condition is due to a hormonal imbalance and not due to excessive weight gain as many women believe. The main symptom is irregular or lack of ovulation, which leads to infrequent or absent menstrual periods.
Other symptoms that can occur with this condition are:
Excessive hair growth on the face, arms and lower part of the torso. This is the so-called male pattern baldness in reverse and it usually manifests as a thinning of the hair on the top of the head.
This condition can also cause skin problems such as acne or dark patches (also known as melasma) on the face.
Sometimes, a condition known as painful cravings can occur. This is a medical emergency that requires immediate medical attention.
Get yourself to the emergency room as soon as possible if you experience sudden and severe stomach pains that are coupled with a strong desire to eat something or anything- even if it is not usually something that you like to eat.
Diagnosing PCOS is relatively easy for a physician if you have the typical symptoms of the condition. One of the ways it can be confirmed is through a pelvic exam and an ultrasound of the ovaries.
Sources & references used in this article:
Randomized comparison of ovulation induction with and without intrauterine insemination in the treatment of unexplained infertility by CC Chung, R Fleming, ME Jamieson… – Human …, 1995 – academic.oup.com
Treatment of Infertility with Chinese Medicine E-Book by J Lyttleton – 2013 – books.google.com
Mechanism of action of hormonal preparations used for emergency contraception: a review of the literature by HB Croxatto, L Devoto, M Durand, E Ezcurra, F Larrea… – 2001 – repositorio.uchile.cl