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How To Determine Ovulation While On Duphaston?

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Posted on Mon, 31 Aug 2015
Question: I am 28 years of age, have PCOD. Usually my cycles are in 35-42 days range. I am trying to concieve.
My doctor has suggested duphaston from 16-25th day of cycle and try for pregnancy between 10-20th day of cycle.
My question is since my cycle is 40 days long, my ovulation would be around 26th day. But, i would have stopped duphaston on 25th day , which in few days will trigger my periods.
How can i get pregnant if ovulation has not happened?
doctor
Answered by Dr. Manisha Jain (54 minutes later)
Brief Answer:
Ovulation testing is must

Detailed Answer:
Hello mam, thanks for trusting health care magic.
In my opinion you should not be taking duphaston without follicular monitoring or at least ovulation kit testing.
In PCOD patients it is very important to decide when to start Progesterone so your concern is absolutely right and this will not be a right approach so better discuss this with your gynecologist and get ovulation kits and start testing from day 12 of your periods and start duphaston 2 days after positive ovulation test and then take it for ten days.
Alternative to ovulation kit testing is to opt for follicular study which will also see the thickness of endometrium and thus supplements can be taken accordingly.
I basically practice infertility so please feel free to ask any questions.

Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Manisha Jain (1 hour later)
Till which day should i test using the ovulation kit??
doctor
Answered by Dr. Manisha Jain (12 minutes later)
Brief Answer:
Till test is positive

Detailed Answer:
Till you get positive result which will be 2 lines and that is due to the detection of LH in the urine and ovulation occurs 12-24 hours after the surge.
Hence once there is a positive ovulation test you should have intercourse on that day and a day after to get best results.
During this period of ovulation testing have intercourse on alternate days.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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How To Determine Ovulation While On Duphaston?

Brief Answer: Ovulation testing is must Detailed Answer: Hello mam, thanks for trusting health care magic. In my opinion you should not be taking duphaston without follicular monitoring or at least ovulation kit testing. In PCOD patients it is very important to decide when to start Progesterone so your concern is absolutely right and this will not be a right approach so better discuss this with your gynecologist and get ovulation kits and start testing from day 12 of your periods and start duphaston 2 days after positive ovulation test and then take it for ten days. Alternative to ovulation kit testing is to opt for follicular study which will also see the thickness of endometrium and thus supplements can be taken accordingly. I basically practice infertility so please feel free to ask any questions. Regards Dr Manisha