Is Pregnancy Possible Despite Having Irregular Menstrual Cycle?
Irregular timing of ovulation
Detailed Answer:
Counting the first day of your period as day 1, most women ovulate right around day 14. When this occurs, they have a predictable period usually around day 28. When there is variation in terms of WHEN you ovulate, this affects when you get your period. This variation in ovulation is most likely related to your age. As women get older, the recruitment of eggs in the first half of the cycle (which leads to the trigger for ovulation) is more variable. With regard to the ultrasound, it is basically normal. With regard to the labs, you are Vitamin deficient, but this is common and easily treated with calcium and VitD supplementation. Here is what you should do:
1. You need to purchase ovulation predictor kits to see IF and WHEN you are ovulating
2. Once you have a sense of when you are ovulating, this will help in terms of timing of intercourse
3. You can talk to your OB/GN about medications to help 'induce' ovulation in a more normal pattern (in US we often use clomid or letrozole). This will help but the incidence of twins is increased
Dr. Tim
Weight loss will be the key to success
Detailed Answer:
If your BMI is increased, due to underlying insulin resistance, your cycle and when/if you ovulate is affected. One medication that you might be a candidate for would be Metformin. It is a diabetes medication, but it might help to regulate your cycle AND aid in weight loss. While you do not think that you have PCOS, being overweight with irregular/anovulatory cycles is all related to the same problems that PCOS patients have.
With regard to the LH detection, it is almost impossible to say when your next period will occur based on what you are telling me. It will probably be about 1-2 weeks after day 25.
Dr. Tim
Not harmful
Detailed Answer:
This is a supplement that is supposed to help by reducing insulin resistance and is similar to what I described in my prior answer. But your best bet is aggressive weight loss and your cycles will become more normal. This is your best shot at a pregnancy. I know that you can do this and be successful as I have taken care of women who have overcome the same hurdles.
Dr Tim
You are on the right track..
Detailed Answer:
Thank you and good luck.
Dr. Tim