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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Do I Conceive With A 30 Day Cycle?

Hi, I am 32 years old and m married for 3yrs now. Last month we sincerely planned for a baby but something gone haywire with my period since last month and that too for the first time. My periods r always regular which is 30-32 days and sometimes 34 days. My last period was on 30th jan 14 but i got my periods today after 40 days and also i had a mid cycle spotting on 15th feb 14 which never happened to me before. I was expecting that i may be pregnant but now all these. Also when i went to see a doctor for the mid cycle thing she did an ultrasound n found two polyps. Plz suggest as when to expect next ovulation if it is my regular period and what is wrong with my body system as i desperately want to conceive. Or m i pregnant??? Or is the polyp responsible for??? M all confused.
Sat, 15 Mar 2014
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OBGYN 's  Response
Hi and welcome,

It seems you had a delayed period. If the period was lighter than usual and lasted for a shorter time than the regular period, get a urine pregnancy test done as this may be implantation bleeding.

An ultrasound done at the time of mid cycle spotting will not show any pregnancy as the baby is not formed enough to be seen on ultrasound.

If a polyp was seen and if you have bleeding or spotting and no pregnancy you will need a D and C or a hysteroscopy to remove it and send it for examination under microscope.

If a polyp is there, pregnancy will be difficult until it is removed. Also an ovulation study must be done [ after removing the polyp] as polyps occur due to increased estrogen which may cause irregular periods and also stop ovulation.

So I suggest get a pregnancy test done if you suspect pregnancy. If not, get the polyp removed or take progesterone to suppress it and an ovulation study after it is cured. Please discuss these issues with your doctor and formulate the best possible way out.

Please do not worry as polyps are common and can be removed easily.
Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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How Do I Conceive With A 30 Day Cycle?

Hi and welcome, It seems you had a delayed period. If the period was lighter than usual and lasted for a shorter time than the regular period, get a urine pregnancy test done as this may be implantation bleeding. An ultrasound done at the time of mid cycle spotting will not show any pregnancy as the baby is not formed enough to be seen on ultrasound. If a polyp was seen and if you have bleeding or spotting and no pregnancy you will need a D and C or a hysteroscopy to remove it and send it for examination under microscope. If a polyp is there, pregnancy will be difficult until it is removed. Also an ovulation study must be done [ after removing the polyp] as polyps occur due to increased estrogen which may cause irregular periods and also stop ovulation. So I suggest get a pregnancy test done if you suspect pregnancy. If not, get the polyp removed or take progesterone to suppress it and an ovulation study after it is cured. Please discuss these issues with your doctor and formulate the best possible way out. Please do not worry as polyps are common and can be removed easily. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist