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Dr. Andrew Rynne

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Trying To Conceive Unsuccessfully, Not Ovulating Regularly Every Month. Taking Femara During Periods. Ovulation Dates?

I have not been ovulating regularly over the past several months. My doctor has recently put me on femara which I started on days 3-7 of my most recent period which began January 9th and ended January 16th. I would like to know approximatly when I can expect ovulation and when to have sex with my husband so that we get pregnant? Thanks
Mon, 28 Jan 2013
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OBGYN 's  Response
Hi,
Firstly, Femara is CONTRAINDICATED when you are trying to conceive. It is used to treat certain types of breast cancer that are estrogen dependent. So, make sure that your doctor has prescribed you the same medication. If on the other hand you are put on Fertomid, it is used for induction of ovulation. Ovulation usually occurs between 5-10 days after the treatment and you can expect better chances of conception if intercourse is practised at least on alternate days during this period. Please get further clarifications from your doctor. Take care.
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Emergency Medicine Specialist Dr. Sanjeev Goyal's  Response
Hi
Welcome to HCM
Femera contain LETROZOLE .
Letrozole are medications used to treat infertile women who have an ovulation problem. These medications work by helping your pituitary gland (located at the base of the brain) improve the stimulation of developing follicles (eggs) in the ovaries.
Beginning on cycle day 3, femera 2.5 mg one by mouth each day through cycle day 7.
On day 9 or 10, schedule appointment for lab work (LH and FSH)
If the LH level is two to three times higher than the FSH level, femera is less likely to work for you.
On cycle 12, you will begin daily testing of urine to detect an LH surge which is a signal that ovulation will occur in 24-36 hours
If a surge has not occurred by cycle day 16, schedule an ultrasound to check for follicular development
When you have a surge, you should have intercourse that evening and for the next two nights.
If you had a surge and had intercourse as suggested and it is now day 35 and a period has not started, do a pregnancy test.
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Trying To Conceive Unsuccessfully, Not Ovulating Regularly Every Month. Taking Femara During Periods. Ovulation Dates?

Hi, Firstly, Femara is CONTRAINDICATED when you are trying to conceive. It is used to treat certain types of breast cancer that are estrogen dependent. So, make sure that your doctor has prescribed you the same medication. If on the other hand you are put on Fertomid, it is used for induction of ovulation. Ovulation usually occurs between 5-10 days after the treatment and you can expect better chances of conception if intercourse is practised at least on alternate days during this period. Please get further clarifications from your doctor. Take care.