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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Ovulation Pattern After Stopping OCPs?

what is the ovulation pattern after ocp stopage myage 40 yrs wt 60kg ht 5.1 lmp- 12th may preg test - 26th june was positive w scan -21st july - 5 wks 6 days pregnancy with normal fetal pole and normal yolk sac but prenancy was not 10 wks before my pregnancy i was using ocps why this disparity in gestational age
Thu, 16 Apr 2020
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OBGYN,  's  Response
Hi,

Yes, according to your LMP your gestational age should be around 10 weeks one day. The possible causes of disparity in the gestational age are:
- After stopping the hormonal pills sometimes it will take time for regularization of hormonal levels. Due to this, there is possibility of delay in the ovulation leading to lesser gestational age
- With increasing age hormonal fluctuation can be noted affecting the ovulation
- According to your history, your BMT is 26, which is little more than normal. This can also affect hormonal levels and ovulation.

So because of these causes, though you got periods on 12th May, there is possibility for delay in ovulation and conception leading to lesser gestational age. Anyhow as now the fetal pole and yolk sac are normal, no need to worry much. But you have to be careful from now onward and have to take regular antenatal checkups, ultrasound examinations, blood investigations and progesterone supplements with the advice of your doctor. Wish you happy pregnancy.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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What Is The Ovulation Pattern After Stopping OCPs?

Hi, Yes, according to your LMP your gestational age should be around 10 weeks one day. The possible causes of disparity in the gestational age are: - After stopping the hormonal pills sometimes it will take time for regularization of hormonal levels. Due to this, there is possibility of delay in the ovulation leading to lesser gestational age - With increasing age hormonal fluctuation can be noted affecting the ovulation - According to your history, your BMT is 26, which is little more than normal. This can also affect hormonal levels and ovulation. So because of these causes, though you got periods on 12th May, there is possibility for delay in ovulation and conception leading to lesser gestational age. Anyhow as now the fetal pole and yolk sac are normal, no need to worry much. But you have to be careful from now onward and have to take regular antenatal checkups, ultrasound examinations, blood investigations and progesterone supplements with the advice of your doctor. Wish you happy pregnancy. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN