Advice please...more confused than ever! :(

[chelsealynnb]

I've posted a couple times about my situation as it progresses, but I'm going to stick with this thread now. I have some new info that makes me more confused than ever!

Here is the situation:

I've had three losses this year. All tests have come back normal and I recently switched to a fertility specialist. The only other thing he could think of that might be wrong is that I am conceiving too late in my cycle. I do ovulate on my own, however. I know that one of my losses was conceived on CD26ish.

I had an ultrasound on CD14 (Friday) to see if I was in fact ovulating too late. The ultrasound lady said that she could tell I was going to ovulate out of my left ovary but that I wasn't going to ovulate for at least a week. My FS is also a high risk doctor at the hospital, and he is on call until tomorrow so he wouldn't be back in to look at everything until Tuesday.

I continued to take my OPKs. Two days later, on Sunday, I got a *blaring* positive OPK. The test line even took dye out of the control line, it was so dark. So I thought okay, the ultrasound lady must be wrong and I did ovulate on time (that was CD16 and I have a 29-31 day cycle on average).

So according to my OPK and fertility friend, actual ovulation day is today. I'm at work and I get a call from the nurse at the FS office, and she tells me that my doctor looked at my ultrasound from the hospital and he wants me to come back in this week for another appointment because the ultrasound showed that I am in fact going to ovulate way too late and I need to start Clomid to make me ovulate on time. WHAT?!

SOOOO my question of the century now is: WHY WHY WHY did I get such a positive OPK yesterday?? Can you get a +OPK and not actually ovulate?? Is my body releasing the LH hormone too early, before my egg is ready to be released, and then it's not releasing until way later in my cycle?

I guess this would be a great question for someone who uses OPKs and temps. I don't temp. Has anyone ever gotten positive OPKs and then could tell by their temps that they didn't ovulate?

PLEASE someone help!

 

[MrsWKJ]

Hi dear! Yes your body can gear for ovulation and produce LH but not ovulate and then it would produce lh again till you ovulate. The body will keep trying till you do. However if you are charting and it confirms your ovulation then you have ovulated and you can show the chart to your doctor.

If your cycles are regular and you are Oing late then there's a possibility of lutal phase defect. Short LP makes it difficult for fertilized egg to implant and lining may start shedding way before it does.

 

[Palladium]

Yes, you can have an LH surge and then not actually ovulate, so it's possible that you won't ovulate until later. But I can only assume the nurse's estimate that it would be at least a week until you ovulate was based on the size of your follicles. The general advice is that they grow at around 1-2mm a day, sometimes up to 3mm. So if they were reasonably small then she may have thought they wouldn't be big enough for at least a week, but that depends on how big they consider a follicle has to be to ovulate. The 'normal' size for a mature follicle is around 20mm or over according to most sources i've seen, but it's certainly possible to get an egg from a smaller follicle, I've seen numbers as low as 15mm. So you may have ovulated sooner than they expected.

I see that you're not temping, are you having any blood tests? They could check your estrogen in the lead up to ovulation to see if it's high enough, and if they check your progesterone that will confirm if you've ovulated or not.

 

[chelsealynnb]

I have an appointment on Nov 8th to discuss everything with him. If I'm not pregnant, he's going to prescribe me Clomid. When she was looking at my follicles, there was only one that was noticeably bigger than the others. Are there supposed to be multiple larger follicles?

 

[Palladium]

In a natural cycle you should only have one large dominant follicle. If you're on clomid or other fertility drugs you can get more, depending on the dose.

 

[lm3898]

I'm sorry but the only way to confirm you've ovulated is to temp - it's very simple. You need to get a special thermometer that reads to the hundredth degree [I got mine from cvs for $8] and take your temp as soon as you wake up every morning before you get out of bed or anything. A raise in temp [for at least 3 days] will confirm you've ovulated. Your body can gear up for O without actually ovulating...

Hope that helps & lots of your way.