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Can I still ovulate only having a period every 3 or 4 months?
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queenmicky3 posted:
I have been off birth control since November of 2011. My first period was late February early March. The second one was July 7th and today is the 16th and I am still spotting. Well my husband and I had sex last night and I wanted to know what is the chance that I could be pregnant? Can I get pregnant? Can I ovulate, since my periods are so out of whack?


Any thoughts?
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Jane Harrison Hohner, RN, RNP responded:
Dear queenmickey: If a woman has a history of very irregular/missed periods there is a good possibility that she is ovulating only very irregularly. As you read in my other post, it is also possible for a woman to have a flow that was not actually triggered by an ovulation. The only ways to know for sure if an ovulation has occurred (besides pregnancy!), would be to check a blood progesterone level a week after suspected ovulation, do basal body temperatures, or run an ovulation predictor kit prior to expected time of ovulation. Obviously none of these are super easy or convenient.

If you would like to conceive just keep having regular sex. I had a patient who had polycystic ovaries and only rarely ovulated. She never used birth control and actually conceived (new lover and weight loss). She was seven months before the pregnancy was discovered.

queenmickey, if you have not conceived after a year of trying, or if you are over 30 years old, it would be time to ask your GYN to start a fertility work up. Ovulation status would be one of the first things they check.

Yours,
Jane


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