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Conception

When's the best time to get pregnant? Use our interactive ovulation calculator to work out when you're most fertile and most likely to conceive.

Original poster

Can I have some help please? Day 21 test showed I didn't ovulate

61 replies

QuietNinjaTardis · 12/03/2013 10:45

Ok got my results today. Everything normal apart from progesterone which indicated I didn't ovulate. Thyroid fine. All the other hormones fine. I normally get what I believe is ovulation pain and I must admit I didn't last month so I'm hoping its just an abnormal month for me. Obviously she wants me to repeat the day 21 tests this month and next month to check.
If it happens that I'm not ovulating then what could it be? She doesn't suspect pcos as the other hormones were fine and I don't have any symptoms of that anyway.
Dh gotta give a sample next but might take a couple of months for appointment to come through. So bit in limbo at the mo for a bit now. Still dtd. Trying to keep calm and keep shagging Smile feeling a bit blue though.

OP posts:
GinAndSlimlinePlease · 12/03/2013 13:22

I've never heard of a scan picking up endo, other than endo cysts.

I agree with others that day 21 tests can be hit and miss. We don't all ovulate on day 21! I've had varying results from mine. But I ovulated enough to get pregnant once, even if it wasn't a sticky one Sad

I would put my foot down and ask for a referral. If you have known fertility issues, you don't need to have been trying for ages first.

Worth asking for an AMH test. You may need to go private for it. That will tell you your egg supply, which is apparently a good indicator of overall fertility.

Original poster
QuietNinjaTardis · 12/03/2013 13:14

Ok when get results of next day21 test ill ask for the results from my day 2 test as well. and put them on mumsnet for some expert analysis Gp said a scan will pick up any large bits of endometriosis. She's not expecting it to be that at all but I asked for it to be checked as years and years ago when I had a laparoscopy it showed a small bit of endo and its always been in the back of my head so i asked for it to be checked out.
Thanks Attila will try to put my assertive head on when we see gp again.

OP posts:
AttilaTheMeerkat · 12/03/2013 12:59

Hi QuietNinjaTardis,

re your comment:-
"Yes day 2 tests done and gp said the other hormones (I presume LH and fsh) were normal. Gp is sorting it out at the mo. also having a scan to check for endometriosis and as I said dh will have to give a sperm sample when appointment comes through".

I would certainly ask for further clarification re the results of the day 2 test as you cannot assume anything when it comes to subfertility.

You will need to be persistant in order to get answers. DO not forget that!. Its all too easy to be fobbed off.

Why a scan for endo?. I have endometriosis and have also had more internal scans than I care to mention!. Its not picked up on any ultrasound scan or blood test; it is usually only diagnosed through a keyhole surgery op called a laparoscopy. Some GPs are truly ignorant when it comes to endo.

Original poster
QuietNinjaTardis · 12/03/2013 11:58

Thanks cogitosum. I will bear that in mind with the next one. I think if nothing shows up on this or the scan then we'll be referred to a fertility specialist I hope. Maybe ill ask for the actual numbers next time and ask here if the gp is right. Thanks everyone.

OP posts:
cogitosum · 12/03/2013 11:47

I don't trust day 21 progesterone. Mine was 19 showing I hadn't ovulated however it transpired that not only had I ovulated but i was pregnant (and I didn't ovulate late as dates show that I must've conceived by then)

Don't want to necessarily raise hopes but I don't think day 21 progesterone means anything on its own.

Original poster
QuietNinjaTardis · 12/03/2013 11:38

This whole ttc malarkey has been a pain in the bum. If my body would just co operate and get pregnant I wouldn't have to worry about all this bollocks. Still positive mental thoughts and patience. I can do this.

OP posts:
KatAndKit · 12/03/2013 11:28

It is so annoying that these bloods can't be done seven days a week. I had a similar thing when i was having investigations and had to have a so called day 3 test on day 5. Not my fault my periods happen on a Thursday and with a 27 day cycle I would have been waiting three months to get day 3 on a weekday!

Original poster
QuietNinjaTardis · 12/03/2013 11:17

Thanks katandkit my day 21 was done on day 24 because my cycle is normally 30/31 days and I ovulate about day 18. Had to be day 24 as day 25 was a sat. Am using opks this month to try and pinpoint a bit better and hopefully some ovulation pain will confirm it. Keeping my fingers crossed it was a one off.

OP posts:
KatAndKit · 12/03/2013 11:12

It is not uncommon for women to have the odd cycle when you don't ovulate. As you age and get closer to the menopause, such cycles get more and more common. But even a younger woman could have one a year without it meaning anything is really wrong.
How long is your menstrual cycle? The test should not necessarily be day 21. It needs to be 7 days post ovulation. If you have a longer than 28ish day cycle then the progesterone will not be high enough at day 21. If you have a 31 day cycle which is not uncommon for many women, you probably only ovulate on day 17/18 so there is potentially only 3 days between ovulation and the test.
I would talk to your doctor about this if your periods are more than 28 days apart. Also test each month to find out when you might be ovulating. The cheapo ovulation predictor piss sticks are fine for this, but if you prefer digital, I can recommend the CB fertility monitor. If you get a peak on that, then the test should come 7 days after the second peak day.

Original poster
QuietNinjaTardis · 12/03/2013 10:59

Yes day 2 tests done and gp said the other hormones (I presume LH and fsh) were normal. Gp is sorting it out at the mo. also having a scan to check for endometriosis and as I said dh will have to give a sperm sample when appointment comes through.

OP posts:
AttilaTheMeerkat · 12/03/2013 10:54

What other hormone levels were tested and on which days?. You should also ahve had a day 2 test done to check and compare your LH level against that of your FSH level; these should be about the same. I say compared against as well as these two levels can actually look ok if only looked at separately; this is why comparison is necessary. These two levels are very important as they kickstart the ovulation process, if these two are awry then progesterone levels can be affected.

Who arranged for such tests to be done?. If you have been ttc for a year or more you'd be better off now having the referral to the subfertility unit made rather than the GP messing around with more tests (because they will be repeated there anyway) and/or in potential ignorance. This sort of issue is well outside a GPs general remit in any case.