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Gynecology

Am I not ovulating?

01/16/2004

Question:

My cycles were always normal (28-29 days apart) until I had a baby 7 months ago. Now I vary between 29 and 37 days and have no symptoms of PMS. Is it possible that I am not ovulating?

If I am not, how is this condition worked up and treated? What is the risk of not ovulating every month (other than not being able to get pregnant)?

Answer:

The cycle length, although different than prior to delivery, is still within the normal range. The fact that you have stopped experiencing PMS symptoms is more indicative that you may have stopped ovulating. You can test this by purchasing an ovulation predictor kit from the drug store. If you fail to ovulate, the biggest concern outside of pregnancy, is that the signal to cause all of the lining of the uterus to shed every month is not received. This means that some areas of the uterus may not shed and could accumulate abnormal growth that could lead to precancerous changes. You should see your gynecologist to evaluate for the absence of ovulation. 

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Response by:

No longer associated Thomas A deHoop, MD
Formerly Associate Professor of Clinical Obstetrics and Gynecology
Director, Medical Student Education
No longer associated
Thomas  A deHoop, MD