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How can I confirm that I am ovulating?

Q: I am 28 years old and married for a year now. I am trying to conceive for the past 3 months. I used to get the mucus, like egg white, but from the past 10 months I have not been getting it. Is it an indication that I am having problems with ovulation? How can I make sure that everything is fine with me? I have never used a birth control pill. I am eagerly waiting for your answer.

A:If you are having regular menses at 30+/- 2-3 days, without significant pain before nor during menses, it usually means you are ovulating. However, the definitive way to confirm that you are ovulating is by: 1. Ultrasound monitoring of follicle development and ovulation, (preferably with endometrial thickness to see adequate growth of endometrium under adequate oestrogen produced by the developing follicle) 2. Get a serum progesterone done 2- 3 days after documented ovulation (on ultrasound) and again 7 - 8 days after documented ovulation. These 2 values will confirm whether you have actually ovulated and whether the corpus luteum is functioning adequately. 3. Pre- menstrual endometrial biopsy is optional to rule out 'out of phase' endometrium).


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