Why does late ovulation occur? Causes and signs. What factors influence delayed ovulation? Determination of late ovulation

When to take an ovulation test?

They are done 5-7 days before its expected start. This is subject to the condition of a regular menstrual cycle, since otherwise you need to buy more tests and use them about 10 days before the follicle ruptures, that is, almost every day.

With late onset of the luteal phase It is advisable to use the device on days 13-21 of the menstrual cycle. After receiving a positive result, the test will no longer be needed, since it has fulfilled its function.

Is it possible to correct/restore the cycle?

From a medical point of view it is easily doable, but it is important to understand why you need to interfere with the menstrual cycle.

If ovulation is late variant of the norm, then there is no need to restore the cycle for the “average value”, since the consequences will be unpredictable.

In cases of persistent hormonal imbalance(increase/decrease in prolactin, progesterone), serious diseases, it is necessary to correct and restore the menstrual cycle. For this purpose, there are special drugs inhibitors or hormone analogues that normalize hormonal status.

For example, among gynecologists it is used popular medicine"Duphaston". It stimulates the onset of the luteal phase and is also an analogue of progesterone.

Sometimes combined oral contraceptives are used. However, if it is a woman, then it is most reasonable. After 2 months, the cycle will recover on its own.

Is it possible to conceive, how does it affect pregnancy?

Late ovulation is not an obstacle for pregnancy and subsequent gestation. However, it is permissible to say so only if it refers to a variant of the norm and is just a consequence of a long menstrual cycle.

Minor hormonal imbalances of a short-term nature also do not pose a danger to conception, but in the case of serious illnesses and significant endocrine disorders, pregnancy is unlikely.

For example, with increased prolactin or insufficient progesterone, fertilization is almost impossible, which indicates the need for medical attention. Each case is individual.

Who is most likely to conceive?

Untimely rupture of the follicle has no effect on gender future child. Here it is impossible to calculate accurately and in advance, since such biological parameters depend to a large extent on the partner. It is in a man that the Y chromosome has an X and Y program, unlike the egg.

Scientists have found some connection between the sex of the child and the woman’s ovulation. For example, you need to have sexual intercourse immediately before ovulation, and then 2-3 days before its onset, stop sexual relations.

Happens to the boy everything is exactly the opposite: it is advisable to begin sexual intercourse during ovulation.

Key factor here is an accurate determination of the luteal phase of the cycle, which will indirectly help influence the gender of the unborn child.

In conclusion, it must be said that late ovulation is not an independent diagnosis, but just a symptom that can be a variant of the norm or pathology. With a long menstrual cycle, late rupture of the follicle is logical and natural. This in no way speaks in favor of a serious illness.

If the doctor or patient has doubts or an alarming clinical picture, then it is necessary to carefully examine and check the hormonal status.

Only after diagnostic results final conclusions can be drawn. In any case, there is no point in panicking, since laboratory research data will answer all your questions.

2011-09-02 14:45:48

Tanya asks:

Good afternoon. I am 26 years old. I haven't been pregnant, I'm just planning. Usually the cycle for years was regular 28-29 days. In July, all the necessary tests were taken for TORCH and STDs. Nothing was found, everything is normal. The last cycle (07/06 – 08/15) for some reason was 41 days!!, perhaps due to nervousness, there were prerequisites.. On the 16th day (07/20) an intravaginal ultrasound was done. They said that the endometrium does not correspond to the day of the cycle (6.5 mm - too thin for pregnancy), i.e. endometrial hypoplasia. The rest is without pathologies. (Later I began to connect this, perhaps, with later ovulation, because the cycle, as it turned out, was already 41 days!). We haven't taken any precautions since July; we haven't tried to get pregnant before. The next cycle began on August 16. M proceeded as usual for 5-6 days. On August 31 (on the 16th day of the cycle), an intravaginal ultrasound was done again, the result was without pathologies (uterine body: length 46, thickness 30, width 44). The follicles correspond to the day of the cycle, the endometrium is thin - 5.1 mm). (According to the BT measurement, ovulation has not yet occurred, but it is already 18 dc) The doctor said to build up the endometrium, take Tazalok drops for about a couple of months until pregnancy occurs. If pregnancy does not occur during this period, then in an emergency, if “her ardent desire” occurs, it will be necessary to donate blood for hormones and, based on the results, the hormones will force ovulation. In the instructions for Tazalok, I read that it is taken for endometrial hyperplasia, but I have hypoplasia. Will the effect of the medicine be reversed in my case? What alternative options are there for endometrial augmentation? For example, perhaps you need to take some vitamins E, C, or others, do physical exercise, include foods rich in iron in your diet, etc.? I will be very grateful for the answer

Answers Gunkov Sergey Vasilievich:

Dear Tatyana. Your attentive attitude to appointments does you credit. It should be noted that Tazalok is a homeopathic drug and it is not correct to narrow its action to certain indications - homeopathic remedies normalize regulatory processes and give the body a chance to cope with the pathological process on its own. In our opinion, the appointment is justified, because the specialist was guided by the principle: “The body must cope with the disease on its own, because serious trials lie ahead.”

2011-08-04 00:23:30

Nune asks:

Hello! I am 42 years old, I have not given birth, I have not been pregnant. 5 years ago I underwent surgery to remove bilateral endometriotic ovarian cysts (about 4 cm), a myomatous node of about 3 cm was also removed, the patency of the tubes was not impaired, the level of all hormones was at the lower limit.
Then she took Nemestran for 6 months. For 5 years, the cycle was regular, follicles were formed, but there was almost no ovulation. The follicle increased to 3-4 cm or, conversely, decreased. Late ovulation occurred several times (on days 20-21 of the cycle). Hormone stimulation was carried out twice, but this only led to the formation of a follicular cyst. The best effect was after taking homeopathic remedies: several follicles developed, but still pregnancy did not occur. On ultrasound, the thickness of the endometrium corresponds to the stages of the cycle
The last menstruation was very painful, the cycle was regular, from 26-28 days. Passed tests:
LG-7.68, FLG-13.31 (at normal 3.5-12.5), E2 - 26.51, DHEA - 114, thyrotropin - 1.2, Anti-TPO - 7.73, Anti-TG - 22.11
I didn’t test prolactin this time, because it was always within the normal range.
But FLG this time is very high. The last time I took tests last year, FLG was 8.13, and LH was 4.03, then a month later FLG became 6.3.
Please tell me, are these signs of menopause or could there be other reasons? And what needs to be done. Is pregnancy possible?

Answers Klochko Elvira Dmitrievna:

Donate blood for AMH - it will show your reproductive capabilities. It’s impossible to say anything for sure yet, although FSH is quite high.

2015-12-06 12:46:34

Natalia asks:

Hello! A year ago I had a TB for 7 weeks. I managed to get pregnant only from the 5th cycle. I am 23 years old, this is my first, and unfortunately, ST. During the cleaning they said that there is dysplasia of the b/m. In February 2015, dysplasia (mild according to histology) was treated using the radio wave method. Now everything has healed and the doctor allowed me to get pregnant. Already the third cycle is not working. My cycle was usually 29-30, now it has lengthened a little and became 30-32. I went for an ultrasound on the 24th day of the cycle: the ultrasound result - no morphology, the only thing is that there is a 19 mm follicle, the ultrasound doctor wrote that the persistent follicle is in question. I’ve now thought about it and come to the conclusion: perhaps a year ago I had late ovulation and a short second phase of the cycle, which could have caused ST. True, after the ST I was examined: Torch infections, HPV, STIs, lupus anticoagulant, general blood test, coagulogram, thyroid hormones - everything was normal. I did not take sex hormones. Now I’m planning and I’m afraid of a repeat of the ST. My questions: 1. Can ovulation occur on day 24-25 of MC during my cycle? 2. Is late ovulation dangerous? 3. What other tests should I take? 4. Do I need folliculometry, and if so, on which days of the MC is it best for me to do it?

Answers Palyga Igor Evgenievich:

Hello, Natalia! To make objective conclusions, it is necessary to undergo folliculometry from the 8th-9th day of the menstrual cycle to assess the growth of the dominant follicle and the occurrence of ovulation. It is also rational for 2-3 days of m.c. take a blood test for FSH, LH, prolactin, estradiol, on the 21st day of m.c. progesterone. The delivery of free testosterone, DHEA, and cortisol does not depend on the day of the m.c. After receiving the results, it will be possible to speak more specifically.

2013-12-27 09:37:56

Anna asks:

Good evening!
My problem is this... 5 years ago I was diagnosed with primary infertility (All 5 years they treated me with whatever they could)))). This year I finally decided to have a laparoscopy (resection for PCOS). She underwent stimulation (2 months) with clostilbegit and duphaston. According to hormone tests, everything was restored (results of the last cycle). This month I was prescribed Folka, vitamins E, B6, as well as cyclodinone...
At this moment I am on the fourth day of my delay, light discharge, decreased appetite, and something like heartburn. Sometimes I feel a tugging, tingling sensation in my left abdomen, and the sensitivity of my chest has increased a little.
What kind of discharge is this? Why is my stomach churning? And what kind of set of symptoms could this even be?
Thank you very much in advance for your answer!

December 27, 2013
Palyga Igor Evgenievich answers:
Reproductologist, Ph.D.
information about the consultant
Did you live during the period of open sexual stimulation? Theoretically, there could be a pregnancy, so I advise you to first donate blood for hCG.

Yes, there were sexual intercourse regularly. Today is the fifth day of delay, but the tests are negative. If it was late ovulation (4 days before the expected start of menstruation), then on what day of the delay should I do the test?
And what could it be, if not pregnancy?
THANK YOU!

Answers Palyga Igor Evgenievich:

To accurately establish or refute the fact of pregnancy, I advise you to donate blood for hCG, its indicator will accurately indicate whether you are pregnant. Early tests may give uninformative results. If you are not pregnant, then there is a hormonal imbalance and it is necessary to establish its cause. In this case, I recommend undergoing an ultrasound scan of the pelvic organs. PCOS may cause a delay. You probably had delays before?

2013-08-28 08:12:48

Valentina asks:

Good afternoon
Two months ago, during a routine ultrasound at 12 weeks of pregnancy, the diagnosis was made: anembryonics, non-developing pregnancy of 7 weeks.
This was my first pregnancy and had been planned for a long time. The husband underwent treatment due to a low percentage of live sperm (less than 5%), and managed to raise it to 28%. And before pregnancy, I was diagnosed with low levels of progesterone in the follicular phase, thin endometrium and late ovulation (on day 19, cycle - 31 days). I took Yarina+ for three months and a cycle after discontinuation I became pregnant. There was a threat of miscarriage, but it persisted; she took Duphaston, Utrozhestan (vaginally), Magne B6 and Foliber. Signs of pregnancy: nausea, chest pain, reaction to smells persisted until the end.
The day after the non-developing pregnancy was discovered, vacuum aspiration was performed. I took antibiotics and started taking tests as recommended by the doctor.
Histology results revealed nothing.
For TORH infections:
HSV 1/2: Lgg (+), LgM (-);
CMV: Lgg (+), LgM (-);
Toxoplasma: Lgg (-); LgM (-);
Rubella: LgG (+); LgM(-) (I got sick in 10th grade).
A coagulological blood test revealed no abnormalities; antibodies to phospholipids LgM and LgM were negative.
Hormonal analysis (on day 6 of the cycle):
Anti-TPO - 392 U/ml (high, ref. values ​​0.0-5.6);
Cortisol - 20.0 mcg/dl (high, reference values ​​3.7-19.4).
Other hormones: T4sv, TSH, anti-TG, luteinizing hormone, follicle-stimulating hormone, prolactin, progesterone, estradiol, testosterone, hCG, 17-hydroxyprogesterone, DHEA-S - within normal limits.
I was also recommended to take a culture tank from the cervical canal with sensitivity to antibiotics, hormones on the 22nd day of the cycle, and as I understand it, I need to check the avidity and PCR of detected TORH infections.
I have the following questions:
1. Could high levels of the hormones Anti-TPO and cortisol be the causes of missed abortion? Which specialists should I contact in person with this problem?
2. Does my spouse need to undergo treatment because of the CVM and HSV 1/2 antibodies detected in me? Should he also have his blood tested for TORH infections?
3. Given the worst prognosis, how soon can we plan a pregnancy?

My husband and I are 27 years old, both have blood type II (+), and neither he nor I have had sexual contact with other partners.

Thank you in advance! Sorry if there is a lot of unnecessary information!

Answers Purpura Roksolana Yosipovna:

There is no such thing as too much information, you described everything very well.
Now to the point.
Ig G indicates contact with infection in the past and cannot be sanitized; their presence indicates developed immunity (as in the situation with rubella). Ig M detects acute infection, but they have not been detected in you.
If you don’t mind the time and finances, then you can, of course, check the avidity and take a PCR test, but I’m sure that this will not give anything.
Your cortisol is slightly elevated, there is no need to worry, but the level of antibodies to thyroid peroxidase is elevated, which indicates autoimmune thyroiditis, which most likely caused the pregnancy to fail.

I advise you to contact an endocrinologist who will prescribe corrective treatment, against the background of which you can become pregnant and bear a child under the control of a blood test.
Don’t worry, contact an endocrinologist and everything should work out for you, which is what I sincerely wish for you!

2013-02-14 10:01:22

Evgenia asks:

Hello!

On January 19, there was unprotected sexual intercourse. On January 20, my period began and lasted three days (usually 3-4 days).
On January 30 there was a coitus interruptus, but, as it later turned out, I was ovulating that day.
My period was supposed to come on February 13 (the cycle is usually 24 days). Since February 4, I have felt almost all the signs of pregnancy. On the 10th, a fever and runny nose appeared, and very suddenly. The runny nose was cured, the temperature lasted for the 5th day - 36.8 in the morning - 37-37.1 from lunch until 6-7 pm. The delay is the second day, my stomach hurts like during menstruation, I have recovered a little, but there is no hint of any discharge. I took a test in the evening on the first day of the delay - the result was negative.
Is this pregnancy or is there time to wait until my period arrives?

2012-10-25 15:38:26

Natia asks:

Hello:)
I’m 26, got married 9 months ago. I wasn’t pregnant (we don’t use contraception), 6 months after the start of my pregnancy I went for an examination to a gynecologist; all the smears were clean and without STIs.
colposcopy - small ectopic erosion, picture of the 1st ultrasound, everything is normal and ovulation was caught (17 dmc), because the cycle is 32 days late ovulation.
In the next cycle, to confirm the functioning of the ovaries, they began to do folliculometry, the follicle matures and ovulation occurs (24 mm) on the 17th dmc, but on the 15th day the m-echo was 15 mm, on the 17th 15.6 mm. In the same cycle, I took tests for hormones LH FSH PRL progesterone estradiol testosterone - everything is normal......an ultrasound was again prescribed in the next cycle on the 6th day of the cycle to exclude polyp.
on the 6th day of mts a small accumulation against the background of bloody discharge, then I come to the 10th dmts they find an endometrial polyp 8 mm by 4 mm endometrium on the 17th dmts the dominant follicle burst was 21 mm, while the m-echo was 15.7
In the same cycle I tested PRL TSH FT4 again (since there were 19-20 inclusions in the ovaries), only prolactin was high 25.4 (with a maximum of 24). Bromocriptine was prescribed for half a tablet. I’ve been taking it twice a day for a month now and in the next cycle I was prescribed an ultrasound scan on the 9th DMC, again to control the polyp.
already current cycle passed ultrasound control 9th ​​day:
the uterus is not enlarged 44-33-44mm cervix 28mm smooth contours, regular shape, normal echogenicity, homogeneous myometrium, heterogeneous endometrium due to areas of reduced echogenicity and m-echo 18mm, increased echogenicity in the N/W areas of increased echogenicity with unclear contours 5-3mm.
right ovary 30-20mm follicular
left ovary 40-30mm with formation D-24mm
no free liquid detected
Diagnosis: Endometrial hyperplasia, endometrial polyp in question, left ovarian cyst.
the previous cycle was slightly shortened from 32 days to 29 days and lasted 3-4 days (with a 32-day cycle it was 5-6 days)
I can’t understand how a cyst could form when ovulation occurred in the left ovary in the last cycle...
Or could it still be a dominant follicle? And how dangerous is an 18mm endometrium on the 9th day?
I’m currently only taking bromocriptine (for a month now)
please tell me what it could be and how to proceed
I wanted to start taking duphaston for hyperplasia, but I have abstained for now (no one has prescribed it yet), I quickly need to do an RDV or hysteroresectoscopy (I think for reproductive age this is a more gentle method)
Thanks in advance for your answers :)

Answers Palyga Igor Evgenievich:

You need to have a hysteroscopy, which should give answers; if a polyp is present, it will be removed. There is no need to take any medications on your own; after receiving the results of hysteroscopy, the gynecologist will prescribe hormone therapy.

2012-03-30 21:56:32

Inna asks:

Hello! I am 22 years old. The cycle has always been fickle. I have been undergoing treatment for polycystic disease for almost a year now. Prolactin increased almost twofold (55.44 ng/ml compared to the norm of 1.20-29.93 ng/ml). Saw Mastodion 3 months. After this, prolactin became 17.5 ng/ml. Then I did another test for hormones - follicle-stimulating hormone 7.3 U/L, luteinizing hormone 16.3 U/L, testosterone 5 pmol/L. The analysis was done in the foliculin phase. The doctor prescribed OK (Mavrelon) for 3 months, after discontinuation you can become pregnant. On January 11, 2012, I stopped drinking, and on January 14, menstruation began. On the 35th day m.c. I felt a tug in my lower abdomen, I thought I was about to menstruate. But mucous discharge appeared, like egg white. This lasted for several days (3-4). I took a pregnancy test - negative. Then I realized that it was ovulation, because menstruation began two weeks later! But we missed ovulation! ((((((I went to the doctor, they wanted to stimulate ovulation with clomiphene, but then the doctor called and said not to stimulate it for now, and this month to try to get pregnant again and drink duphaston with 11 dmc. But if I had late ovulation, is it worth taking duphaston from the 11th day and how does it affect ovulation? Now I’m already 29 days old and there are no hints of ovulation, let alone menstruation. (second cycle after stopping OK) could it also be late ovulation? And please tell me effective treatment methods to get pregnant with polycystic disease!!!

Answers Khometa Taras Arsenovich:

Hello Inna, it is best to assess the growth of follicles, endometrium and determine ovulation using an ultrasound scan using a vaginal sensor. The discharge you described may indeed appear in the periovulatory period, but does not reliably confirm the fact of ovulation. In addition, long or irregular cycles are usually observed during the ovulatory cycle. In your case, support for the second phase of the cycle should be prescribed only after ultrasound confirmation of ovulation or obviously after ovulation (if the cycle is regular).

2009-07-10 19:11:56

Irina asks:

I have doubts as to whether I am ovulating. My periods are regular, the cycle is 26-27 days. I'm planning a pregnancy, but it doesn't happen for several cycles. I have been measuring my basal temperature for several months. The graphs are very similar, with temperatures rising above 37.0 in the second half of the cycle. I took an ovulation test 2 times, which was positive on days 10-11. On days 9-12, a discharge resembling egg white appears (which is considered an indirect sign of ovulation). When examined on the 11th day, the doctor said that I had a pupillary symptom. What confuses me, firstly, is that the basal temperature rises to 37.0 later than all the listed symptoms - usually only on days 15-17 (once it increased by 14th) and, secondly, on the 11th day of the cycle, on an ultrasound, the doctor saw maximum follicles of 11 mm in the right ovary and 9 in the left (but on the same day the ovulation test was positive).
The doctor says that if the temperature rises steadily and stays there, ovulation exists. In addition, he judges by progesterone on the 21st day of the cycle - 140 nmol/l (normal 22-80).
Another contradiction:
I had elevated prolactin (on day 21 of MC) - 433 (normal 40-240). I took the prolactin test on the same day as the progesterone test. It is believed that with increased prolactin, progesterone is decreased. But for some reason it’s not like that for me - both were promoted. After taking Dostinex for 2 months, prolactin decreased almost threefold and became normal - 151 (normal 40-240). True, the discharge from the nipples has not disappeared anywhere. It is also surprising that the graphs of basal temperature with elevated prolactin were the same as with normal prolactin. Judging by them, ovulation occurred then too. To this assumption of mine, the doctor replied that it was unlikely. But, looking at the latest graphs (the same as before treatment with Dostinex), he claims that ovulation is occurring. This line of thought is not entirely logical, in my opinion.
I also have increased hair growth (on my arms, legs, around the nipples, chin, mustache). But testosterone is within normal limits - 1.8 nmol.l (normal is up to 4.5). The doctor spoke. that according to the clinic, one could assume that I have polycystic ovaries (and he already had the result of a testosterone test). True, he “didn’t develop this topic further,” and later said that with polycystic disease, BT does not rise, ovulation does not occur and progesterone is not the same as mine.
I beg you, dispel my doubts whether it is possible to believe that I am ovulating.
Sincerely!
Irina

Answers Doshchechkin Vladimir Vladimirovich:

Hello. Registration of the preovulatory LH peak (SOLO test) is not a direct confirmation of ovulation.
“On days 9-12, a discharge appears that resembles egg white (which is considered an indirect sign of ovulation)” and “When examined on day 11, the doctor said that I have a pupillary symptom” - both of these tests are markers in assessing estrogen saturation, which is necessary for ovulation, but this does not directly confirm the fact of ovulation. Just as BT charts do not confirm ovulation, which are not informative for most women. In some women, despite the normal above indicators and ovulation markers, ovulation still does not occur, but luteinization syndrome of a non-ovulated follicle develops. I believe that you are still ovulating, but only serial ultrasound with a vaginal sensor (folliculometry) can confirm this.
The most informative way to confirm ovulation is to conduct ultrasound monitoring of the ovaries with an assessment of the presence of transitional formations in the ovaries immediately after menstruation, the presence of a growing (dominant) follicle, the presence of ovulation and the formation of the corpus luteum with its subsequent regression.
... But testosterone is within normal limits - 1.8 nmol, l (normal is up to 4.5)...
...prolactin decreased, but colostrum remained...
Plasma testosterone, and even its free forms, is a very unreliable test in assessing the factor of hyperandrogenism. Judging by the doubts in assessing the presence or absence of PCOS (polycystic ovary syndrome), you should look for an alternative opportunity to have an ultrasound scan with a vaginal probe, for example, in a specialized infertility center.
The presence of colostrum in the mammary glands can persist despite normal prolactin values, with hypertrophy of lactophores in the mammary glands. This could happen, for example, with prolonged relative hyperestrogenism, taking oral contraceptives or estrogen in its pure form.
So. Perform ultrasound cycle monitoring at a specialized center. Confirm the presence of ovulation and the corpus luteum with an ultrasound. Determine the level of progesterone in the presence of the corpus luteum and say goodbye to your doubts and worries. Don't forget to get your husband's spermogram, compatibility tests and check the fallopian tubes.
Good luck!

Most physiological processes in a woman’s body occur unnoticed if they do not cause a feeling of discomfort and are the norm. This also applies to the reproductive sphere. Thoughts about what late ovulation is in a 28-day cycle usually occur to women who cannot fulfill the dream of motherhood. When hearing this medical term for the first time, many feel anxious. How justified is this worry?

What is late ovulation?

The menstrual cycle in women lasts between 21-35 days. These indicators are the absolute norm. The “gold standard” in gynecology is a 28-day cycle, in which the egg is released on days 13-14. However, with a cycle of 30, 32, 34 days, ovulation is observed 2, 4, 6 days later. And this is also considered a sign of the norm. Longer maturation of the egg is due to the influence of external and internal factors, and does not always indicate pathology.

Each woman has an individual hormonal background that regulates the process of maturation and release of the egg. For example, if the menstrual cycle lasts 32 days and ovulation occurs on the 16th day constantly, then this indicates the normal functioning of the reproductive sphere. If, with a normal cycle of 28 days, ovulation is delayed by 5-10 days, then this is exciting and requires consultation with a gynecologist.

Late ovulation is a common occurrence in gynecological practice. The true reasons for this circumstance can be very diverse. A set of diagnostic measures using laboratory and instrumental research methods will allow a physiological feature of the body to be excluded.

The diagnostic complex includes the following procedures:

• blood test for hormones (progesterone, testosterone, prolactin, FSH, LH);
• folliculometry (ultrasound diagnostics of the dynamics of egg development over 3 menstrual cycles);
• ultrasound examination of the pelvic organs;
• special tests to determine ovulation;
• measurement of basal body temperature (for 3-6 months).

After studying the patient's medical history, the doctor can explain why ovulation is delayed.

Diagnostics can be carried out independently at home:

1. Measuring body temperature in the rectum. Before ovulation, a slightly lower temperature is noted, which increases to 37 degrees when the egg leaves the follicle.
2. Minor nagging pain in the lower abdomen may indicate the onset of ovulation. This process is often accompanied by the appearance of transparent mucous discharge from the vagina and droplets of blood on underwear.
3. Changes in the nature of cervical mucus. The vaginal secretion becomes viscous, thick, and has a consistency similar to egg white.
4. Moderate pain in the lateral abdomen (on the side where the egg is released).

The listed signs are relative. They can be caused by other reasons, so examination of the body in a specialized medical institution is recognized as an objective diagnostic method.

Late ovulation is not the cause of female infertility. A thorough diagnosis of the body will reveal the true reason why reproductive function is impaired.

Factors that provoke late ovulation

Among the most common causes of late egg maturation are the following:

• Individual characteristics hormonal system. In most cases, there is a hereditary factor. If late ovulation was observed on the maternal side, then it is assumed that the daughter also has this feature.
• Increased levels of male hormones in organism. Androgens in quantities exceeding normal levels suppress ovulation and slow down the development of the egg.
• Hormonal imbalance during puberty. Late maturation of the egg may continue until the menstrual cycle is completely established.
• Postpartum period and breastfeeding. After the birth of a child, active hormonal changes occur in a woman’s body, which can cause late maturation of the egg. In nursing mothers, the menstrual cycle often lengthens to 35-45 days due to late ovulation.
• Premenopause is a common cause of late ovulation in women over 40 years of age. When the first signs of approaching menopause appear, gynecologists suggest this factor.
• Infectious diseases of the pelvic organs. The most common cause of delayed ovulation. After eliminating the signs of inflammation, reproductive function is usually restored.
• Viral respiratory infections, including influenza, reduce overall immunity. A weakened body blocks the ovulation process in order to prevent genetic mutation.
. This is a stressful situation for the body, which is trying to restore lost function by prolonging the development of the egg. This is how the body signals that it is not ready to conceive.
• Psycho-emotional instability after suffering stress also affects the female body. Many women do not pay due attention to this phenomenon. Constant thoughts about the impossibility of getting pregnant can cause the egg to overripe.
• Use of medications. Hormonal therapy (including oral contraceptives) radically changes hormonal levels. With long-term use of contraceptives, the recovery period can last up to 6 months after discontinuation of the drug.
• Surgical procedures on the reproductive organs. Abortion (spontaneous or medical), curettage of the uterine cavity, surgical treatment of the cervix and uterine body, fallopian tubes and ovaries can delay ovulation for a long time.
• Climate change provokes a shift in the menstrual cycle in one direction or another. However, this does not mean that a serious hormonal change has occurred. Upon returning to the usual climatic zone, physiological indicators return to normal.

Correction of hormonal levels

Late ovulation, depending on the cause of its occurrence, may require correction of the ratio of hormones in the body. Women often have questions about whether hormone therapy can eliminate delayed egg maturation and is there any benefit from it?

Hormone therapy really helps restore hormonal levels. But the answer to the question of how to advance the ovulation process should be sought by the attending physician. Independent use of synthetic hormone analogues can cause irreversible processes in the body.

A striking example of hormonal therapy are the drugs Duphaston, Utrozhestan and their analogues. These drugs are successfully used in the treatment of gynecological diseases caused by hormonal changes.

Hormonal therapy is recommended for menstrual irregularities and infertility. The dose of the drug and the treatment regimen should be adjusted by the attending physician. Missing just one pill can cause your period to start early.

The rationality of using hormonal drugs must be justified by test results. Irrational use of Duphaston and its analogues causes a complete absence of ovulation.

Late ovulation in itself is not dangerous for a woman and does not create obstacles to motherhood. In the absence of gynecological pathology, successful conception of a child and pregnancy is possible. If late ovulation is caused by any diseases, you must first undergo a full course of treatment from a gynecologist.

Late ovulation can cause unwanted pregnancy. When using the calendar method as contraception, there is a high probability of making a mistake and mistaking fertile days for a safe period. Gynecologists recommend using the ERP (natural regulation of conception) method or using other reliable methods of contraception (COCs, IUDs) to protect against unwanted pregnancy.

In order for physiological indicators to return to normal, you must adhere to the following recommendations:

• timely treatment of systemic diseases;
• elimination of infectious and inflammatory processes in the reproductive organs through the rational use of antibacterial and antiviral agents;
• immediately seek qualified help if unusual symptoms appear;
• limiting physical and mental stress;
• elimination of stress factors;
• daily walks in the fresh air;
• regular sex life with a regular sexual partner, promoting active blood circulation in the pelvic organs;
• proper rest (including night sleep);
• balanced diet, free of preservatives, carcinogens, food additives;
• absence of bad habits (alcohol, smoking).

Timely diagnosis of diseases, a competent approach and adequate therapy contribute to the establishment of a regular cycle. Routine consultations with a gynecologist should become the norm in the life of any woman who dreams of experiencing the joy of motherhood.

The menstrual cycle and ovulation are very individual. Despite existing norms, there are always failures and deviations. In our article we will try to understand what late ovulation is, on what day of the cycle it can occur and what causes it.

What ovulation is considered late?

As we know, a normal cycle lasts 25-29 days. But on average, the values ​​can vary within 21-35 days, which is not a significant deviation. The time of cell release is 14 days before menstruation. This is a static quantity that rarely changes. Thus, the normal time for ovulation in different cycles is 7-21 days from menstruation. Based on this, it is clear that it will be considered late for each case.

Let's try to figure out the calculations using the example of one of the cycles. We know that a period of 28 days is considered ideal and the cell matures on the 14th day. Late ovulation will be considered if the cell is released after the 18th day. This shift is not pathological; pregnancy is also possible when the woman is healthy and this phenomenon is temporary. Using a similar principle, you can calculate for other cycles.

If we try to figure out what day of the cycle late ovulation occurs on, we come to the conclusion that there is no standard due to the individuality of processes in the body. For some it will be 18-19 days, for others it may be 21. Experts agree that the optimal interval between ovulation and the next menstruation should be at least 11-12 days, then conception will not be a particular problem. When this gap is shorter, the egg matures once every 35-40 days, which creates additional difficulties in the fertilization process.

How normal is late ovulation?

So, we looked at which day of the cycle is the latest for ovulation, now let’s find out what contributes to this. The reasons that can cause such a delay are usually quite understandable and can be observed in almost everyone:

• change of climate or time zones;
• constant stress;
• various gynecological or infectious diseases;
• hormonal imbalance, when a decrease in estrogen in the blood can slow down follicle growth;
• the period after childbirth or abortion;
• time before menopause.

If a woman has late ovulation, on what day exactly this event will occur can be found out using various methods:

• tests that analyze urine;
• rectal measurements and charting;
• examination and ultrasound.

Don't forget about physical changes. In particular, at this time there is breast tenderness, nagging pain or tingling in the area of ​​the ovaries , as well as copious viscous discharge, odorless and transparent.

When might late ovulation be a warning?

If pregnancy does not occur when the cell is released late, it is necessary to look for the cause of infertility. First of all, make sure that there are no diseases or other factors that can affect the processes. The most important thing is to make sure that there are no serious illnesses. It would be a good idea to get tested for hormone levels, in case the reason lies in a deficiency of one of them. All other reasons are completely removable, you just need:

• avoid stress;
• eat healthy;
• to refuse from bad habits.

Important

By the way, smoking or alcohol can prevent the egg from maturing in time, so you should renounce them if you want to become a mother.

So, we figured out what day of the cycle late ovulation occurs on. It can be caused by many reasons. If the expectant mother has a healthy body, follows proper nutrition and avoids bad habits, conceiving during late ovulation will not be a problem for her.