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What Prognosis Is To Be Followed For Delayed Periods While Trying To Conceive?
Posted on
Tue, 27 Mar 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 27 Mar 2018
Answered on
Tue, 18 Apr 2023
Last reviewed on
Question : Hello Doctor, This regarding my wife who is 30yrs old (weighs 80kg). We are a little uncertain/certain of her chances of being pregnant. We've been trying to conceive for the past one year. Although it has been over an year that we've stopped using protection, however it was in this month during her 10th day of ovulation where we were told that chances of conceiving is higher, we tried intercourse. The concern is her menstrual cycle is delayed by seven days and above. Can you suggest what medical check up we should adhere to? We're planning to go and visit an OB-GY doctor, but were wondering how could we prepare better and make the most from the consultation. What should be the good questions to be asked, etc?
Some additional details:
1. Height in centimeter - 167
2. History of regular menstrual cycle - yes
3. Has she started on preconception vitamins supplements - None
4. Any other tests or investigation - None
5. Is there any problem with sexual activity - No
6. What is your average frequency of sex activity in a week - Once or Twice
Some additional details:
1. Height in centimeter - 167
2. History of regular menstrual cycle - yes
3. Has she started on preconception vitamins supplements - None
4. Any other tests or investigation - None
5. Is there any problem with sexual activity - No
6. What is your average frequency of sex activity in a week - Once or Twice
Brief Answer:
Nothing worrisome.
Detailed Answer:
Hello,
Firstly, go for a urine pregnancy test, if it is positive then you should go for screening - There are 3 parts of first trimester screening:
*- Ultrasound test for fetal nuchal translucency (NT). Nuchal translucency screening uses an ultrasound test to examine the area at the back of the fetal neck for increased fluid or thickening.
*- Two maternal serum (blood) tests. The blood tests measure 2 substances found in the blood of all pregnant women:
*- Pregnancy-associated plasma protein screening (PAPP-A)--a protein produced by the placenta in early pregnancy. Abnormal levels are associated with an increased risk for chromosome abnormality.
*- Human chorionic gonadotropin (hCG)--a hormone produced by the placenta in early pregnancy. Abnormal levels are associated with an increased risk for chromosome abnormality.
There are few question which you can ask to your doctor on your first visit:
1. How pregnant am I?
2. Which tests will I need to have over the next forty weeks?
3. When can I have an ultrasound to see a picture of my new baby?
4. What is a 4D ultrasound?
5. How much weight can I expect to put on during pregnancy?
6. What vitamins and supplements am I supposed to take?
7. What complications can arise during the early stages of pregnancy?
8. Please explain the common terminology used in pregnancy
9. How long will morning sickness last and what can I do to ease it?
10. Is it okay to have sexual intercourse during early stages and later stages of pregnancy?
11. Is it normal to have breast, pelvic and abdominal pain in my early stage of pregnancy?
12. Can depression occur from the beginning of pregnancy?
13. What diet do I follow during pregnancy?
14. Are there some foods I can't eat because they may harm my baby?
15. Which medications are safe to take during pregnancy?
16. Are there particular chemicals that I shouldn't be handling?
17. When can I find out the sex of my baby?
18. What is folate and iron medication and why do I have to take it during pregnancy?
19. How can I prevent stretch marks from occurring?
20. Can my stress harm my baby?
I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health.
Regards,
Dr. Rakhi Tayal
OBGYN
Nothing worrisome.
Detailed Answer:
Hello,
Firstly, go for a urine pregnancy test, if it is positive then you should go for screening - There are 3 parts of first trimester screening:
*- Ultrasound test for fetal nuchal translucency (NT). Nuchal translucency screening uses an ultrasound test to examine the area at the back of the fetal neck for increased fluid or thickening.
*- Two maternal serum (blood) tests. The blood tests measure 2 substances found in the blood of all pregnant women:
*- Pregnancy-associated plasma protein screening (PAPP-A)--a protein produced by the placenta in early pregnancy. Abnormal levels are associated with an increased risk for chromosome abnormality.
*- Human chorionic gonadotropin (hCG)--a hormone produced by the placenta in early pregnancy. Abnormal levels are associated with an increased risk for chromosome abnormality.
There are few question which you can ask to your doctor on your first visit:
1. How pregnant am I?
2. Which tests will I need to have over the next forty weeks?
3. When can I have an ultrasound to see a picture of my new baby?
4. What is a 4D ultrasound?
5. How much weight can I expect to put on during pregnancy?
6. What vitamins and supplements am I supposed to take?
7. What complications can arise during the early stages of pregnancy?
8. Please explain the common terminology used in pregnancy
9. How long will morning sickness last and what can I do to ease it?
10. Is it okay to have sexual intercourse during early stages and later stages of pregnancy?
11. Is it normal to have breast, pelvic and abdominal pain in my early stage of pregnancy?
12. Can depression occur from the beginning of pregnancy?
13. What diet do I follow during pregnancy?
14. Are there some foods I can't eat because they may harm my baby?
15. Which medications are safe to take during pregnancy?
16. Are there particular chemicals that I shouldn't be handling?
17. When can I find out the sex of my baby?
18. What is folate and iron medication and why do I have to take it during pregnancy?
19. How can I prevent stretch marks from occurring?
20. Can my stress harm my baby?
I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health.
Regards,
Dr. Rakhi Tayal
OBGYN
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Having a healthy diet with fruits and vegetables will help.
Detailed Answer:
Hello,
It is good that the test has come positive. Right now, she needs to concentrate on having healthy food, avoid spicy and fried food as it can precipitate nausea and vomiting. She needs to consult a gynecologist and get proper vitamins and Thyroxine prescribed to normalize the TSH levels.
1.) Let her eat fiber rich fresh fruits and green leafy vegetables and avoid foods which are not easily digestible and fatty foods
2.) Let her have six small meals instead of 3 large meals
3.) Drink plenty of fluids
4.) Go for regular brisk walks for 30 to 40 minutes daily.
Hope my answer is helpful.
Regards,
Dr. Rakhi Tayal
OBGYN
Having a healthy diet with fruits and vegetables will help.
Detailed Answer:
Hello,
It is good that the test has come positive. Right now, she needs to concentrate on having healthy food, avoid spicy and fried food as it can precipitate nausea and vomiting. She needs to consult a gynecologist and get proper vitamins and Thyroxine prescribed to normalize the TSH levels.
1.) Let her eat fiber rich fresh fruits and green leafy vegetables and avoid foods which are not easily digestible and fatty foods
2.) Let her have six small meals instead of 3 large meals
3.) Drink plenty of fluids
4.) Go for regular brisk walks for 30 to 40 minutes daily.
Hope my answer is helpful.
Regards,
Dr. Rakhi Tayal
OBGYN
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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