Question re late Ovulation

[anonymouseliza]

Well, the answer is sort of. There is some thought that late ovulation (defined as occurring after CD21) is concerning because it indicates the hormones may be out if sync and it could lead to poor progesterone or an under-developed egg. There concern it could be more likely to lead to miscarriage or chemical pregnancy. That said, many women get pregnant with a later ovulation and have perfectly healthy pregnancies.

[anonymouseliza]

FWIW, my ob was less concerned with late ovulation if my cycles were otherwise regular.

As for your concern about ovulating late based on u/s and blood work, I wouldn't be super concerned. Without meds regulating it, your doc was estimating. Ovulation will happen when the hormones reach the right levels. Now, if there are no indications of ovulation later on, then discuss with your doc and ask if there is reason to be concerned.

Edited for wtf, autocorrections

[renbee]

If I'm reading your post right, you are only CD 13... I think it's jumping the gun a little (actually a lot) to worry about your eggs "going bad"....

[Deleted]

Mar 9, 2015 21:09:17 GMT -5 renbee said:

If I'm reading your post right, you are only CD 13... I think it's jumping the gun a little (actually a lot) to worry about your eggs "going bad"....

This exactly. Pull back the reins a bit.

[Deleted]

Mar 9, 2015 21:10:05 GMT -5 12345 said:

Thanks! I'll continue to do the OPKs. I just thinking/hoping I'd have a surge by now. Also, I know you can miss a surge, even if checking twice a day. I am supposed to call Cd1, so if I don't get one, I'll be sure to mention it. Before I got pregnant with DD1, I seemed to O late-ish (around CD17). But I don't remember if I was ever Monitored on a non-medicated cycle to see what the follie size was.

CD17 is not late-ish.

[ghostmonkey]

Mar 9, 2015 20:54:47 GMT -5 anonymouseliza said:

Well, the answer is sort of. There is some thought that late ovulation (defined as occurring after CD21) is concerning because it indicates the hormones may be out if sync and it could lead to poor progesterone or an under-developed egg. There concern it could be more likely to lead to miscarriage or chemical pregnancy. That said, many women get pregnant with a later ovulation and have perfectly healthy pregnancies.

This. My RE cancelled one of my cycles around CD18 when it was obvious that ovulation was not imminent. Chances were the egg wasn't going to be of the best quality and we were welcome to continue with TI and see if we could make it work, he wasn't comfortable going forward with an IUI because he felt it would be a waste of money and we'd have a better chance the following cycle with a different med combination.

By no means is CD21 late or mean there is no chance, but it's not optimal. I've seen women O on CD80+ and have a successful pregnancy, so it's not impossible. 

I gave up on OPKs years ago. I like water too much and I think I had a short surge so I rarely got a positive. 

[ghostmonkey]

Mar 9, 2015 21:10:05 GMT -5 12345 said:

Thanks! I'll continue to do the OPKs. I just thinking/hoping I'd have a surge by now. Also, I know you can miss a surge, even if checking twice a day. I am supposed to call Cd1, so if I don't get one, I'll be sure to mention it. Before I got pregnant with DD1, I seemed to O late-ish (around CD17). But I don't remember if I was ever Monitored on a non-medicated cycle to see what the follie size was.

CD17 isn't even in the same galaxy as late ovulation.

[pismoduo]

CD17 is only "late-ish" if you're still thinking about an average 28 day cycle.

[renbee]

Mar 9, 2015 21:13:14 GMT -5 ghostmonkey said:

Mar 9, 2015 20:54:47 GMT -5 anonymouseliza said:

Well, the answer is sort of. There is some thought that late ovulation (defined as occurring after CD21) is concerning because it indicates the hormones may be out if sync and it could lead to poor progesterone or an under-developed egg. There concern it could be more likely to lead to miscarriage or chemical pregnancy. That said, many women get pregnant with a later ovulation and have perfectly healthy pregnancies.

This. My RE cancelled one of my cycles around CD18 when it was obvious that ovulation was not imminent. Chances were the egg wasn't going to be of the best quality and we were welcome to continue with TI and see if we could make it work, he wasn't comfortable going forward with an IUI because he felt it would be a waste of money and we'd have a better chance the following cycle with a different med combination.

By no means is CD21 late or mean there is no chance, but it's not optimal. I've seen women O on CD80+ and have a successful pregnancy, so it's not impossible. 

I gave up on OPKs years ago. I like water too much and I think I had a short surge so I rarely got a positive. 

Ok, this brings up something I have been wondering about. I consistently ovulate around CD25-29 (PCOS, on metformin), and I keep wondering if I should consider going back to the RE to discuss this. I really don't want to do treatments but I wonder if it's our best bet to get and stay pregnant.

[anonymouseliza]

Ha, cd 17 is the earliest I've ever ovulated. I'm over the moon to have ovulation occur around cd17/18 (looking less likely this cycle).

I wouldn't worry extensively if you aren't on meds, 12345.

[anonymouseliza]

Mar 9, 2015 21:30:02 GMT -5 renbee said:

Mar 9, 2015 21:13:14 GMT -5 ghostmonkey said:

This. My RE cancelled one of my cycles around CD18 when it was obvious that ovulation was not imminent. Chances were the egg wasn't going to be of the best quality and we were welcome to continue with TI and see if we could make it work, he wasn't comfortable going forward with an IUI because he felt it would be a waste of money and we'd have a better chance the following cycle with a different med combination.

By no means is CD21 late or mean there is no chance, but it's not optimal. I've seen women O on CD80+ and have a successful pregnancy, so it's not impossible. 

I gave up on OPKs years ago. I like water too much and I think I had a short surge so I rarely got a positive. 

Ok, this brings up something I have been wondering about. I consistently ovulate around CD25-29 (PCOS, on metformin), and I keep wondering if I should consider going back to the RE to discuss this. I really don't want to do treatments but I wonder if it's our best bet to get and stay pregnant.

Honest answer?  Ask your RE for his/her thoughts on the issue.  It's a contested one.  Some are of the opinion that if you are ovulating regularly, albeit later, then there is no issue; your body just works on a slightly slower clock.  Others are of the opinion that ovulation later than 21 cd is inviting issue.  Some will not commit outside an individual patient and their history.  I think that if my b/w and monitoring on a non-medicated cycle showed clear ovulation and reasonable progesterone for an unmedicated cycle I'd put it out of my mind.

Anecdotal evidence - I have had both successful and unsuccessful pregnancies with later ovulation.  Certainly women are frequently successful with later ovulation.  For me, my doctor's theory/concern was related to weight - fat stores estrogen, which can interfere with normal levels (because the body reads sufficient levels, and doesn't produce as much estrogen as is ideal for a developing follie), and cause a lengthy fertile phase and delayed ovulation and that in turn could theoretically result in a 'weak' ovulation and poor progesterone response, which can make implantation and support of early pregnancy more difficult.  Given how my cycles have reacted to weight loss - ie, normalizing with a regular, earlier O - I'd say that she may have been correct.  Certainly, I needed progesterone supplementation with my DD.

But that's me and a different situation.  As always, if you have concerns, take them to your doc and get their feedback.  Because this issue is not resolved in studies or medical literature, it's always a good idea to get your doc's input, especially as it relates to your individual health and treatment plans.

[Deleted]

Mar 10, 2015 7:49:56 GMT -5 12345 said:

Mar 9, 2015 21:10:20 GMT -5 @led said:

This exactly. Pull back the reins a bit.

I guess the question came from the fact the follie was at a 15 on CD10. If I wouldn't have had the ultrasound, then I would never have worried about not having a surge by now! I just wasn't sure if that specific follie could "go bad". My doc was just so sure I'd O early this week. I have a phone consult on CD1, so I'll be sure to mention if I don't get a positive OPK.

They can stop growing and others start growing. There's no way to know which follie will be the one to release the egg based on one ultrasound.  Not having a surge by CD13 is completely normal and worrying about not is just looking for trouble.

[Deleted]

Mar 10, 2015 8:48:48 GMT -5 @led said:

Mar 10, 2015 7:49:56 GMT -5 12345 said:

I guess the question came from the fact the follie was at a 15 on CD10. If I wouldn't have had the ultrasound, then I would never have worried about not having a surge by now! I just wasn't sure if that specific follie could "go bad". My doc was just so sure I'd O early this week. I have a phone consult on CD1, so I'll be sure to mention if I don't get a positive OPK.

They can stop growing and others start growing. There's no way to know which follie will be the one to release the egg based on one ultrasound.  Not having a surge by CD13 is completely normal and worrying about not is just looking for trouble.

Also, if you're not temping, I would really suggest you start. OPKs don't work for everyone.

[mainewifey]

I agree with @led, you should at least try to temp. I temp anywhere between 1 and 5 am and ff can still detect ovulation.

[ghostmonkey]

Mar 10, 2015 7:49:56 GMT -5 12345 said:

Mar 9, 2015 21:10:20 GMT -5 @led said:

This exactly. Pull back the reins a bit.

I guess the question came from the fact the follie was at a 15 on CD10. If I wouldn't have had the ultrasound, then I would never have worried about not having a surge by now! I just wasn't sure if that specific follie could "go bad". My doc was just so sure I'd O early this week. I have a phone consult on CD1, so I'll be sure to mention if I don't get a positive OPK.

You are going to drive yourself nuts if you keep focusing on every last little thign that could possibly go wrong.

And yes they can disappear. The cycle I had cancelled I had 2 good follies on CD12 and when I went back on CD15 they were gone. It happens. Is it something you should freak out about and go off on a spiral about ovulating "late" because of it? NO.

[becwheat]

Ok, not to hijack, but I am a going to the OB soon to discuss irregular cycles and heavier menstruation.

Should I be asking a different question? Bring up late ovulation? I mean it goes without saying for my 2 40+day cycles that my O'ing was late (CD48, CD32) but the 2 other cycles were CD 18/20... So, I am 50/50 on late O'ing. The irregularity is what concerns me cause it is only within the last 6 months, before that I had 32-34 day cycles. I was not temping then, so I can't confirm O, but I never had a cycle over 34 days.

I don't want to make anything a problem that is not a problem, but I do not want to ignore or overlook any question I may need to ask. Regardless, she wants to see me due to the heavy periods.

[Deleted]

Mar 9, 2015 21:10:05 GMT -5 12345 said:

Thanks! I'll continue to do the OPKs. I just thinking/hoping I'd have a surge by now. Also, I know you can miss a surge, even if checking twice a day. I am supposed to call Cd1, so if I don't get one, I'll be sure to mention it. Before I got pregnant with DD1, I seemed to O late-ish (around CD17). But I don't remember if I was ever Monitored on a non-medicated cycle to see what the follie size was.

LOL. I just o'd at CD32.

Don't beg for trouble.  

ETA: Oops. See this all happened a few days ago. My bad. 

[kellybenelly83]

Are you on meds now?

[EatsRitz]

I've been lurking this thread because I tend to have later ovulation (CD23 last cycle) and I had no idea that could be an issue. Maybe ignorance was bliss. Learn something new on GKU everyday.

[mainewifey]

How old is your daughter?

How long have you been trying?

[sweetmelissa5]

Mar 10, 2015 10:55:28 GMT -5 EatsRitz said:

I've been lurking this thread because I tend to have later ovulation (CD23 last cycle) and I had no idea that could be an issue. Maybe ignorance was bliss. Learn something new on GKU everyday.

If it makes you feel better, when I conceived my two youngest, I ovulated on CD 22 and 25 respectively. I think late ovulation can maybe cause issues or it can be completely normal, and there's no reason to be concerned about it until you hit the year mark of trying

[mrsp]

Mar 10, 2015 11:41:48 GMT -5 sweetmelissa5 said:

Mar 10, 2015 10:55:28 GMT -5 EatsRitz said:

I've been lurking this thread because I tend to have later ovulation (CD23 last cycle) and I had no idea that could be an issue. Maybe ignorance was bliss. Learn something new on GKU everyday.

If it makes you feel better, when I conceived my two youngest, I ovulated on CD 22 and 25 respectively. I think late ovulation can maybe cause issues or it can be completely normal, and there's no reason to be concerned about it until you hit the year mark of trying

This. The cycle I got pregnant I O'd on CD 33. I don't think late ovulation is necessarily an indicator of potential issues because for some it can be normal. All of my pp periods I've O'd on CD 20 or after, which is normal to me. 

[EatsRitz]

Mar 10, 2015 12:03:24 GMT -5 mrsp said:

Mar 10, 2015 11:41:48 GMT -5 sweetmelissa5 said:

If it makes you feel better, when I conceived my two youngest, I ovulated on CD 22 and 25 respectively. I think late ovulation can maybe cause issues or it can be completely normal, and there's no reason to be concerned about it until you hit the year mark of trying

This. The cycle I got pregnant I O'd on CD 33. I don't think late ovulation is necessarily an indicator of potential issues because for some it can be normal. All of my pp periods I've O'd on CD 20 or after, which is normal to me. 

That does make me feel better, thank you both.