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Infertility Cubby

Delayed Ovulation
By Sam Thatcher, MD, Ph.D.

Sam Thatcher, MD, Ph.D.Q. Any idea what is going on here? I had fairly regular cycles of 32-34 days. I charted temps for one cycle just before starting to try conceiving (IUI) and it looked picture perfect. Even had the small temp dip before ovulation. Then the next cycle, when I was going to try I had a 52 day cycle with no ovulation. Then this cycle I am on day 23 with no ovulation so far (am using OPKs and temping) but have had lots of clear egg white cervical mucus for over 12 days so far. Any ideas?

A. The average cycle length is 28-29 days. The farther one deviates from the norm the greater the likelihood of poor egg quality, lack of ovulation. Delayed ovulation is also associated with an increased risk of miscarriage. The rate of infertility is very high when cycles are over 35 days and I do not even recommend testing for ovulation, just progressing with therapy. At 32-34 days you may be somewhat borderline for normal ovarian function. Then too, there could be other problems such as male and anatomic factors. Still my first thought with the above scenario is that there may be an ovarian/ovulation problem.

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