late ovualtion

yesica_s2001

10 Posts
Reply late ovualtion Posted on: Aug 1, 2011 at 2:54pm
Dr. Braverman, could late ovulation be a cause of a miscarriage? If I ovulate on or later than CD 21 do you suggest we skip this cycle and try in another. Last time that I ovulated late (CD 24 or so) I got pregnant but miscarried at 6 wks. I also have hetero FVL and Compound Hetero MTHFR.

Thank you

Dr. Braverman

1998 Posts
Re: late ovualtion Posted on: Aug 3, 2011 at 9:13pm
late ovualtion may be related to poor progesterone production , but not egg quality (that would be more dependant on your age) regardless I would jsut be sure to supplement with progestrone, no need to cancel cycle. Losses could be due to low progesterone or the FV issues, I like to treat those very early near time of ovualtion, and as usual in these cases also be sure that immune issues are not playing a part as FVL is more of a concern later in the prgnancy.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

yesica_s2001

10 Posts
Reply Re: late ovualtion Posted on: Aug 3, 2011 at 10:04pm
Thank you for your quick response! I am one of your patients and through your testing is how I learned that I had FVL and MTHFR. you have given me the protocol that I should use in that regard, late ovulation was a concern for me this month as i am on CD 19 and still no + OPK. Last 2 cycles I ovulated on CD 16.
So if I am on progesterone suppositories after 4 DPO will that be more securing?

Dr. Braverman

1998 Posts
Re: late ovualtion Posted on: Aug 4, 2011 at 12:25am
Yes it will be more reassuring to be on progesterone with late ovulations.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.