Question: Hi there i had a miscarriage at the end of Januray 2009 when i was 7 weeks and i went back on my contraception pill (Cilest) until the 11th of September. I came off had my period on the 15th september was a very long and heavy 7 day period and i have not taken the pill since as me and my partner have decided to try. I worked out when i would be ovulating and i have had sex more or less every day since i came off my period my period is now due on the 12th Oct (next Monday) and was wondering with me coming off the pill will it take time for me to start ovulating or is there a good chance i may be pregnant?
How soon also could i take a test? i bought some early tests over the internet that measure the HCG hormone at 10ml/u please help i am desperate to have a baby and would like to know if i have a good chance this month? L. (UK)
Answer: For the vast majority of users, ovulation (and therefore the ability to conceive) resumes within a couple of weeks of coming off the pill. It is in a tiny minority of women where there is a post-pill ‘lag phase’ and these women will typically experience absence of periods after coming off the pill. This is what is called ‘Post-pill amenorrhoea’. If you have had a period, you can safely assume that you are ovulating. Conception is another matter. There are so many factors that come into play that you cannot safely assume that if you are ovulating and having sex then you will end up pregnant. If you will allow me, I do detect a hint of being over-anxious about this planned pregnancy, something that might be counter-productive. I would not advise doing a pregnancy test before you have missed a period despite what manufacturers might claim. A day after your period is due is OK.
Try to relax, allow yourself to enjoy the quest and if it does not happen this month, or next; there is always the month after etc. Best wishes.
Answer: A previous phantom pregnancy has absolutely no bearing on future fertility. Remember, it is not actually a pregnancy. It has therefore no residual physical or physiological impact. However, since it is accepted that there are always underlying psychological factors, it is important to ensure that those have been resolved to minimise the risk of the same thing happening again.
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