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Pregnancy Bliss | Reproductive Health Hub

Conception after coming off the pill

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.

After a phantom pregnancy

Question:  I have had 2 Phantom Pregnancies in the past, I am want to have children. Will having the phantom pregnancies cause me any problems in trying to have children. S.F. (UK)

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.

Emergency contraception out of hours

Question:  I went to a party and woke up in bed this morning with a guy I barely know. Initially he said nothing happened but then said he used a condom. I am panicking. I’m not on the pill and don’t want to get pregnant yet. Can I get the morning after pill over the weekend? Will Monday be too late? Please help!!! C. (UK)

Answer: No need to panic. If you have (or think you have) had unprotected sexual intercourse, you may indeed need to use emergency contraception. This service is available out of hours almost throughout the UK. The safest bet is to go to your local hospital’s accident and emergency department. Contraceptive and Sexual health (CASH) clinics are usually closed over the weekend. Alternatively, if you so wish, you can buy this over the counter at any Chemist as long as you are over 16 years of age. Proof of age may be required. Yes; emergency contraception is most effective if taken as soon as possible, ideally within 24 hours of having sex

Antibiotics in early pregnancy

Question:  My wife was unaware of her pregnancy (approx. 3 to 5 weeks) and attended the dentists where she was prescribed antibiotics for a gum & tooth infection. Should we seek advise? P.L. (UK)

Answer: It is unfortunate that you have not given the name of the antibiotic. I would have been in a position to give you specific advice. You will be aware that many types of antibiotics are completely harmless when used at any stage of pregnancy. Others, such as the tetracyclines, have a potential for harm of some sort. You may therefore need to give details to your wife’s GP for appropriate advice on this.

Pregnancy symptoms?

Question:  I have got some very strong signs of pregnancy i.e. nausea, vomiting, spotting, dizziness and an extremely tender tummy,and tender breasts i have been feeling like this for about 2/3 weeks. I have done 4 pregnancy tests but have had all negative results i cant judge if i am late on a period as they have been irregular since the very beginning. I am worried does it sound like i could be pregnant???? I am also waiting for a test to come back from the doctors, i have no children so i have no experience of this. Thank you for your help. L. (UK)

Answer: I agree that these symptoms are confusing. However, an “extremely tender tummy” is certainly not a symptom of pregnancy. Something else appears to be going on.

It is inconceivable that you could have four negative pregnancy tests if you were pregnant. However, it appears you do need an examination as a matter of urgency to get to the bottom of this. Please arrange to see your doctor promptly. If that is not possible, you should consider to go to your local hospital’s A&E department.

Detailed anatomy baby scan

Question:  I’ve already had a ultra sound at 18 weeks now I’m at 20 weeks and the doctors are requesting that i come in for another ultra sound due to they need to check the anatomy. Should i worry or is this just procedure? This is my third child and I’ve never been asked to come in a second time. What exactly do they look for in a anatomy scan? M. (USA)

Answer: I don’t think you should worry at all. It is now generally accepted that a detailed anatomy scan should ideally not be done before 20 weeks. This is because, when performed too early, it may not be possible to see enough detail of everything. I suspect, therefore, that when you had your ultrasound scan at 18 weeks, the requisite detailed look at all the vital organs of the baby was not done. This is what they are now calling you for. In the past, this used to be done at 18-20 weeks (hence your previous experience of only one scan) but this has been largely abandoned over the last few years for reasons given above and, yes, an anatomy scan is just that: A detailed look at all the baby’s vital organs and parts including the brain, heart, gut, liver, kidneys, spine, limbs etc.