Can You Still Get Pregnant After Ovulation with Corpus Luteum Present? - Obstetrics and Gynecology

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If a corpus luteum is observed on ultrasound, is there still a chance of pregnancy?


Hello Doctor: Below is my report.
On 2/23, the transvaginal ultrasound (TVS) report indicated the following:
Ovary:
- Right ovarian size: (41 x 26) mm.

- Left ovarian size: (24 x 16) mm.

- Ovarian lesion: (V) Yes, ( ) No.

Location, nature, and size: Right corpus luteum, 14 x 10 mm.

Others:
- Cul de sac fluid: (V) Yes, ( ) No.
Size: (36 x 19) mm.

- Ascites: ( ) Yes, (V) No.
Size: ( ) mm.

- Other lesions and description: On the third day of my menstrual cycle, I took Clomiphene 50 mg, 2 tablets at bedtime.
On 2/22, the ovulation test showed a strong positive result, and on 2/23, the test result faded.
On that day, I underwent TVS and found that ovulation had already occurred.
I would like to ask if there is still a possibility of pregnancy if intercourse occurred on 2/23?

You Li, 30~39 year old female. Ask Date: 2023/02/25

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, there should still be a chance.
Just observe.
Wishing you good health.

Reply Date: 2023/02/25

More Info


The question of whether one can still get pregnant after ovulation, particularly when a corpus luteum is present, is a nuanced topic in reproductive health. To address your inquiry, let’s first clarify what a corpus luteum is and its role in the menstrual cycle.

The corpus luteum is a temporary endocrine structure that forms in the ovary after an egg has been released during ovulation. Its primary function is to produce progesterone, a hormone crucial for maintaining the uterine lining and supporting early pregnancy. If fertilization occurs, the corpus luteum continues to produce progesterone until the placenta takes over this function. If fertilization does not occur, the corpus luteum degenerates, leading to a decrease in progesterone levels, which ultimately triggers menstruation.

In your case, you mentioned that ovulation was detected on February 23rd, and you had a strong positive ovulation test on February 22nd, followed by a decline in the test line on February 23rd. This indicates that ovulation likely occurred on February 23rd. If you had intercourse on that day, there is still a possibility of becoming pregnant.

Sperm can survive in the female reproductive tract for up to five days, and the egg is viable for about 12 to 24 hours after ovulation. Therefore, if you had intercourse on the day of ovulation, the sperm could potentially fertilize the egg, leading to pregnancy. The presence of the corpus luteum indicates that ovulation has occurred, and if fertilization takes place, the corpus luteum will support the early stages of pregnancy by producing progesterone.

Regarding your ultrasound findings, the presence of a corpus luteum (14x10 mm) and fluid in the cul-de-sac suggests that ovulation has indeed occurred, and the body is in the post-ovulatory phase. The fluid could be a normal finding post-ovulation, but it’s essential to monitor it, especially if there are any symptoms or concerns.

In summary, if you had intercourse on February 23rd, there is a possibility of pregnancy, as sperm can survive for several days, and the egg is viable for a short window post-ovulation. If you do not get your period within the expected timeframe, consider taking a pregnancy test to confirm whether fertilization has occurred. If you have any concerns or experience unusual symptoms, it’s advisable to consult your healthcare provider for further evaluation and guidance.

In conclusion, while the timing of intercourse relative to ovulation is crucial for conception, the presence of a corpus luteum indicates that your body is in a state conducive to supporting a potential pregnancy. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have regarding your reproductive health.

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