Trying to Conceive: When Following Doctor's Advice Still Leads to Disappointment - Obstetrics and Gynecology

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Despite following the doctor's advice, there is still only one line (I have had intercourse during the ovulation period)?


I have been married for over six months, and for the past few months, I have been trying to conceive but have not been successful.
On September 22nd, which was the 10th day after my menstrual period ended, I visited a gynecologist.
The doctor informed me that my follicle was already 1.5 cm and advised me to try to conceive again on Thursday night and to return for a follow-up on Friday to monitor the follicle's development.
I made an effort on Wednesday and Thursday, and when I returned to the gynecologist on Friday morning, the doctor said I had just ovulated.
My "internal environment" was ready for pregnancy, so I was advised to continue trying to conceive over the next two days.
I diligently followed the advice and tried again on Friday and Saturday (essentially trying from Wednesday to Saturday).
However, when I took a pregnancy test on the morning of October 2nd (not with first morning urine), it showed a single line.
This morning, October 5th, I tested again with first morning urine, and it also showed a single line.
I would like to know if it is too early to test, and does the cost of a pregnancy test stick (around $20) have any relevance?

Alvena, 20~29 year old female. Ask Date: 2015/10/06

Dr. Lü Lizheng reply Obstetrics and Gynecology


It may be too early to take a urine test.
Assuming, as the doctor mentioned, that ovulation occurred on September 25, it is generally recommended to wait 15 days before testing for pregnancy to get a reliable result.
Please take another test after October 10.
If you are pregnant at that time, congratulations! If you still see only one line, do not be discouraged.
According to expert research, even under optimal conditions, the chance of conception each month is only about 25%.
I encourage you to keep trying; you should receive good news soon.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/10/06

More Info


Trying to conceive can be an emotionally taxing journey, especially when following medical advice and still facing disappointment. It sounds like you have been diligently following your doctor's recommendations regarding ovulation tracking and timing intercourse, which is a great approach. However, it’s important to understand that even with perfect timing and effort, conception can still take time and may not happen immediately.

From your description, it seems you had a series of appointments where your doctor monitored your follicle development closely. The fact that your doctor indicated you were ready to ovulate and advised you to continue trying is a positive sign that your body is functioning as it should in terms of ovulation. However, even with optimal conditions, conception can take several cycles, and it’s not uncommon for couples to experience disappointment along the way.

Regarding your question about the timing of your pregnancy test, it’s generally recommended to wait until at least the first day of your missed period for the most accurate results. This is because the hormone hCG, which is what pregnancy tests detect, may not be present in high enough levels to be detected until after implantation occurs, which typically happens about 6-10 days after ovulation. If you tested too early, it’s possible that your body had not yet produced enough hCG to trigger a positive result, leading to the negative tests you experienced.

The type of pregnancy test can also play a role in the accuracy of the results. While many over-the-counter tests are quite sensitive and can detect low levels of hCG, cheaper tests may have varying levels of sensitivity. If you suspect that the test you used may not be as reliable, you might consider using a more sensitive test or waiting a few days before testing again.

It’s also worth noting that stress and emotional factors can impact your journey to conceive. The pressure to conceive can sometimes create a cycle of anxiety and disappointment, which may affect your overall well-being. It’s essential to take care of your mental health during this time. Engaging in relaxation techniques, seeking support from friends or family, or even talking to a counselor can be beneficial.

If you continue to experience difficulty conceiving after several months of trying, it may be worthwhile to discuss further options with your healthcare provider. They can evaluate if there are any underlying issues that may need to be addressed, such as hormonal imbalances or other fertility factors.

In summary, while it’s understandable to feel disheartened after following medical advice and not achieving the desired outcome, it’s crucial to remember that conception can take time. Testing too early can lead to false negatives, and the type of test used may also influence results. Maintaining open communication with your healthcare provider and considering emotional support can help you navigate this challenging journey. Remember, you are not alone in this experience, and many couples face similar challenges on their path to parenthood.

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