Struggling with Irregular Periods While Trying to Conceive

I want to get pregnant, but my menstrual cycle is irregular?

Hello doctor, I am 24 years old and just got married.
I want to have a baby.
My husband and I have sexual intercourse three times a week, but every time I take a pregnancy test after 15 days, it only shows one line (which is disappointing).
Later, I learned online that irregular menstruation can also lead to infertility.
My menstrual cycle comes only once every six months, sometimes not for three months.
However, after having intercourse with my husband last week, I felt nauseous yesterday but couldn't vomit, and sometimes I experience dull abdominal pain.
I thought I might be pregnant, so I bought a pregnancy test yesterday, but it still showed one line.
Today, I also feel nauseous again but can't vomit.
Could you please advise me on what this situation might be?

Xiao Lin, 20~29 year old female. Ask Date: 2015/11/06

Dr. Lin Manying reply Obstetrics and Gynecology

Hello, regarding your desire to conceive, it is important to consider your menstrual cycle and factors such as the fertile window.
You may consult a gynecologist on how to calculate your most fertile days.
Typically, there won't be immediate signs of pregnancy the day after intercourse.
It is advisable to follow the recommendations of your gynecologist to increase your chances of conception.
Thank you.

Reply Date: 2015/11/06

More Info

It sounds like you are experiencing a challenging situation with irregular periods and the desire to conceive. Irregular menstrual cycles can indeed impact fertility, and it’s important to understand the underlying causes and potential solutions.
Firstly, irregular periods can be caused by a variety of factors, including hormonal imbalances, stress, significant weight changes, polycystic ovary syndrome (PCOS), thyroid issues, and other medical conditions. Since you mentioned that your menstrual cycle can be as infrequent as once every few months, it would be beneficial to consult with a healthcare provider who specializes in reproductive health. They can perform a thorough evaluation, which may include blood tests to check hormone levels, an ultrasound to examine your ovaries and uterus, and possibly other diagnostic tests to rule out conditions like PCOS or thyroid dysfunction.

Regarding your symptoms of nausea and abdominal discomfort, these can be early signs of pregnancy, but they can also be related to other factors such as hormonal fluctuations or gastrointestinal issues. The fact that you have taken pregnancy tests and received negative results indicates that you may not be pregnant at this time. However, it’s important to note that if you are testing too early, it might not detect a pregnancy. Typically, it is recommended to wait until at least the first day of your missed period for the most accurate results.

If you are experiencing persistent nausea and abdominal pain, it would be wise to discuss these symptoms with your doctor. They can help determine if there is an underlying issue that needs to be addressed.
In terms of trying to conceive, it may be helpful to track your menstrual cycle and any symptoms you experience. This information can be valuable for your healthcare provider in understanding your cycle and any potential fertility issues. Additionally, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and managing stress, can positively impact your reproductive health.

If you are diagnosed with a condition like PCOS or another hormonal imbalance, your doctor may recommend treatments that can help regulate your menstrual cycle and improve your chances of conceiving. This could include lifestyle changes, medications to induce ovulation, or other fertility treatments depending on your specific situation.

Lastly, it’s important to be patient and kind to yourself during this process. Trying to conceive can be emotionally taxing, especially when faced with irregular cycles and uncertainty. Support from your partner, family, or a counselor can be beneficial as you navigate this journey.

In summary, I recommend scheduling an appointment with a healthcare provider to discuss your irregular periods, symptoms, and desire to conceive. They can provide personalized guidance and support to help you understand your situation better and explore your options for achieving your goal of starting a family.

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