How to calculate the ovulation day when menstrual cycle is irregular?

Patient's question:

On February 11th, I had my period. Later, because I was dissatisfied with taking Esmya, I stopped using it. After that, on February 1st, I experienced irregular spotting for five days again. Now, I have lower back pain every day. What could be the reason? How should the ovulation day be estimated? Would I get pregnant if I had sex during this period?

Doctor's answer:

If you have irregular vaginal bleeding every day, your lower back pain might be caused by a contagious condition due to prolonged skin breakdown. In this case, it is recommended that you visit a hospital and have a doctor perform a detailed ultrasound examination. Additionally, during vaginal bleeding, you should not have sexual intercourse, regardless of whether it is ovulation. Gynecological diseases are a type of gynecological condition that is prone to occur. During treatment, women need to pay attention to their own care, especially in terms of hygiene. It is advised that patients pay close attention to maintaining external genital cleanliness and changing underwear frequently.

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