Patient's question:
Doctor: Hello! I am 30 years old, and my menstrual cycle has always been very regular, with a 28-day cycle. Starting this September, I decided to have a baby and stopped using contraception (condoms), but since then, my periods have become irregular. In October, my period was delayed by 14 days, in November it came 4 days early, and in December it was delayed by 7 days. I have also not been pregnant at all... Is this normal for me? Could it be that sperm and egg combine but something goes wrong afterward? Or does semen have a negative effect on my body? Should I see a doctor?First follow-up question: I went for a gynecological ultrasound today, and the results are as follows: anteverted uterus, thick uterine body.
Doctor's answer:
Hello! Irregular menstruation is not related to the removal of contraception. The endometrium is not too thin. The hypoechoic area in the ovary cannot be definitively determined as an ovarian cyst. It could be a luteinized follicle or the dominant follicle of this month. Multiple uterine fibroids have a certain impact on pregnancy, but only when the fibroids protrude and grow towards the uterine cavity do they affect pregnancy. The type you have, which protrudes outward, has little impact on pregnancy. You will need an ultrasound to monitor the changes in the ovary, to see if the liquid in the ovary changes. If it continues to grow and is larger than 3.0 cm, it indicates an overly mature follicle. If it disappears in a few more days, it means it is a mature follicle. If there is no change, it is a luteinized follicle from three menstrual cycles. Starting from the fifth day of the next menstrual period and taking Dian 35 or for 2-3 months generally helps it disappear. Menstruation will also become regular.