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Thursday, November 10, 2005

Short menstrual cycles

I have a pretty much regular menstrual cycle, to the point where I know the exact day to expect my period, which alternates between 23 and 26 day cycles. If I don’t begin to bleed one day after cd23, then I know to expect it a day after cd26. Is it possible to have a regular period like this and still not ovulate. I’ve read every where that a sign of not ovulating is irregular cycles. What is your opinion? I’ve not used any form of birth control since March 2005.

YG

Dear YG,

First, you must be sure that you are calculating your cycle length the correct way. The length of a cycle extends from the first day of one period to the first day of the next period. If you are really having 23 day cycles, I would be concerned about a condition known as luteal phase deficiency. That happens when the luteal phase (the time from ovulation to when you get your period) is shorter than the typical 14 days. If that's happening, it would be difficult to get pregnant, and you could be at high risk for miscarriages.

The best thing to do would be to make an appointment with a gynecologist for an evaluation to figure out if anything is wrong.

Sincerely,
Amy

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