Conversation: The conversation between human and AI assistant.
[|Human|] I am trying to get pregnant and have started taking femara and oviderel to help. Last month I never had a period with flow, but I had spotting for 7 days and towards the end the spotting was bright red. Pregnancy test was negative, we started another cycle of femara and ovidrel . I am now on day 19 of my cycle with bad cramps and bright red bleeding . This seems to be the start of my period with how I feel and the normal flow except it is day 19. I feel like I am not going to be able to get pregnant if we don t figure out why I am having irregular periods. What should be looked at for figuing this out and what could be causing this?
[|AI|]  Hi, Thanks for the query. Better to undergo ultrasound once to rule out possibilities like poly cystic ovary disease or any other structural abnormalities. Hormonal evaluation should be done, including thyroid profile, prolactin levels, estrogen, progesterone, FSH, LH etc. With this primary workup the possible causes for your irregular periods can be made out and treatment can be given accordingly. Take care.