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About Edward Joseph Ramirez, MD, FACOG
Expertise I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.
Experience I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 15 years.
Organizations American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society
Publications American Journal of Obstetrics and Gynecology
Education/Credentials Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco
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You are here: Experts > Health/Fitness > Women's Health > Infertility/Fertility > Pregnant?
Expert: Edward Joseph Ramirez, MD, FACOG - 11/6/2009
Question I have been searching all over the net to find out if it is possible to conceive about 6 weeks after last period. I tested positively with a HPT 8 days ago, I had a quant. HCG test today, and was at 1250. Last week the line in the positive test was very faint, tested again today, it was dark, so I'm assuming that the level is up from last week. My last period was Aug 21, so that is well over two months ago, there was no visible fetus when I had an ultrasound, and it is possible that i conceived 3-4 weeks ago, if ovulation can occur with an absent period. My breasts have also been leaking, for about 5 weeks, I breastfed but weaned over a yr ago, so I was wondering if maybe there was an increase in prolactin which caused my period to be delayed?
Answer Hello Christina from the U.S.,
I'm a little confused by your question, but hopefully I'll get it right.
You certainly can ovulate more than 14 days from the first day of the last period. The only part of the cycle that is exact is from the day of ovulation to the day of the period. That is why we recommend counting backwards from the day of ovulation in order to determine when you are ovulating, if you want to use the calendar method. You can then count forward subsequently once you have that information.
Based on your bHCG level, it seems that you became pregnant recently. Certainly, the breast feeding can interfere with your natural onset of a period, but you did ovulate somewhere in that time.
I hope that answers your questions,
Sincerely,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on facebook and twitter with me at @montereybayivf
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