Can Lh Surge More Than Once

Bob Roberts
• Wednesday, 13 January, 2021
• 8 min read

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If pregnancy doesn’t occur, the corpus luteum shrivels up, stopping the secretion of progesterone, and triggering the start of a menstrual period. Your LH surge is important because it initiates the beginning of ovulation and your fertile period.

For many women, it’s easy to detect their LH surge using ovulation predictor kits (Oaks). These kits are similar to pregnancy tests because they measure hormone levels in your urine.

Each kit is a little different in how they register a positive result, so make sure to check the instructions. A positive result indicates the presence of a high amount of LH, or your LH surge.

The amount of LH in your body will begin to decrease after ovulation, so you’ll only get a positive result during that crucial fertile period. So knowing how long your cycle is (from one period to the next) will help you figure out when to start testing.

This is to make sure that you catch the positive result, in case you have a shorter cycle that month. Women with the condition polycystic ovary syndrome (PCs) might not be able to use these tests.

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Some women with PCs have persistently elevated levels of LH, which would lead to an OPK always displaying a positive result, regardless of where you are in your cycle. Women approaching menopause may also have persistently elevated LH levels.

If you start testing too late into your cycle, you may miss the LH surge and won’t get a positive result that month. If you have trouble using an OPK, you can ask your doctor to run some blood tests to help you pinpoint your ovulation.

Usually, a gynecologist or reproductive endocrinologist (infertility specialist) can help you interpret the blood testing results. If you’ve been using these kits and haven’t become pregnant after six months (if you’re over 35) to a year (if you’re under 35), make an appointment with your doctor.

Anonymous patient There are three things necessary to get pregnant: an egg from the female (the product of ovulation), sperm from the male (the product of ejaculation), and an open passage from the uterus to the tubes for the two to meet. If the patient has been trying for at least six months (preferably 12) and there is no pregnancy, or if there appears to be an obvious problem with one or more of the three factors mentioned above, then she should see a fertility specialist.

Dr. Michael Weber Answers represent the opinions of our medical experts. When you first started thinking about having a baby, the phrase LH surge probably didn’t cross your mind.

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But if you’re trying to get pregnant, you’ve probably developed a sudden new interest in monitoring the level of luteinizing hormone (LH) in your urine. LH is a hormone produced by your pituitary gland that triggers ovulation.

But once the egg in your ovaries reaches a certain stage of development, LH levels increase rapidly. Since levels of LH spike about 24 hours before ovulation, tracking your LHsurgecan help you determine when your chances for pregnancy are highest.

If you wait for your LH surge to start having sex, you could be missing out on some of the best days of your cycle to conceive. These tests read a positive result when the level of LH in your urine is above a certain threshold.

If you start taking LH tests several days before you expect to ovulate, the idea is that you will “catch” your surge with enough time to have sex during your peak level of fertility. A 2018 paper called into question the practice of using LH tests to predict peak fertility.

The paper argued that the duration of the LH surge varies substantially both within and between women. This means that a single positive LH test doesn’t tell you that you are going to ovulate in 24 hours.

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If you’re one of these women, a positive ovulation test doesn’t necessarily mean that you are fertile at all. A study in the journal Fertility and Sterility looked at how long the LH surge lasts in normally ovulating women.

The image below represents what different LH patterns would look like on daily LH tests from cycle day 11 through cycle day 21 according to the results of the study: Estrogen levels begin to rise roughly 5 days before ovulation.

Rising estrogen levels cause your vaginal discharge (also known as cervical mucus) to increase and become more slippery. This means that you should notice increased fertile vaginal discharge around the time of the LH surge.

PCs: This (and other hormonal conditions) can cause elevated LH levels throughout the menstrual cycle Humanized unruptured follicle (LUF): even though hormone levels leading up to ovulation are normal, the follicle doesn’t rupture, so the egg is never released. In normal menstrual cycles, the ruptured follicle becomes a corpus luteum, which releases progesterone and stimulates the lining of the uterus to build up.

But it is known that long term use of anti-inflammatory drugs can prevent the follicle from bursting, sometimes leading to LUF. If you’re taking anti-inflammatory drugs for chronic conditions like autoimmune diseases, arthritis, or endometriosis you may want to talk to your doctor about possible impacts on your fertility.

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Some of them lead to multiple positive ovulation test results for more than one day. We are all different and this gradual onset is NORMAL, in fact over half (57.1%) of studied women have it.

This is why Mira Fertility Tracker is better than over the counter ovulation tracking kits. Mira allows you to see your curve and recognize the highest peak based on the quantitative LH level.

If you see a similar pattern, continue to test until LH level becomes lower. There are many lifestyle reasons that influence us over time that may cause multiple peaks, such as stress, illness, or hormonal changes.

Additionally, having two LH surges can be correlated with multiple follicular simulations. Researchers from the University of Saskatchewan did an ultrasound study on 63 women with normal menstrual cycles.

Dr Roger Pierson says, 40% of the study participants had the biological potential to produce more than one egg. This information along with the research published in the Fertility and Sterility journal can explain why avoiding pregnancy by using the “rhythm” method to track the timing of ovulation is so unreliable.

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Little things like uploading a profile picture make the community a better place. Trying to Get Pregnant A couple folks were helpful in suggesting that just because my temp hasn't spiked yet doesn't mean it won't.

Or I guess I should say that just because I don't think I've O'd yet doesn't mean I still won't. But I took an OPK test again today, and it was faint, so I'm def calling it neg.

I'm thinking that means I'm on the end of my surge. I guess I could still show a shift tomorrow, but I expected it today or yesterday since the POS OPK was a few days ago now.

I also decided to take a more proactive approach by charting my rising temperatures each morning and taking an ovulation predictor test daily. But my hubby and I were delighted that I was having an LH surge at all, and we assumed this meant that I was ovulating soon, so we took full advantage of this “fertile” time window.

Like expected, on days 11, 12 and 13 the OPK results were negative. But then today, day 14, I received another positive OPK result.

After a little research I found that this is common for women with PCs, which I have. Ok, so I guess I'm answering my own question here, but I just found something interesting online... though I can 't vouch for its validity.

A Canadian study concludes that many women ovulate morethanonce per menstrual cycle. 10% of the women studied released two eggs in the same month.

A growth wave of 15 to 20 egg-carrying cells called follicles occurs before ovulation. In some cases, follicle development didn't reach the point where the egg would normally be mature enough to release.

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