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nurse informed me it could be a "delayed pregnancy"

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What causes "delayed pregnancy"? Here's my story in a quick form-
02/07 first day of LMP
02/25 pos OPK (cd 19)
03/26 ultrasound measured gest. sac at 4 weeks 6 days
04/06 ultrasound measured gest. sac at 5 weeks 4 days (no fetal pole, etc, also.. a different lady did this ultrasound this time)
04/11 ultrasound measured gest. sac at 5 weeks 2 days :( BUT there was a tiny blip of somthing inside the sac. My dr's nurse informed me it could be a "delayed pregnancy" and that since I ovulated late in my cycle, that it could be just taking its time. Is this true or should I give up hope?
*Note-I have PCOS and I took a round of clomid during this cycle as well.


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replied April 13th, 2012
Infertility Answer A33858
Hi,
Welcome to ehealthforum,
The pregnancy occurs (conception) when you ovulate. The egg is alive to be fertilized for about 24-48 hours after ovulation, after which it disintegrates. If the ovulation has been late, conception occurring will be late. Ovulation usually occurs within 4-7 days of taking last Clomid dose. If pregnancy has been confirmed, you should go ahead with getting serial HCG levels estimated. Doubling up of the hormone levels in 48-72 hours will show that pregnancy is going on smoothly. If levels are not adequate, then external hormonal supplements would be considered to be started to help you in preventing miscarriage/threatened abortion. A transvaginal scan done after 6-8 weeks of gestation will also help to confirm fetal heartbeat, gestational age of fetus/baby along with fetal viability (early scans can fail to detect fetal pole/heartbeat). Visit your doctor/gynecologist for further evaluation and assistance. You can consider getting the scan repeated after 1-2 weeks. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet.
Take care.


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