Our expert says:
Most probably what is meant by inactive uterus is in fact what we would term an infantile uterus. This simply indicates that the uterus is smaller than what one would have expected for someone of your age and may indicate a general lack of estrogen stimulation. The infantile uterus is often found in pre-pubertal girls and with puberty and high estrogen levels the uterus changes dimensions. In patients who are generally underweight or have a low body mass index the overall estrogen levels may be below the average and the uterus may not therefore enlarge. However, even within an infantile uterus a pregnancy is possible provided that there is a sufficient volume of healthy endometrium (lining of the womb). The fact that your periods are 40-42 days apart in the absence of the oral contraceptive implies that some form of ovulation dysfunction or hormonal imbalance and this needs to be addressed. If the condition of polycystic ovarian syndrome (PCOS) is excluded – this should be done by ultrasound scan and hormone tests, then possibility of delayed or absent ovulation should be investigated for. The problem can be easily rectified by ovulation induction drugs and this can be taken in a tablet form initially and if the response is sub-optimal one can try a combination of tablets and injections or simply a course of stimulus injections alone. This should be done under the supervision of a fertility specialist and follicle tracking or ovulation monitoring should be instituted simultaneously.
Answered by: Dr M.I. Cassim
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