Yes, it is definitely the perfect time to take a home pregnancy test! At day 31 of your cycle, about 17 days after your ultrasound showed a ready egg, a test should give you an accurate result. The white discharge you are experiencing is very common and can be a normal sign of early pregnancy or simply due to the hormonal changes from the metformin and Duphaston (dydrogesterone) you have been taking. Duphaston supports the uterine lining, which can sometimes lengthen your cycle. Try to use your first morning urine for the most reliable test result.

Persistent abdominal bloating may be caused by digestive issues such as irritable bowel syndrome, food intolerances, or slow digestion. Maintaining a high-fibre diet, staying well-hydrated, and avoiding foods that cause excess gas, such as sugary drinks and fast food, may help. Over-the-counter medications, such as antiflatulents (e.g., simethicone or dimethicone) or antacids (e.g., aluminium hydroxide and magnesium hydroxide), may relieve symptoms. If the bloating persists, consult a doctor for further evaluation and treatment.

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To help understand these occurrences and your irregular periods, especially after a D&C, a thorough evaluation is key. We typically recommend checking for uterine issues (like scar tissue) using an ultrasound, testing for hormone imbalances, and screening for clotting or genetic factors. Duphaston (dydrogesterone) is prescribed to help regulate your cycles and support your uterine lining. Please work closely with a reproductive specialist who can guide you through these tests and create a personalized plan to support your future health and pregnancy goals.

It is quite common to experience changes in your bleeding pattern after completing a course of dydrogesterone (Duphaston). When you stop this hormone, your body undergoes a withdrawal process, and your natural cycle is trying to re-establish itself. Bleeding or spotting two weeks later can happen as your body adjusts, especially since you were treating irregular periods. However, to ensure everything is settling back to normal and to rule out any other causes, I highly recommend checking in with your gynecologist.

After a miscarriage and D&C procedure, it may take some time for the body and menstrual cycle to return to normal, so not becoming pregnant again within 4 months does not always mean there is a serious problem. In many women, conception can naturally take several months even after a healthy recovery. Possible reasons for difficulty conceiving may include irregular ovulation, hormonal imbalance, stress, thyroid problems, anaemia, polycystic ovary syndrome (PCOS), low egg quality, infection, or, rarely, scar tissue inside the uterus after a D&C. It is also important to evaluate the male partner if pregnancy is delayed. You should maintain a healthy diet, adequate sleep, regular exercise, and avoid smoking or alcohol if applicable. Tracking ovulation and having regular intercourse during the fertile period may improve chances of conception. Your gynaecologist may advise tests such as thyroid profile, hormone tests, an ultrasound scan, an ovulation assessment, blood sugar tests, and sometimes a test to check whether the fallopian tubes are open. In certain cases, further evaluation of the uterus may be needed to rule out adhesions or scarring after the procedure. Most women are able to conceive successfully after a miscarriage and D&C with proper follow-up and treatment if needed, so try not to lose hope and continue regular consultation with your doctor.