Re: anovulatory cycles

From: Judith Cerdà Belmonte (judce@tinet.org)
Tue Nov 9 15:10:30 2004


I would make -hormonal tests (testosterone, LH, etc) -insulin resistant test -and a following up with ultrasounds for one cycle.

The u/s will tell you if she is ovulating and check how healthy are her ovaries (any cysts?). The hormonal tests will be able to detect disorders such as the policystic ovarian syndrome (PCOS). Moreover, many Americans have diabetes type II which does not allow you sometimes to ovulate. Take care about the testosterone results: if she is exercicing very hard (more than 1 hour per day), tell her to do relax little.

Maybe in the future she should take CC (Clomiphene Citrate) to enhance ovulation is she is TTC. But you need some tests and u/s results before you take any decission.

I hope this helps.

Judith C Belmonte, PhD

Jennifer Grossman, D.O. va dir: > how common is it for women in their 30's to have anovulatory cycles? i
> have a patient who has been taking basal temps, and using a fertility
> monitor for months...it appears that the temps follow a pattern up to a
> point, dropping down at the time of supposed ovulation - but then the LH
> sticks read negative.
> menses still occur, although somewhat irregularly.
> how influential can exercise be at this time in life? does it have to be
> daily, heavy exercise to cause anovulation? what can i tell her about
> what to expect in future months?
>





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