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Re: spotting in luteal phase

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 30 Dec 2000 22:44:15 -0600 (CST)


If you're ovulating on Clomid, why do the biopsy now? If your serum progesterone is normal, you don't need extra. As far as the staining, if you're ovulating, you're OK.

Hope this helps and write back anytime for more information.

HSM

At Sat, 30 Dec 2000, Julia wrote: >
>I only have my period about 4 times per year on my own, since I stopped
>taking the pill 15 months ago. (Before bcp I was irregular too.)About
>1/2 the time (and the one month I took Clomid) I had spotting anywhere
>from a week after ovulation to the start of menstruation, to the entire
>luteal phase (14 days for me). This month, for the first time, I had 2
>days of very light flow of red blood (usually it's not red), then about
>13 days of brown stringy spotting (very small quantity). All hormone
>tests have come back normal and I did ovulate with 50 mg Clomid.
>
>I travel almost constantly for work. We'd like to become pregnant very
>soon and I am wondering if progesterone suppositories will be necessary
>or if that is not needed for someone w/ high enough prog levels after
>ovulation. Should other tests be done to rule out another problem?
>Scheduling an endometrial biopsy is difficult since I have irregular
>cycles. I am 28.
>
>I read several postings that made this spotting sound like more of an
>annoyance than something that would prevent pregnancy. I also get the
>impression I am not alone with this situation. Does anyone really know
>the cause of this spotting or is just the complex workings of a very
>sensitive balance of hormones?
>
>Any information you can offer will be greatly appreciated.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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