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Re: MENORRHAGIA: Progesterone deficiency?
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 28 Aug 2007 21:26:10 -0500 (CDT)
Liz
Yes, I think you have LPD. Your luteal phase is way to short. Call doc
and ask for some prometrium. It is more reliable dose and better
studied for LPD. The dose I give is usually 100 mg 3 x a day starting 3
days post ovulatory. Hope this helps...Dr. von Almen
At Tue, 28 Aug 2007, Liz wrote:
>
>Hi--
>I've been charting my periods for 5 months post birth control pills.
>Usually, my periods are quite light-- 1 day spotting, 2 days blood. I
>appear to be ovulating, with a temperature rise, and have a 11 or 12 day
>luteal cycle. This month, I must have ovulated early; my temps were all
>over the place, although with some biphasic pattern, and my period came
>early. Or else I had a very short luteal phase; it's hard to tell from
>the temps. I had been on a week long camping trip, so that might have
>caused the hormone fluctuations or the temp. difficulties. This was
>also the first month of trying to conceive; late in my cycle, I had
>unfamiliar cramping and a persistent headache. Two days later, my
>temperature dropped and another day later, I began spotting. I spotted
>very dark brown for 3 days, before lightly bleeding for <18 hours, then
>another day of very dark brown spotting. Could I have a luteal phase
>deficiency (the Wechsler book mentions dark brown spotting for several
>days before the period as a possible sign) or perhaps this was a
>one-time problem (although the consistent under-14 day lp worries me).
>If so, should I try an OTC progesterone cream, since I do ovulate and
>have a near-normal luteal phase? My doctor is booked, I'm heading to a
>conference in another town, and I should ovulate next week, so I'm eager
>to resolve the issue if at all possible. Thank you for any help.
--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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