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Re: Progesterone and HSG ?

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From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 3 May 1998 15:09:56 -0500 (CDT)


At Sat, 2 May 1998, Amy wrote: >
>I posted last month that my progesterone was 9.8. I've had some
>spotting about 7 days past ovulation (26 day cycle) for the last two
>months. Talked to my OB about this and he said could be LPD or Endo. My
>prog this month was 5.4. Lower than last mth. He wants to put me on
>Clomid this next cycle and also do an HSG to check my tubes.
>
>My questions:
>*Are these the correct steps toward the routine IF workup?
>
>* Could I be put on Progesterone instead of Clomid (I'm concerned about
>taking this drug)?

Clomid is great at increasing progesterone and treating LPD, but it can srew up cervical mucus. If you are ovulating as evidenced by BBTs and OPKs, then I think progesterone supplementation from ovualtion on is the better route. >
>* And, is there anything at all I should ask my OB about the HSG? For
>example, are there different ways to do the HSG, and which is the least
>invasive? I'm very concerned about having this done, I heard it can be
>extremely painful.( I had LEEP done a few month ago).

HSG involves attaching a device to your cervix, injecting dye into the uterine cavity and tubes, then taking x-rays to see if the tubes are open and if the uterine cavity is normal. It can be pretty crampy, but taking a motrin or 2 about an hour before the procedure usually helps tremendously.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination. Sorry, but private e-mails will not be answered.




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