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Re: anovulationFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Sun Mar 22 12:09:02 1998
In message <35154e4c14f2002@mhub2.tc.umn.edu>, "Robert J. Woolley" <wooll005@tc.umn.edu> writes > >1) Assume that 4 more months go by like this, without pregnancy, so that we're >talking about real infertility. Assume further that semen analysis is normal. >(Hasn't been done yet.) Would this be enough to diagnose anovulation as the >cause, or would you proceed with other investigations such as >hysterosalpingogram? Bob, Unless I've missed something, you haven't proven lack of ovulation - need progesterone, U/S follicle tracking, temp chart, endo Bx, etc.
Given above and if she is anovulatory, can't see any point in waiting 4
mo before taking thisngs further. A purist might argue for assessment of
tubal function prior to ovulation induction agents, but in practice I'd
try clomiphene first.
> You say generally health so I presume no weight problem - so I don't know - could it be idiopathic? :-) Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
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