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Re: anovulationFrom: J. Hellriegel (jhellrie@pce.net)Sun Mar 22 16:30:42 1998
At Sun, 22 Mar 98, Robert J. Woolley wrote: > >In message <borspyAOwVF1EwUw@mgriff22.demon.co.uk> writes: >> >> Unless I've missed something, you haven't proven lack of ovulation - >> need progesterone, U/S follicle tracking, temp chart, endo Bx, etc. > >Progesterone level is drawn but not back from the lab yet. As for the others, >I'm certainly willing, but that's exactly one of my questions: is there really >any point? That is, isn't anovulation so overwhelmingly likely here that other >confirmations are unnecessary? -- I believe that you said that this patient has uterine bleeding every 13 to 17 days. Since the normal luteal phase is about 14 days, I would consider this to be most abnormal and most likely reflecting DUB - anovulatory bleeding. I agree with the workup suggested by others.-- > >> > >> >2) When the patient asks "*Why* do I not ovulate?", what would be your >> >explanation? What is the physiological defect repsonsible? >> You say generally health so I presume no weight problem - so I don't >> know - could it be idiopathic? :-) > >One of my favorite words. Another being "agnogenic." > >-- >--------------------------------------------------------------------------- > >--------------------------------------------------------------------------- >Bob Woolley >--------------------------------------------------------------------------- >St. Paul, Minnesota > >"WITHOUT CENSORSHIP, THINGS CAN GET TERRIBLY CONFUSED IN THE PUBLIC MIND." > -General William Westmoreland, during the war in Viet Nam >
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