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Re: GYN/INFERTILITY: CrinoneFrom: RCSH (RCSH@aol.com)Mon Mar 30 22:39:55 1998
Yes we do use Crinone in our practice, but find the response variable. In our experience this seems to be similar to suppositories. Some appear to have apropriately high levels, others have low (as your patient does). The bottom line is that the serum prog. level be monitored, and if no sufficiently high (at least 15 and stable) we try increasing the dose of crinone, then go to IM prog. in oil (usually start with 50 mg IM qd) Rafael Haciski, MD FACOG Gynecology & Infertility Assoc. Baltimore MD http://www.ivf-md.com ••••••••••• In a message dated 03-30-98 16:50:48, you wrote:
<<I have an infertiltiy patient, day 15 s/p IUI (pergonal cycle) with
appropriately rising HCG levels (77 day 13 s/p IUI and 155 today). She
is using Crinone 8% (90 mg) HS since insemination -- progesterone level
2 days ago was 8.1. While I realize that Crinone provides good
endometrial levels without high serum levels, I would like your
experience with Crinone (this is the first patient I've had on it). She
has had 2 SABs in the past, knows about progesterone levels and is
worried, despite my explanation of how Crinone works. From the
convenience standpoint, she likes it and money is not an issue.
>>
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