REI: Clomid challenge tests

From: Holmes, Harnath LT (chp1hch@chp10.med.navy.mil)
Tue Mar 31 11:26:30 1998


New question for the REI folks. I perform a lot of CCCT here for unexplained infertility and for the IVF program I refer to. What are people currently using for their cutoff of normal. Initially I learned that a D3 fsh >18 was the end point, then it lowered to 12 or 14, I have heard as low as 8.5. I have also heard that if the D3 and D10 levels added together are greater than 10, this is an end point, or at least a very poor prognostic sign.

Case in point, 31yo G0 with primary infertility. Normal SA, ovulation, EMB, post coital test and HSG. 6 cycles of CC100/HCG/IUI no success. Day 3 FSH 9.18, Day 10 FSH 8.49.

P.S. Peds or FP do the circ's here and where I trained. I think I did about 6 rotating on PEDS 6 years ago.

Harnath Holmes, MD Naval Hospital Cherry Point





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