PCOS-MEDICATION Messages for November, 2001: Re: ? regarding possible LPD

Re: ? regarding possible LPD

From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Thu, 9 Nov 2000 20:13:30 -0800

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Maybe in reply to: ashly: "? regarding possible LPD"

Hi Ashly

A luteal phase 11 days long is called short luteal phase and would preclude pregnancy in most cases as the fertilized egg nestles in the endometrium 7 d pov and is not firmly enough attached to the uterine linijng by d 11 pov, so it is "washed out" by the menstrual flow. The usual thing is to take natural progesterone, but in my practice I hace achieved much better result with prescribing tamoxiphen for days 5-9 or 3-7 of the cycle. This supports ovarian function (may even cause multiple ovulations like clomid) and helps to sustain the endometrium severaol days longer. For your info

Sam (Ob/Gyn,RE)

> As a little background, I'm 27 years old and mildly obese. I was
> recently dx with PCOS. Was put on Met 1500mg/day about 2 1/2 months
> ago. Each month I have ovulated, (my BBT charts are text-book), but my
> luteal phase is only 11 days. (I start spotting on 11 dpo and 1st day
> of actual flow immediately follows). My questions are:
> 1) Is an 11 day luteal phase long enough to sustain a pregnancy,
> considering I start spotting on day 11? If not, would natural
> progesterone cream help that?
> 2) If I'm responding well to Met and ovulating each month, how long
> would I be able to stay on Met alone before having to introduce Clomid
> or other meds? (I'd prefer not to use Clomid if possible).
> thanks so much for any answers or opinions you might offer.
> sincerely,
> ashly
>

Next message: =?iso-8859-2?q?Zalányi Sámuel ?=: "Re: Heavy periods with Glucophage"
Previous message: Sonnet: "Re: Metabolife type drugs effect PCOS? (new here!)"
Maybe in reply to: ashly: "? regarding possible LPD"

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