PREGNANCY-BIRTH Messages for April, 2000: Re: Clomid & progesterone use

Re: Clomid & progesterone use

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Tue, 18 Apr 2000 23:59:50 -0500 (CDT)

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Previous message: AMGG: "Clomid & progesterone use"
In reply to: AMGG: "Clomid & progesterone use"

At Tue, 18 Apr 2000, AMGG wrote: >
>Ever since I've been on Clomid (50 mg for 4 months), my luteal phases
>have been short--10-11 days. My cycles and luteal phases before Clomid
>were very long.
>
>The nurse is going to give me progesterone injections to help with this.
>But the first month I was on Clomid, the progesterone levels in my blood
>turned out fine, indicating good ovulation. So why do I now need to
>take extra progesterone?

Although Clomid usually improves progesterone levels, the improvement may not be enough in all women. Also, have you had a progesterone level and endometrial biopsy to confirm luteal phase defect? Are you seeing a reproductive endocrinologist? >
>Also, since on Clomid I've had a couple days of scant spotting before a
>"true" menstrual flow. Do I count day 1 as the first day I see any kind
>of spotting?

If hte spotting is scant, count the first day of real flow as the first day of your period.

Another consideration -- have you had a postcoital test since being on hte Clomid? Clomid is great at inducing ovulation and improving progesterone levels, but it can adversely affect cervical mucus, which can impair the sperm's ability to get to the egg. Sometimes intrauterine inseminations are done to bypass this problem. I'm also assuming your partner has a normal sperm analysis -- if he has not has sperm analysis that should be done before you go thru any more clomid cycles. And are your tubes open? >
>As always, thank you.

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe a doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.

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