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Re: Is there any hope if luteal phase is 9-10 days?
From: abaxter (anonymous@obgyn.net)
Wed, 26 Apr 2000 16:46:37 -0500 (CDT)
THANK YOU--i am a pessimist i suppose, but i'll just blame it on my
hormones!!;) thanks again.
At Wed, 26 Apr 2000, Lynn D. Montgomery, MD wrote:
>
>At Wed, 26 Apr 2000, abaxter wrote:
>>
>>I posted several days ago about my concern about my luteal phase. I
>>miscarried a 9 week fetus recently after having lower progesterone early
>>in pg (11.5, 12.7, then 7.3 at various measurements). Based on my past
>>few cycles prior to the pregnancy, AND the cycle I just started (after
>>my recent m/c), I believe my luteal phase may be only 10 days.
>>
>>I've only had 1 pg (miscarriage), but now I've read enough to feel very
>>dismal about my future pregancies. Sounds like there isn't much that
>>can be done to correct this. Is it realistic to expect that carrying a
>>pregnancy will probably be a struggle for me?
>>
>>I thought having children would be natural and easy for a 26 year old.
>>Maybe not!!
>
>Come on, let's have a little optimism here. Enough with those negative
>vibes...
>First, 25% of pregnancies end in miscarriage. Second, having had one
>miscarriage does not predispose you AT ALL to having another. Third,
>the fact that you achieved pregnancy bodes against luteal phase defect.
>There is a heated debate regarding whether or not some women will
>benefit from supplemental progesterone through 10 weeks of the
>pregnancy, however, the data is not conclusive by any means. The fact
>that you had "low" progesterone levels with the past pregnancy would be
>related to a "not good" gestation from the start more likely than
>anything else. Finally, whether you have a short luteal phase is
>difficult to determine. To do this, you need to know precisely when you
>ovulate and this precision does not include your feeling of ovulation,
>ovulation predictor kits or BBT charts. It can truly only be determined
>by ultrasound assessment. But again, this is academic because you
>achieved a pregnancy.
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
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