Re: Clomid, luteal phase defect and progesterone ????

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Most correct answer - probably.

>My doctor prescribed
>100 mg of prometrium twice a day to lenthen my luteal phase, but my
>luteal phase has only lengthened to about 10-11 days after taking
>prometrium for 2 months. I have been unsuccessfully ttc for 6 months.
>I'd appreciate any advice.

Recent literature has cast aspersions on the short luteal phase concept. Although many of us still use progesterone, the literature indicates it may not be doing the good we all think we see. If this is a persistant problem, a consult with an infertility specialist may be in order.

HSM

>Thanks.
>t Sat, 16 Sep 2000, Kelly Shanahan, MD wrote:
>>
>>At Fri, 15 Sep 2000, Judy wrote:
>>>
>>>Hi!
>>>
>>>My recent cycles I have had less than 10 days between ovulation and my
>>>period. I have been ttc #2 for awhile so last month my dr prescribed
>>>clomid... for although I am ovulating. He stated that it would help
>>>with my luteal phase and possible give me the boost to conceive.
>>>Well, I took 50 mg days 5-9 ... and ovulated according to my chart on
>>>day 15.. and then my period came on day 24! Don't know what is up with
>>>that!
>>>So went and saw my dr.. he checked for cysts and nothing. thankfully.
>>>He upped my dosage to 100mg days 5-9 and I asked to get my progesterone
>>>checked. He said that would be fine.. come in on day 20 of my cycle.
>>>
>>>Does anyone know anything in regards to clomid and luteal phase defect?
>>>What level should your progesterone be at to show that you have
>>>ovulated? Does it raise if you are pregnant? Thanks for any information
>>>you can give.
>>>
>>>--
>>>Judy Kelley
>>>mom to Cara 1-12-98
>>>ttc#2
>>>
>>Personally, I feel if you are ovulating you don;t use clomid -- if you
>>have a luteal phase defect then give progesterone supplements! Yes,
>>Clomid can raise progesterone, but why go thru the back door when you
>>can just take what you need in hte form of progesterone (and you should
>>be tested to document a luteal phase defect -- if not by hte gold
>>standard endometrial biopsy, then by a progesterone level drawn a week
>>after ovulation (and I use ovulation predictor kits to document
>>ovulation).
>>
>>--
>>M. Kelly Shanahan, MD, FACOG
>>South Lake Tahoe, CA
>>
>>This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.
>>
>>***private e-mails will be deleted without reading. Please respect my family time
>>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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