PREGNANCY-BIRTH Messages for October, 2000: Re: Short luteal phase and prometrium

Re: Short luteal phase and prometrium

From: Amanda

anonymous@obgyn.net

Sat, 21 Oct 2000 12:03:01 -0500 (CDT)

What do you recommend for a woman who is not getting pregnant but has an LH surge and raise in temperature but a 10 day luteal phase?

At Tue, 8 Aug 2000, Harvey S. Marchbein, M.D. wrote: >
>At Tue, 8 Aug 2000, Jill wrote:
>>
>>Thanks you for responding.... just a few more questions...
>>
>>1. Do you consider a raise in temperature to be an indication that
>>ovulation has taken place? My temperature goes up 1-2 days following a
>>positive OPK test.
>
>This is presumptive but not a guarantee. See my previous response re:
>only guarantee of ovulation.
>
>>2. If I just had very light spotting on the 9th day and my temp
>>dropped, should I stop taking the prometrium, or should I wait until I
>>fully get my period?
>
>Wait. It may just have been implantation bleeding.
>
>Good luck.
>
>>At Tue, 8 Aug 2000, Lynn D. Montgomery, MD wrote:
>>>
>>>At Tue, 8 Aug 2000, Jill wrote:
>>>>
>>>>My doctor prescribed prometrium to try to lengthen my luteal phase
>>>>(usually 8-9 days). The prescription says to take it for 14 days.
>>>>However, I got my period today after only 10 high temperature days. Two
>>>>questions:
>>>>
>>>>1. Should I stop taking the prometrium until next month now that I have
>>>>gotten my period?
>>>
>>>**Yes, you should stop the prometrium until the next cycle.
>>>>
>>>>2. Does Prometrium usually take longer than a month to lengthen the
>>>>luteal phase?
>>>
>>>**IF, that is IF, you believe that progesterone alone will lengthen a
>>>luteal phase, then it should work quickly. As I have stated in the
>>>past, I do not believe in "luteal phase defects", along with several
>>>other prominent RE specialists around the world. To have an appropriate
>>>luteal phase, you simply have to have an ovulation. If you don't
>>>ovulate, you will have a short luteal phase. If you ovulate, you will
>>>have a normal luteal phase. It is that simple...
>>>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 ;-)
>>>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**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 emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
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