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Re: Ovulation question/1 more question Dr. M.

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 7 Mar 2001 10:33:24 -0600 (CST)

At Wed, 7 Mar 2001, Jodi wrote: >
>At Tue, 6 Mar 2001, William McIntosh, MD wrote:
>>
>>At Tue, 6 Mar 2001, Jodi wrote:
>>>
>>>Quick background: I had a tubal reversal 11/00. The out of state Dr.
>>>that performed the surgery told me that I was not ovulating. I tried
>>>100 mg of Clomid, nothing. Then 150 mg. On the 150 I noticed decent CM
>>>for the first time in the 4 months that I had been charting. I felt
>>>pain in my ovaries and felt pretty confident that I was ovulating. On
>>>day 22 I went to my 1st appt. with my new OB/GYN. She looked at my
>>>chart, which showed a temp rise but not real significant and told me
>>>that I was not ovulating and she did not see any need to do any tests
>>>that day. She gave me proverra and told me to come back for cycle day 3
>>>blood tests and an HSG on day 7-12 and referred me to an RE.
>>>
>>>My question (finally) is wasn’t it premature to ascertain that I had not
>>>and would not ovulate this cycle? I think I may be producing an egg but
>>>not releasing it. Wouldn’t that cause my symptoms as I think the
>>>release of the egg causes the release of the Progesterone, which causes
>>>the subsequent temp rise?
>>>
>>>Any and all opinions would be appreciated.
>>>Jodi
>>
>>I suspect that she simply concluded that you are too far along in this
>>cycle to influence it, or even diagnose from it, so she is directing her
>>attention to the next time that she CAN help you, your next cycle.
>>Chronic anovulation is indeed a likely problem for you. In any event,
>>the die is cast for this cycle, and the only thing that can be done is
>>to allow nature to run her course.
>>
>>--
>>William D. McIntosh, MD, FACOG
>>
>But could I still have ovulated between the appt. on Friday and today?
>How long should I wait before taking the Proverra?

I can understand your fear of interupting a good cycle, but there is nothing in your history to suggest that this is a good cycle. I would prescribe the Provera for day 30-35 assuming no menses and a negative HPT. 

--
William D. McIntosh, MD, FACOG


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