PREGNANCY-BIRTH Messages for May, 2001: Re: Clomid for low progesterone

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Re: Clomid for low progesterone

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 23 May 2001 22:56:28 -0500 (CDT)

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In reply to: KMackin: "Clomid for low progesterone"

At Wed, 23 May 2001, KMackin wrote: >
>Hello,
>
>Back in January I suffered a miscarriage at 9 weeks(my first pregnancy).
>The cause was undetermined (all tests looked ok) but my progesterone
>levels since then have been low (last test showed 2.7 at 8DPO - others
>have been higher but not much). However my bbt chart is biphasic,
>showing a definite rise in temp - also, a opk showed an lh surge so my
>doc is pretty sure I'm ovulating. But, my period has been starting a
>few days early (normally a 29 day cycle) not counting 3 or more days of
>spotting first. My doc's recommendation is to try clomid to stimulate
>progesterone. My question is whether clomid is the best option for
>someone who is already ovulating -- and should I have progesterone
>supplemenation as well?
>
>Also, I was diagnosed with ureaplasma -- first round of meds did not
>kill it -- just finished 5 days of zithromax. Can the ureaplasma be
>playing a role here? Can't find much info about it.
>
>Thanks for any help!
>
>--
>Kmackin
>

I would submit that clomid is the right choice, but not exactly for what you think. Given your low progesterone levels, which are significantly more accurate in assessing ovulation than either the BBT's or the OPK's, you are likely not ovulating. Once you begin to ovulate, your progesterone will be adequate. Clomid will assist in stimulating ovulation. Thus, clomid is the treatment of choice. You will not require progesterone supplement once ovulating... 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 ;-)

Next message: Lynn D. Montgomery, MD: "Re: Breast Tender/Spotting - Miscarriage Began April 30"
Previous message: DeeAnn: "Rhogam???"
In reply to: KMackin: "Clomid for low progesterone"

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