PREGNANCY-BIRTH Messages for October, 2001: Re: How to accurately determine whether ovulation really happened?

Re: How to accurately determine whether ovulation really happened?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 Oct 2001 16:22:09 -0600 (CST)

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In reply to: AM: "How to accurately determine whether ovulation really happened?"

At Wed, 31 Oct 2001, AM wrote: >
>Okay, so I have read the only 100% way to know whether ovulation occured
>is a pregnancy. But that hasn't happened for me. In your practice,
>what is the next best proof that a woman actually ovulates?
>
>I ask because I am seeing an RE but don't see how he concludes that I
>must be ovluating on my own. (progesterone at 23 dpo was 10; he says an
>ultrasound done on day 23 shows evidence of ovulation; physical exam
>shows CM typical of post-ovulation; and my BBT charts show a rise from
>pre-o temps of about 98.1 to post-o temps about 98.7). I have tried
>OPK's but never get a surge. In your opinion, should I trust his
>judgement that I am indeed ovulating? [RE says clomid and IUI is the
>next treatment; have already done SA, HSG and lap-- all normal]

Besides pregnancy, the only real ultimate way to determine ovulation is to do a "folliculogram". This is when ultrasounds are performed daily, beginning at about day 12-13 of a cycle, watching the follicle develop. The follicle should get to around 2 cm, then disappear. The day it has disappeared signals that ovulation has occured... 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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In reply to: AM: "How to accurately determine whether ovulation really happened?"

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