PREGNANCY-BIRTH Messages for July, 2002: Re: Preconception Visit QUESTIONS

Re: Preconception Visit QUESTIONS

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 31 Jul 2002 22:50:40 -0500 (CDT)

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In reply to: Pat: "Preconception Visit QUESTIONS"

At Wed, 31 Jul 2002, Pat wrote: >
>I want to TryToConceive... I have absent menses. My GYN did a hormone
>work up three months ago and all was okay. Now today I told him I have
>been charting and I do not believe I ovulate.
>He gave me a script to have insulin testing as well as a pregnancy test.
>Then he said I would need an ultrasound.

Sounds like a normal evaluation of a patient with amenorrhea. I hope the inslin testing is a Glucose to insulin ratio. This involves measuring both glucose and insulin on the same blood sample It should be done in the fasting state.

What does it seem like he is >looking for with these tests? He told me that he thought I may need some
>sort of fertility drug to induce ovulation and he needed to see which
>would be best...

If you bleed after taking provera and have a normal thyroid test and a normal prolactin level, you are not ovulating. In order to get pregnant, you have to ovulate. Therefor induction of ovulation would be necessary.

I am not into taking pills... and he told me to still >chart but to not take Provera... something which I had not taken in 3
>months andyway due to stomach problems with it...
>any help would be appreciated

--
R.Daniel Braun, MD  FACOG   FOG
**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 ;-)

Next message: R. Daniel Braun, MD: "Re: ovulation & cervical position ?"
Previous message: R. Daniel Braun, MD: "Re: Poor corpus luteum function?"
In reply to: Pat: "Preconception Visit QUESTIONS"

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