PREGNANCY-BIRTH Messages for October, 2002: Re: 21 day cycle

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Re: 21 day cycle - too short to conceive?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 9 Oct 2002 11:52:57 -0500 (CDT)

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In reply to: maly: "21 day cycle - too short to conceive?"

At Tue, 8 Oct 2002, maly wrote: >
>Hi,
>
>I have been TTC for a year. Much of this year was very stressful (job
>searches for my husband and myself and a lot of travel, so basically, we
>haven’t always been in the same place to actually TTC). My cycles are
>21 days. I had a few cycles in the middle of this year that were
>shorter (18-19 days) but in the last few months they've been
>consistently 21 days. I ovulate on day 10 or 11. I know that from my
>vaginal mucus. Because of my earlier very short cycles my doctor
>referred me to a fertility clinic. They have put me on Clomid for one
>cycle with 2 IUIs. I prefer avoiding intrusive procedures in the future
>if possible, so I asked to be taken off the Clomid and be monitored to
>see if I ovulate without it. The cycle monitoring has indicated that I
>indeed ovulate in day 10-11. The doctor also put me on progesterone
>suppositories.
>As far as I understand it, I have a lutheal phase of about 10-11 days.
>Can a woman with my cycle conceive without outside help (given that
>stress levels will be reduced soon…)
>
>Also, my husband’s first sperm analysis has showed motility of 61%, and
>a 30 million count. For 4-5 months, however, we are working in
>different cities, so we froze a couple of samples. The doctor said that
>the motility of the defrosted sperm was only 40%. Is there any use in
>doing an IUI with sperm with 40% motility or am I wasting my time with
>that.
>
>Any help would be greatly appreciated

Technically, 21 days is the lowest limit of a "normal" cycle, but the short luteal phase is a concern. I would be more hopeful if you ovulated on day 8 or 9. Since your husband is not there, the IUI is really your only hope on those cycles and 40% motility is not horrible, so why not?

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: William McIntosh, MD: "Re: Fibroid... a few questions"
Previous message: William McIntosh, MD: "Re: should I stop progesterone only pills? (postpartum)"
In reply to: maly: "21 day cycle - too short to conceive?"

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