Re: questions -- repost
From: John Essien MD (anonymous@obgyn.net)
Sat, 30 Nov 2002 20:59:24 -0600 (CST)
Your low progesterone level may indicate a luteal body insufficiency and
not an early menopause. Having a period doesn't not necessarily mean
you have ovulated. You may have what is termed an anovulatory cycle. It
would be a good idea to have your husband abstain from alcohol and visit
an urologist. A treatment cycle with vitamine E may be needed to
improve the percentage of morphologically normal spermatozoa. Good
luck!
At Sat, 30 Nov 2002, dawn wrote:
>
>I have an appt. with a fertility doc next week, but was looking over my
>test results today and have a couple of questions. Any advice?
>
>(1) My last 21 day progesterone level was extremely low -- 0.5 ng/mL --
>so my doc told me I wasn't ovulating this cycle. Today (day 45 of my
>cycle) I started my period, after a few days of pms cramps; I have mild
>cramps still. Is this my period (i.e. I ovulated), or could it be
>anovulatory bleeding? I used an ovulation predictor kit btw days 8 and
>23, but when my doc told me there was no chance of ovulating this cycle,
>I didn't go past day 23. Isn't 0.5 ng/mL a post-menopausal level for
>progesterone?
>
>(2) My husband's sperm analysis came back with these results -- my (not
>very good) ob-gyn told me they looked normal, but the report says
>"borderline morphology". Should we be worried? Would abstaining from
>alcohol help?
>
>Liquefaction: 30 minutes Volume: 2.8 mL Viscosity: within normal limits
>Color: within normal limits pH: 7.9 Sperm count: 129.5 per mL Total
>sperm: 362.6 million Motility: 67.6% Progression: good Agglutination: 0
>White blood cells: 0 Morphology: Normal oval -- 47%, small head -- 1%,
>large head -- 4%, taper forms -- 4%, double head -- 0, pyriform--3%,
>cytoplasmic -- 0, amorphous -- 32%, tail defects -- 9%
>
>Is there anything we can do lifestyle-wise to improve things? Or do
>things look okay as they are?
>
>Thanks for the info!
>
>best, Dawn
--
John Essien, M.D. SOCOG
Camaguey, Cuba; Basseterre, St. Kitts
http://www.obgyn.net/all_advisors/J_Essien.htm
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