PREGNANCY-BIRTH Messages for December, 2002: Re: ovulation with low progesterone

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Re: ovulation with low progesterone

From: samir fouad Aziz MD (anonymous@obgyn.net)
Tue, 31 Dec 2002 07:32:55 -0600 (CST)

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In reply to: Claire: "ovulation with low progesterone"

At Mon, 30 Dec 2002, Claire wrote: >
>Hello and happy new year everyone. I just have a few questions. I have
>recently had my first clomid cycle. Through ultrasound they found 2
>follicles of 13 and 15 mm. When I came back for the next scan 3 days
>later the dr said they had closed up and could i have ovulated. I had
>experienced ovary pain. The dr took blood for progesterone test(5 days
>post ovulation) and when i called for the results she said they were
>quite low for normal ovulation. I didnt think to ask what they were.
>Also later that day i started to spot which would have been 9 days post
>suspected ovulation and continued for 4 days, very light bleeding not
>like my normal periods at all. my question is could i still have
>ovulated and what would my chances of conception be like? Also what is
>this bleeding? I never spot and usually ( without meds) have very heavy
>irregular periods 2-3 months apart. i am very confused and my dr is
>closed now till end of jan. Dr wants me to up clomid dose but wont be
>able to do this till they reopen. Very frustrating!My period should
>have been due tomorrow. Hope someone can help. Thanks, Claire

ovulation with clomid is reported to be 70-80% per cycle so it is necessary for clomid to stimulate follicle and ovulation,although in your case ovulation coould have happened but with defective corpus luteum which coould be the reason of spotting,since irregular function of corpus luteum usually leads to spotting pre- or post-menstruation.increase the dose of clomid and adjust the starting dose according to body weight and cycle length.

--
SAmir Fouad Aziz MD
Assist Professor OB.Gyn
Director Gyn.oncology
Al-Azhar University-Egypt
Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
Consultant Editor the contemporary Who's Who
This is for teaching purposes only

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