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Re: Is it a progesterone problem? LPD?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 8 Jun 2003 15:20:15 -0500 (CDT)

At Sat, 7 Jun 2003, Sandra wrote: >
>This is my 6th cycle TTC#2. I have been BBT/FAM charting, and my LP
>seems to be mysteriously shrinking. My last LP lengths have been 12,
>12, 11, 10, 10... all with a day or two of spotting before the LP
>officially ends. Needless to say, a 10 day LP does not make me happy.
>Even 11 is not that great when you factor in the spotting.
>
>I have been doing some reading about luteal phase defect, and I want to
>approach my doctor about looking into progesterone supplementation. I
>have a couple of real basic questions first, though.
>
>1) My LP is short, but my temps have been very decent. Can a
>progesterone problem be reflected simply by a shortened LP, or do the
>typical low LP temps always play a part as well?

Sandra--We look mostly at the length, not the temps, and this is a progesterone problem

>
>2) Can I expect my OBGyn to be willing to try progesterone
>supplementation ASAP based on my chart history, or is extensive testing
>and an RE referral necessary first? I just wonder what the usual
>protocol is... I'm not even sure how much an OBGyn can do for someone
>with difficulty ttc when compared to an RE. I'll be seeing my OBGyn on
>cd14, right before my usual date of ovulation... the timing couldn't be
>better to try progesterone.

Sandra--He should be willing to try this before sending to RE.

>
>Thanks in advance for any input...

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.


*Please understand I can not respond to private emails.


*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.



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