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Re: clomiphene and Levonorgestrel (progesterone only pill)

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 30 Apr 1999 17:29:22 -0500 (CDT)


At Fri, 30 Apr 1999, Michelle wrote: >
>Ok, here it goes, I have been to my Dr again, and this is now my fourth
>month on Clomid. The first three months, I had 50mg, and only ovulated
>on the first month (cycle), the rest of the cycles I did not ovulate at
>all. Temperatures were all over the place! My blood work also suggested
>that I had not ovulated. My progesterone level was 0.3 on the 21st day
>of my cycle (23rd April) considering my last period only lasted for
>about 30 minutes, the 21st day was an estimate due to such a short
>menstrual flow. That last period was on the 4th April. I have not had
>one since. I am now about to take clomid again. This time at 100mg.
>The Dr has also prescribed Levonorgestrel to help my progesterone levels
>go up. I am taking 1/4 of a tab for four days, then having a blood test
>to see if my levels have been boosted up. Then commencing Clomid after
>the four days on levonorgestrel, (Clomid-100mg a day for 5 days).
>Continuing on with Levonorgestrel 1/4 of a tab until possible ovulation
>and implantation has occurred. This probably makes no sense at all, but
>I was wondering, after all of this rammbling, if this is a visable way
>to go about falling pregnant. Afterall, taking a progesterone only pill
>seems to be contradicting the clomid, although, I guess progesterone is
>important for a proper functioning of the corpus leutium and for
>implantation to occur.....I need another opinion basically, and I am
>looking to you Doctors for it, I am just unsure I guess, I am due to go
>for an appointment at an RE in late June, and I just don't want to waste
>another minute, We are resonablly relaxed, compared to how we started
>off, and are just hoping that a miricale will happen soon or a
>later...Why would it be that with 50 mg of Clomid I did not ovulate for
>the second and third cycles? Will 100mg make much difference?
>
>Thank you very much in advance to anyone who can provide me with some
>answers....
>
>--
>Michelle Green :-)

see the RE!!!!!!!!!!!

you should NOT be taking levonorgestrel to improve progesterone levels -- if you need progesterone supplementation then you should use natural progesterone (like Crinone, which is FDA approved for this purpose). also, taking progesterone prior to ovulation can interfere with the egg release.

I would strongly encourage you to wait until you see the RE before taking any other meds. >

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe any doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor. Sorry, but personal e-mails will not be answered, due to time constraits and the desire to spend as much free time as possible with my husband and baby daughter




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