Re: Sorry Dr Shanahan - just one more question.
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 28 Oct 1999 15:10:05 -0500 (CDT)
At Sun, 17 Oct 1999, Olivia wrote:
>
>Dr Shanahan, I posted to you on 13 September and 30 September regarding
>my attempts to conceive again. After the 30 September posting the
>bleeding increased significantly and lasted the normal 5-7 days. I am
>now on day 27 and there have been no signs again of ovulation. My
>temperature has remained static but I would have said there may have
>been mucus changes. I had an ultrasound last week to check on a fibroid
>and the sonographer said that in my right ovary there was a dominant
>follicle.
Dominant has no medical meaning other than it's bigger than any other
folloicle seen. Usually, ovulation occurs once the follicle/cyst is
18-20 millimeters in diameter. If you don't ovulate one month,
medically no big deal. If it becomes a reccurent failure to ovulate,
Mother Nature is giving you a message to use some medical therapy.
Good luck.
> I am unsure what that means and whether that means I can
>still ovulate this cycle.
I'm unsure too based upn the terminology used.
> I know that it turns into a corpus lutuem
>after ovulation. I am becoming very impatient. The reason I am so
>anxious is that my previous pregnancy fourteen months ago was mismanaged
>and I was induced at 41 weeks too strongly after a previous Deep
>Transverse Arrest labour followed by a Violent and precipitate labour.
>With this history two doses of Prostins was not indicated. My labour
>then lasted less than two hours from first contraction to delivery and
>my baby was shot out with the cord around her neck as well. She was
>born flat with apgars of 2 4 and 5 with 8 at 20 minutes. She was
>intubated immediately and was breathing spontaneously at 20 minutes. She
>began tonic clonic seizures at 2 hours old and was airlifted to a large
>hospital. She stabilised and has had no seizures since. Her head
>ultrasound was clear but CT showed blurring over basal ganglia
>suggestive of a acute event. Her development is delayed somewhat but
>she is otherwise very healthy and happy. So maybe you can understand
>the importance of another pregnancy for all of us and particularly for
>Joanna who would alsono doubt benefit from a little brother or sister.
>Sorry to be so long winded. I have some people telling me yeh go for
>the Clomid but my husband and own GP are keen to let nature take its
>course. However that Mother Nature has let me down before!!!!!!
>
>Many thanks Olivia
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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