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Informal Case: Unusual Endometrium in Patient with InfertilityFrom: Andrea Corda (acord@tin.it)Thu Nov 9 05:58:27 2000
Diagnosis was luteal deficiency-and when you have luteal deficiency you often have a luteinized unruptured follicle,normal estrogen levels and lower progesterone,and endometrial changes reflect the hormonal environment.So,this unusual texture could be the result of such an hormonal unbalance-with clomiphene raising the estrogen levels thus giving the endometrium a thicker appearance.On the following cycle,on follicular phase,you should be able to see a normally appearing proliferative endometrium-after the abnormal one has shed .You only see this patterns after the midcycle-i.e. after the LH surge. Andrea Corda MD
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