WOMENS-HEALTH Messages for January, 2000: Re: luteal phase defect

Re: luteal phase defect

From: anonymous@obgyn.net
Wed, 26 Jan 2000 08:26:48 -0600 (CST)

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At Tue, 25 Jan 2000, anonymous@obgyn.net wrote: >
>I have been diagnosed with Luteal Phase Defect. I am currently on month four
>with Clomid and Progesterone. My doctor said that my graphs are working
>perfectly the way they are supposed to but I am still not pregnant. She also
>says that I can only be on Clomid for six months and then I'll have to try
>something else. I just had a HSG done in December and that came out fine. I
>would like to know where I can go from here. What procedures or drugs can be
>recommended for me. My doctor said she would refer me to a fertility
>specialist but I know I can't afford that. Any advice is greatly appreciated.

This is a difficult problem. Your doctor is correct that there is a limit to the number of cycles that you should take Clomid. This is for 2 reasons. The first is the possible association with use of Clomid and ovarian cancer in later life. Since this risk is proportionate to the length of time you use Clomid, there have to be limitations to how many cycles you use it. The second reason is that if you are not pregnant in 4-6 cycles using a particular treatment, the odds are very poor that you will ever become pregnant on that treatment, and therefor it would be time to move on to something else. You will definitely need to see a Reproductive Endocrinologist at that point. Here's hoping that this is the month.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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In reply to: Harvey S. Marchbein, M.D.: "Re: Fox-Fordyce Disease"

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