LUFS
From: Lindawatie (anonymous@obgyn.net)
Thu, 28 Sep 2000 09:32:47 +0700
I'm not sure what is my progesterone level on day 21. Because my OB didn't
seem to care about that. He just measured my
hormone level on the follicular phase only. And there was an indication that
FSH on day 8 (too late to measure ?) is too low, and my OB said that I need
to try Clomid.
Is it possible that the follicle seen after HCG shot is a corpus luteum
instead of unruptured follicle ? If this is the case I'll do some blood work
to measure my progesterone level to make sure that I was ovulated. I don't
know the theory, my OB said that if the follicle was luteinized even though
without expelling the egg it will produce progesterone afterwards. But I
didn't get any explaination what will my progesterone level if it's true
that I wasn't ovulated.
I've used to measure my BBT before and I thought that I was ovulated because
of there was a significant rise on day 15-17 per cycle. But my OB said that
the fact (ultrasound examination) my follicle was still there after HCG shot
which proved that
I wasn't ovulated.
In your opinion, what should I do next to be able to determine whether I'm
ovulating or not. If I could ovulate normally, maybe there should be any
other examination to be able to conceive, right ?!
Appreciate your suggestion. Sorry that I really want to know the detail.
Thank's anyway.
> Date: Wed, 27 Sep 2000 09:21:31 -0500 (CDT)
> From: wdmcintoshmd@pol.net
> To: WOMENS-HEALTH@OBGYN.NET
> Subject: Re: LUFS
> Message-ID: <200009271421.JAA29989@mail.medispecialty.com>
>
> At Tue, 26 Sep 2000, Lindawatie wrote:
> >
> >Dear Dr. William D. Mc. Intosh,
> >
> >First of all, I would like to thank you for your previous advice.
> >
> >I've had already posted this topic before but it was wrongly addressed
> >to Dr. William F. Von Almen, so I still curious since I've couldn't
> >find any fertility expert here to help.
> >
> >I've diagnosed with Unruptured Follicle Syndrome. I've already done
> >some cycles with Clomid + Profasi and then Clomid + Metformin + Profasi.
> >I have a good respond to Clomid (I thought), 'coz in my both ovaries
> >developed some follicles every cycles. In the first cycle, the dominant
> >follicle grew until 29 mm on day 12. So on that day I received a HCG
> >shot. Whenever I came back on day 16, the follicle was still there and
> >it grew bigger, 33 mm. The other cycle, the dominant follicle reached
> >20 mm. On day 12, HCG shot again. Came back on day 16 it was
> >disappeared completely. But my next period came on day 29 and when it's
> >checked again, it seemed the previous follicle which I thought
> >disappeared was shown again with diameter 20 mm.
> >
> >FYI, I have 28/29 days per cycle. Very regular menses, 5-6 days per
> >cycle. But after I took Clomid, my menses stopped for only 2/3 days
> >with just brownish color of blood (it was normal flow, not just
> >spotting).
> >
> >My doctor suggest me to stop Clomid and undergo an ovarian drilling to
> >be able to ovulate regularly. But he couldn't guarantee that after that
> >there won't be any side effect, adhesion or scar. I also heard that if
> >we have a healthy follicle, it should be ruptured after HCG shot. My
> >doc said maybe the outer lining of my ovary is very thick, so the
> >follicle developed couldn't burst and release from it. Is it possible
> >to happen ? Or I have another problem behind this LUFS ? Endometriosis
> >or PCO ? Because my doctor said that I didn't have a proof to suffered
> >from either endometriosis or PCO.
> >
> >I really need your advice on this case. I've already search for any
> >article, but usually it was solved with HCG shot after tried for 3-4
> >cycles.
> >
> >Thank's for your concern.
>
> I am sorry, I just reread your note, and I see that there is some
> confusion as to whether or not your ovulated. What were your day 21
> serum progesterone levels?
>
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