WOMENS-HEALTH Messages for September, 2000: Re: On progesterone for LPD & now level to high????

Re: On progesterone for LPD & now level to high????

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Sat, 30 Sep 2000 15:08:22 -0500 (CDT)

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In reply to: Shari: "On progesterone for LPD & now level to high????"

At Sat, 30 Sep 2000, Shari wrote: >
>I have been diagnosed by endometrial biopsy with a luteal phase defect
>and I am on progesterone for the second month now. My first
>progesterone level was 9.6 on day 14. I just had another one done to
>see how the progestrone was doing & it was 207.6 on day 14. The lab
>said this was a critical value since I am not pregnant. My doctor is
>out of town & I am wondering if I should stop the progesterone or lower
>the dose? I am taking 200 mg 3 times a day. Also will the level this
>high act like birth control & keep me from becoming preganant?
>Shari

On day 14????? In treating Luteal phase defect, the progesterone isn't administered until after ovulation, which usually occurs on day 14. Luteal phase defect(Which is extremely rare) is the exception to the rule that ovulation occurs 14 days before the first day of the next menses. In LPD the ovulation occurs at the usual time but because the corpus LUTEUM on the ovary doesn't produce enough progesterone to prevent it, the period comes after only 7 or 8 days. Usually about 2 days after ovulation, the progesterone is administered. On day 26 or so a pregnancy test(Blood) is done. If neg, the progesterone is stopped. If positive, it is continued.

RDB

--
R. Daniel Braun, MD FACOG  FOG

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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