Re: Spotting with progesterone supplementation
From: j wang, M.D. (anonymous@obgyn.net)
Mon, 30 Oct 2000 21:09:46 -0600 (CST)
I've actulaay had a better response to luteal phase treatment iwth the
prometium than supposities or Crinone. In any event, progesterone
levels can be checked after beginning treatment to determine levels and
effectiveness. I usually use 200 mg Prometrium twice daily.
At Mon, 30 Oct 2000, Kris wrote:
>
>I've had two endo biopsies come back as being 4-5 days out of phase, so
>my RE has me supplement progesterone after ovulation. He prefers to use
>vaginal suppositories or crinone. He uses im injections with his ivf
>patients (which I'm not), and he never uses prometrium since he says
>it's not as effective. The crinone is a bit too pricey considering
>there are alternatives, so in the past I've used the suppositories. They
>are messy and gross and I'm not happy with this option. My RE finally
>gave in and gave me prometrium this past cycle. I was happy about it
>until I started to spot old, sticky blood for 5 days before my period
>started. I also only had a 10 day luteal phase, where the suppositories
>usually got me to day 12. (A normal luteal phase for me is 7-9 days
>with no supplementation.)
>
>My question, finally: was the spotting and shorter luteal phase likely
>because of the prometrium not being as effective as the vaginal route?
>I'm just curious. In reality, it doesn't matter since I've decided to
>follow my RE's wishes and use the supp's this next cycle, but I'd still
>like to know.
>
>Thanks for any help you might be able to give,
>Kris
--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
**Note: Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.
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