WOMENS-HEALTH Messages for January, 2002: Re: Unruptured follicle after hcg?

Re: Unruptured follicle after hcg?

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 29 Jan 2002 12:00:16 -0600 (CST)

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In reply to: Julianna: "Unruptured follicle after hcg?"

At Tue, 29 Jan 2002, Julianna wrote: >
>Thank you, in advance, for your reply.
>
>This month, on 100 mg of Clomid, my u/s showed 1 mature follicle (21
>mm), at which point I was given a hcg shot (Profasi).
>That was 27 days ago, and still, no period. I am convinced that I did
>not ovulate. When I voiced this concern to my ob/gyn, he said that he
>is sure I ovulated, that it is very unlikely that I wouldn't have, given
>the doseage of hcg (10,000). He also said that not having a period 3 or
>4 weeks after the hcg shot is normal, and that I should be patient and
>wait for it to arrive.
>My questions are as follows:
>Is this normal? Is it possible that I ovulated 24-36 hours after the
>Profasi, yet still haven't started a new cycle?
>What could be causing the delay of menses?
>Could my doctor be incorrect in saying that I definitely ovulated? I
>have never heard of anyone having a 4 week luteal phase.

While ovualtion after the HCG is usual, it is by no means guaranteed. This is why we check the serum progesterone level on day 21, to insure that ovulation did indeed take place. Assuming that you are not pregnant, then the most likely reason that you have not had a period is that you did not ovulate.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: Sara: "4cm Neoplasm questions"
Previous message: William McIntosh, MD: "Re: Cervical Smear Test"
In reply to: Julianna: "Unruptured follicle after hcg?"

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