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Re: high estradiol + 20mm follicle on Day 3
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 28 Sep 2003 20:04:09 -0500 (CDT)
Jen
Sorry, but you are out of my league with this one. Best to ask your RE
or someone else on the boards that is an RE.
At Sun, 28 Sep 2003, jen wrote:
>
>I am just turned 46, childless, and TTC. I had an early miscarriage
>several years ago. I am waiting for a suitable cycle to try medication
>and IUI again. I had Clomid, Gonal-F and IUI in Feb.
>
>Last week I had a v. short period (half-a-day proper flow; usually it
>is 2 days)and then a Day 2 FSH of 2.5 mIU and Estradiol 1,395 pmol/L
>(that's a UK measurement - I think the conversion ratio to US is approx
>4:1, so 348?) Prolactin was also high at 992 mu. A scan on Day 3 showed
>a 20 mm follicle on the right ovary, and a 9 mm on the right. Estradiol
>on D3 was up again, to 1,570 (392).
>
>Mostly I have high FSH (from 12 to 21) but normal Estradiol (150 pmol/L,
>or 37 in the US). Except for May, and last month, and now this month
>when it is much higher than ever before. I have been told high
>estradiol is pushing down the FSH - but it means the same thing: failing
>ovarian reserve. Is this right?
>
>Is it unusual to have a 20 mm follicle on Day 3?
>
>The RE said it wasn't a LUF or cyst. How can he be sure?
>
>Thank you. Jen.
--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.
*Please understand I can not respond to private emails.
*These comments are for educational purposes only. They are
not meant to take the place of an examination by a qualified
health care provider. They are not intended to be the start
of a physician-patient relationship.
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