|
Re: Timing of endometrial biopsy
From: Robert Radnich, M.D. (anonymous@obgyn.net)
Mon, 30 Mar 1998 05:42:22 -0600 (CST)
At Mon, 30 Mar 1998, Liz wrote:
>
Liz, Infertility evaluations can be extremely stressful. Sounds like
you are reaching the end of your rope. What your physician has
scheduled seems quite appropriate. You will be offered advise from
everyone. If your trust your physician - I would advise you to listen
to him/her.
>I am getting totally confused about the appropriate time for endometrial
>biopsy when looking for luteal phase defect. My doctor wants one done
>at 21 days, while I keep finding people saying it is to be done later
>on, closer to the next period. He is also running a progesterone level,
>I think on the same day. He has not made any mention of checking for
>ovulation. I have only had 1 period post D&C (D&C was Feb 14) and the
>period was light but long and there has been no indication physically or
>by OPK of ovulation so far this month (day 16 now). I am so
>frustrated!!! Is the test at this time appropriate? I cannot afford to
>mess around and waste time, but I don't want to have another miscarriage
>if progesterone may be the only thing I need. Would a test at this
>time, with these circumstances (ie: possibly too early and in a probable
>anovulatory cycle) be diagnostic, and if not, would it tend to give a
>false positive for LPD or a false negative. If a positive, I would be
>tempted to go on with the testing so I can be put on some progesterone,
>but otherwise it is just one more painful, frustrating, useless thing in
>this whole ordeal (HMO HELL!) that has been going on for a year now.
>Please, your advice....the biopsy is scheduled for 5 days from now.
>Thanks. Liz
--
R.H. Radnich,MD,FACOG
OB/GYN Associates of Dover
540 S. Governors Ave.
Dover, Delaware 19904
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)