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Originally Posted by sophie29
I always start the prometrium on cd 12 - 22. That is very interesting. I have never heard that it can hinder ovulation. Sometimes I wonder if my dr knows what shes talking about. Wouldnt she know this info?? If my progesterone level was 13 on cd 22, doesnt that suppose to mean I already ovulated?? I always start my period on the last day or day after last day I take the prometrium. The last 3 days i have felt very sick to my stomach off and on, kind of losing my appetite. I dont know if its just stress or what. See, back in October before I started all this I had a positive hcg blood level of 130, but then started my period 2 wks later and my dr said it was just a false positive b/c my next hcg level was 0 one week later. I never felt any symptoms when I thought I was pregnant them. But I just feel gross lately. Thank you for listening....
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Here is an excerpt from another site:
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http://www.geocities.com/happypregnant/
from "What Your Doctor May Not Tell You About Menopause" by John Lee, MD page 244.
"I had a number of patients in my practice who had been unable to conceive. For two to four months, I had them use natural progesterone from days five to 26 in the cycle (stopping on day 26 to bring on menstruation). Using the progesterone prior to ovulation effectively supressed ovulation. After a few months of this, I had them stop progesterone use. If you still have follicles left, they seem to respond to a few months of suppression with enthusiasm, and the successful maturation and release of an egg. Some of my patients who had been trying to conceive for years had very good luck conceiving with this method. There are even a few children named after me!
On the other side of the coin is the fact that using progesterone prior to ovulation can supress ovulation. In a normal menstrual cycle, the release of progesterone by one ovary functions as a signal to the ovther ovary not to ovulate-- Nature's brilliant plan for avoiding multiple births. If your're using progesterone cream prior to ovulation, chances are good both ovaries will interpret its presence as a sign that the other ovary has ovulated, thus effectively suppressing ovulation.
If you decide to use progesterone while trying to conceive, be sure to begin using it only after you have ovulated each month. You can track your ovulation by taking your temperature each morning before you get out of bed. When you ovulate, the release of progesterone will cause a slight rise in body temperature. Once that has happened, you can safely continue using the progesterone cream."
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So, your doctor might be wrong or she might be right, but it seems that this is an important enough issue where it might make sense to get a second opinion. If she is not monitoring your cycle other than to give you a blood progesterone test, then how does she know whether or when you are Oing? Especially since the Prometrium might affect the blood tests (I just don't know) and so your 13 on cd 22 might not reflect actual ovulation.
The fact that she told you that a beta of 130 was a false positive is troubling to me. With that kind of number, unless there was lab error (did she mention lab error?), I think you must have been pg and had an early m/c. A beta is not like an HPT (false positives are not at all common with betas).
One more thing to ask her about: I've heard that vaginal progesterone supps are more effective than oral Prometrium pills because you are delivering the prog. directly to the site. My RE used vaginal supps when he gave me progesterone. Just something to think about.
I know we've thrown some big bombshells on you! I hope we haven't upset you, but I think it's important to consider all factors to boost your chances of conceiving.
And as for this cycle, you know, you might be pg, despite the negative HPT. HPTs can show false negatives in the early stages. Will your doctor give you a beta at this point?
Please keep us posted and best of luck
!++++++++++++Maura
