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ask: Progestrone levels with clomid

By Anonymous April 8, 2011 - 8:39pm
 
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hi there

I am very curious and little frustrated with my condition. I have PCODs and usually do not ovulate. So 3 months back my ob-gyn started me on clomid. I was taking bc pills before that. The first month with clomid 50 mg, my day 21 reading showed 6 for progesterone. Doc told me that means i didnt ovulate.
On second cycle with 100 mg clomid, I got a positive on OPT on 14th day. So i was hoping that i ovulated, but today (Day 21) the reading came out as 2.6.
My doc was not in office so the nurse called and said, that this is very borderline reading so it is hard to say whether i ovulated or not.
I am confused, last time with 6, i was told i didnt ovulate and this time with 2.6 i am told i am borderline?
Also my dose went up from 50 to 100 mg, shouldnt that have helped?
The nurse told me to go back and get the test done again in a week, maybe i tested too soon.
IS this normal?
An advice would be a big help.

 
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Rosa Cabrera RN Guide

Hi Anon,

Thanks for the question! During your mid-luteal phase (otherwise known as your ovulation phase) Normal values for someone who is NOT on medication are 5ng/ml and up (ideally over 10). However, when you are put on medication such as Clomid, your doctor will be looking for higher levels such as 15+ in order to determine ovulation.

I'm not quite sure why your nurse suggested you were borderline-- If you'd like to have the chart I used handy, visit: http://www.fertilityplus.org/faq/hormonelevels.html and scroll down to the Progesterone in Pregnancy section. It includes the Ovulation phase as well as pregnancy levels.

Best of Luck!

April 9, 2011 - 6:15am
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Anonymous (reply to Rosa Cabrera RN)

Thank you Rosa
Have you ever heard or seen any case, where the progestorone levels were this low and still the lady got pregnant?
I have no clue what is going on with my body.
I have used OPT for almost 5 months, and never got a positive, except this time. And my numbers are so low.

April 10, 2011 - 1:04pm
Rosa Cabrera RN Guide

Hi Anon,

I haven't heard of anyone getting pregnant with those levels-- sorry.
But look at the positive side to all of this, in 5 months this is your first positive, this means you have higher numbers to look forward to in the next few months. Don't lose hope.

April 11, 2011 - 5:43am
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Anonymous (reply to Rosa Cabrera RN)

Thanks Rosa
I am pretty sick today, throwing up, headaches, back ache and breasts are hurting.
I might be just dehydrated for all that i know.
Again, thank you so much for your positive thoughts and encouragement, means a lot.

April 11, 2011 - 6:26pm
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Anonymous

Thank you Rosa, your answer is very detailed and it’s helpful to me. pmp exam

May 20, 2012 - 9:51pm
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