Tuesday, October 5, 2010

Making My List (Checking It Twice)

We have our fourth (fifth?) consult with our RE on Thursday. I have been compiling a list of questions I would like answered. I fear that a great many of them will be answered with, "We're just not sure".

  • What's with the regression to the 9 day luteal phase?
  • Why did Clomid fix the LPD, but injectibles + progesterone supplements NOT (even with multiple follies)?
  • Is it a coincidence that the only two cycles using Ovidrel were the only two medicated cycles with a shortened LP?
  • Is it possible that my body simply isn't making use of the available progesterone for some reason? 
  • Has the diagnosis shifted from LPD to "Unexplained"?
  • What is the plan to get better response from Rightie this time?
  • Should we just wait for Leftie's month instead?
  • Why do you expect this new progesterone plan is going to help?
  • Has my AMH been tested? If so: what was it, and if not: why?
  • If this doesn't work, what is the next step?

Can you think of any other questions I should be taking along?


  1. I had a LPD - 9-11 days and slightly longer on either Clomid or Injectibles (w/ Endometrin). I honestly don't know the reason for the short luteal phase, but my guess is that I was ovulating bad eggs. But who knows. I was completely unexplained except for the short luteal phase and low AMH...not even sure if they're related. But I'd definitely ask for the AMH - my FSH and all other ovarian reserve markers were totally normal, but my AMH was not. My RE gave me a higher dose of drugs as a result, which worked!

  2. Have you ruled out any invasive surgeries like laparoscopy? I don't know if it's necessary or not in your case, but u/s and HSG can't detect everything. Also, what about trying Femara instead of Clomid? Maybe Femara will help more with LPD?

  3. I don't think AMH and luteal phase are necessarily related. My AMH is dismal, my eggs are complete crap, but I have a solid 12-13 day LP with no spotting or dips below coverline. Of course, one person does not a double-blind, empirical study make.

  4. I wish I could help but my problems seem to solely lie in my husband. :(

    Good luck at your doctor's appointment! Oh, do you bring a notebook with to take notes and write your questions down?