moranu:
Hello Docs in the house, pls am having this feelings as if am pregnant and I use the PT Strip which indicate negative. I ought to have menstruate since 2nd of Nov. And my under abdomen is paining me and my nipple is paining me as well. Secondly I have a baby in Dec.2012 and sometimes around June this year boils just surrounded the tear stitches area and I use Amplicaux. Ever since then it has been coming on and off each time I have sex. Scan show that I have Ovarian cyst last year. Pls can it be the cause? or is it an infection? Pls help me

Mumsyfiyin:
Please I would appreciate if you could provide answer to my question I did a serum progesterone test on day 23 and the result came out at 45noml what does this mean and I have an history of high prolactin which has reduced drastically with test showing so

I would also like to know why after sex most of DH sperms runs down even after suspending myself like suggested if I stand up most of it drips down like sticky liquid.

CINDY19:
hy doc, am three wks pregnant, i confirmed it dis wk wen i went for test..Bt am worried cos dere is no symptom of bin pregnant lyk bin naseous, fatigue, cravings, am nt even adding weight apart frm d fact dat am always urinatin evry minute am even doubting if am pregnant sef cos its my first tym..planning on goin for anoda test again to re confirm cos am jst My normal sef..

Marc9:


It means your progesterone level is 45nm/ml.

The seminal reflux(outward flow of semen) could be due to hydrospermia(watery semen).

Mumsyfiyin:


Please does this imply my progesterone level is good or bad?

tammyloreoluwa:
Hi marc good job on what u doing, i did a serum progesteron on cycle day 21 a nd the result showed 10.8ng/ml is this normal cus have been trying to concieve for the past two years tho..tanks

Marc9:


10.8ng/ml on cd21 is too low, it's abnormal. It explains why you've not had a successful implantation.

Your progesterone level has to increase to above 30ng/ml for implantation to be feasible.

Also, a very low progesterone level at cd21 indicates ovulation likely didn't take place.

Marc9:


10.8ng/ml on cd21 is too low, it's abnormal. It explains why you've not had a successful implantation.

Your progesterone level has to increase to above 30ng/ml for implantation to be feasible.

Also, a very low progesterone level at cd21 indicates ovulation likely didn't take place.

tammyloreoluwa:
. Chie i suspected as much but where i went to do the test they wrote at the bottom. And i quote: Normal level of serum of serum progesteron values obtained...so pls what must i do to increase my progesterone?

LuckyG1:


If you may allow me-I feel there is some need of getting to know her cycle.Peradventure,she is of 35days,her dorminant follicle maturation and stigmatisation may round off to her 20th-22th of which ovulation should be initiated.This means,the progesterone may be normally low or increasing as it may seems.In an obvious sense of view,women with long cycle do experience a low turnout of progesterone during this period.But the normal range will always be covered as the cycle terminates.This may also be experience by women experiencing anovulation and menstrual irregularity.

However,women with shortcycle or abit better than the average of low progesterone at their cd21 might have it as you said-no ovulation or no breakdown of the corpus luteum.

No offense intended,Sir

Marc9:


None taken!

Well, let me rephrase in white and black so you can get my point well. Whether SMC or LMC, progesterone level is normally low in follicular phase, and the level increases optimally in luteal phase. The luteal length is fixed. It lasts 14days, whether the cycle is 35days, or 21days. Ideally, progesterone assay is carried out on cd21. From discretion, her assay was most likely done on her cd21.

But then, if her assay was done anytime after her ovulation, the 10.8ng/ml is just too low, compare to the normal range of >30ng/ml. That's a strong indication that she's having hormonal imbalance, and menstrual irregularities.

Well, we had a private session, and she confirmed to me that her menstruation is irregular. She observes her flow for just one day, and the flow is light.

Humorously, your post reminds me of "Ucheku", a classic Nigerian TV drama

LuckyG1:


Yes very low if assay was actually done post-ovulation.

I understand you.It's okay,keep the goodwill going on.

LuckyG1:

Hi luckyG1 i dont have a 35 day cycle very irregular dis month, 27, next month 26, next month maybe 25th, some months 27 now its 29 and 30days.;just so worried, tho if where i went to do the test and they said normal progesterone level..its obvious i havnt been ovulating..and yes have done pelvis scan b4..
If you may allow me-I feel there is some need of getting to know her cycle.Peradventure,she is of 35days,her dorminant follicle maturation and stigmatisation may round off to her 20th-22th of which ovulation should be initiated.This means,the progesterone may be normally low or increasing as it may seems.In an obvious sense of view,women with long cycle do experience a low turnout of progesterone during this period.But the normal range will always be covered as the cycle terminates.This may also be experience by women experiencing anovulation and menstrual irregularity.

However,women with shortcycle or abit better than the average of low progesterone at their cd21 might have it as you said-no ovulation or no breakdown of the corpus luteum.

No offense intended,Sir.

DrLazDevitan:
Tammyl,
Honestly you have little to worry about if it all happens to be something quite low with your progesterone.Progesterone is produce as a cursor to ascertain precedency of ovulation.It is also one of the female reproductive hormones that level the estrogen being produced during pre-ovulation.It occasion the shedding of the endometrium and so carry the permit of the formation of menstrual fluid.This hormone itself is not responsible for ovulation because it is produce post-ovulation.If you have problem with oligo-ovulation or somewhat menstrual irregularity.It is usually not brought by the low progesterone,the worries should be with the hormones responsible for the pre-ovulary phase of your cycle putting in mind some certainty of lack of spontaneity of the gonads to improperly responds to the stimulation of these hormones.It is not too far to understand that a low serum progesterone may permit a small shedding of the endometrium,a special reason why most ladies experience a small turn-out of menstrual fluid or just some spotting.Why this may be cumbersome,the intake of an intravenous progesterone may not actually help the issue at hand too.Some women may report some improvement,this is no improvement because all they may experience may be some spotting or uterine bleeding and felt it for menstruation-it hasn't actually done away with the predicament.But this intake will always be helpful for women with hyperestrogenism.If you had been preggy it would have been another case to linger with ,where we know that a low progesterone is pure mark to having a pregnancy loss except the pregnancy is livened up with a synthetic progesterone.
So,how relevant is intravenous progesterone to you?

What was the result of the scan?
Is it a recent or present scan done?

Marc9:
Maybe I was too blunt and harsh, but then, the truth had to be told!

No hard feelings though!

tammyloreoluwa:
Heheheheh pls oooo what has scan got to do wit hormonal assay? All that u wrote just got me more confused...sorry ooo

DrLazDevitan:


Is it necessary for someone with ENDOMETRIAL HYPERPLASIA to do an assay for both estrogen/progesterone and yet a scan should be done to study the echotexture of the endometrium?
Is it important to scan the prematured follicles of a lady for which an assay has shown some levels of high Androgen?

Marc9:


A typical example of a very very very long understanding curve!

In black and white, she said she did an assay(at cd21), and the level of progesterone was 10.8nanogram(ng) per millitre(ml). A well trained gynae, or even a fresh fellow would know 10.8ng/ml is way too low, below the >30ng/ml normal range. His inference would be hormonal imbalance, menstrual irregularities, and possible anovulation(no ovulation).

What makes a good gynae is the ability to interpret gynecological conditions and make his Pts understand their problems!

Amhappy:
I went for an HSG sometime last month and the result stated Severe Uterine Synechia. The consultant i saw at UPTH recommended that i do a minor surgery to correct this. It was done and this senseless strike kicked in. The last time i went to the hospital,the unavailabilty of my card did not help matters. Now i went to the private hospital of anoda consultant but not the same one i see. The doctor said he doesnt agree with that result because of my history(had 2 miscarriages,had evacuation for the first,my menses is normal) . I am very confused right now. One other Dr my sister took my result to at Enugu said i should do the operation but in a hospital that have camera. Doctors what do you think? Also any upth antenatal/gyne clinic dr here who can help me with Dr Uboma's no?

Amhappy:
I went for an HSG sometime last month and the result stated Severe Uterine Synechea. The consultant i saw at UPTH recommended that i do a minor surgery to correct this. It was done and this senseless strike kicked in. The last time i went to the hospital,the unavailabilty of my card did not help matters. Now i went to the private hospital of anoda consultant but not the same one i see. The doctor said he doesnt agree with that result because of my history(had 2 miscarriages,had evacuation for the first,my menses is normal) . I am very confused right now. One other Dr my sister took my result to at Enugu said i should do the operation but in a hospital that have camera. Doctors what do you think? Also any upth antenatal/gyne clinic dr here who can help me with Dr Uboma's no?

Marc9:


Well, doctors hardly agree with one another, that's the fact. A doctor might diagnose A, while the other might diagnose B. The patient is left in a quandary.

Well, from your history of two spontaneous abortions(miscarriages) and evacuation, it's ok to suspect asherman syndrome(also known as uterine synechia/uterine scar), since complication from evacuation could lead to asherman syndrome(uterine synechia)

But the severity is what I disagree with. One of the symptoms of severe uterine synechia is hypomenorrhea(light and scanty menstrual bleeding). But you said your menstruation is regular, so I'll guess the HSG report was too assumptive.

One of the treatment lines is surgery. But this surgery has to be done by a very very experince gynecologist, otherwise the condition could get worsened.

The last doctor who advised you do the surgery in a hospital with camera monitoring units, I think that's unnecessarily needed. The expertise of the gynae is what is required.

You also said you had an evacuation for your first miscarriage, but didn't have an evacuation for your second miscarriage right? Well, you actually need to evacuate the remnant tissue from your uterus. Perhaps, the remnant tissues was what the radiographer noticed and reported severe uterine synechia.

How many weeks gone were you when you had your first and second miscarriages?

Amhappy:


Thank you Dr for this response.. The first was 13weeks, second 8th. For the second complete abortion was confirmed by scan so no need for evac. I guess at this time, its best to seek for a third opinion from a very very experienced gyneacologist as u adviced probably from anoda hospital. Its well.