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How Can I Confirm If I Have Ovulated Based On My Serum Progesterone Value?

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Posted on Fri, 27 Oct 2023
Question: please please help I had a day 21 progesterone (actually taken day 22 because of bank holiday) it came back at 4 I have just start period today why was it so low i am worried I haven't ovulated and I am trying to conceive my period is a 27 day cycle is this why it was only 4? Clearblue fertility monitor shown peak on day 16 and day 17 so do you think I can say I ovulated and got the timing wrong of day 22
doctor
Answered by Dr. Soumya (3 hours later)
Brief Answer:
You have ovulated

Detailed Answer:
Hi,

I understand your concerns.

I dont think you got the timing wrong. Serum progesterone values can be sometimes misleading and are not always reliable.

You clearblue fertility monitor seems to be right. Dont base judgement on serum progesterone levels.

You seem to have ovulated.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Soumya (43 minutes later)
Hi I had a miscarriage at 13 weeks gestation last year, the baby didn't grown from 5 weeks. I miscarried naturally at home. Since the miscarriage my periods vary though the doctor still says they are regular. I worry I don't ovulate? Do you think as I have got pregnant before that I do ovulate?

My cycles are as follows:

October 29 day cycle

November 33 day cycle

December 28 day cycle

January 36 day cycle

February 24 day cycle

March 27 day cycle

April 27 day cycle

I am worried that I wont conceive again and I am 42 years of age and have a high BMI of 45.

I am working on eating healthy and exercise.

Do you think I can conceive again? I am worried I will have another miscarriage.

I had bloods taken to rule out polycystic ovaries in December, I had bloods taken on day 30 of a 33 day cycle. I have been reassured my bloods are ok but I would value your opinion. Unfortunately I don't have my LH and FSH levels all they said is they are in single figures. Serum estradiol was 265pmol/l, serum prolactin at 8.6pmol/l, sorry I have no further information.

Please help me as soon as you can. My doctor says stop worrying because I have conceived before I should conceive again naturally.

The menopause worries me

I have just had a day 21 progesterone test which was actually done on day 22 of cycle the value has come back as 4, I have no idea what this means. Does it mean I didn't ovulate I am worried sick that I will never conceive

I am going to have day 3 bloods on next cycle
doctor
Answered by Dr. Soumya (4 hours later)
Brief Answer:
Keep trying

Detailed Answer:
Hi,

Yes you are ovulating and have chances of pregnancy.

Keep trying as per doctor's advice. You might get pregnant.

Progesterone values seem to be wrong. Dont worry about it.

Let me know your day 3 blood tests next cycle.

Let me know if you need anymore help.

Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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How Can I Confirm If I Have Ovulated Based On My Serum Progesterone Value?

Brief Answer: You have ovulated Detailed Answer: Hi, I understand your concerns. I dont think you got the timing wrong. Serum progesterone values can be sometimes misleading and are not always reliable. You clearblue fertility monitor seems to be right. Dont base judgement on serum progesterone levels. You seem to have ovulated. Let me know if you need anymore help. Regards