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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Progesterone Level Be If Trying To Conceive?

I have been trying to conceive our second child for the last 3 months with no success. This month my Dr performed a progesterone level at day 21 which was 0.4. Since my cycles have recently been a little longer-32 days we did another one at 25 days and it came back 1.1. She says it s possible that my follicle enlarged but did not rupture. I m not sure what that means. Is it possible to still ovulate this month later than day 25? Should we keep trying this month? Or could I have ovulated recently and my progesterone not gone up yet? Thanks! Jenny
Fri, 20 Jan 2017
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OBGYN,  's  Response
Hi Jenny,

Progesterone is a retrospective method to assess normal ovulation. Trying for pregnancy just with this is not very effective. What's the use of just having some follicle ruptured, if it's not healthy !Important Q are:

1. Your age - more than 35 years reduces good follicle count
2. Weight - Obesity could be reason for ovulation
3. An Polycystic Ovaries
4. Any Hormonal imbalance - Thyroid / Prolactin
5. Have you ruled out Pelvic Infection / Pelvic adhesions / Endometriosis
6. Have the tubal Patency been confirmed

All these could be reasons for unruptured follicles. Hope male factor is ruled out!

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. BALAKRISHNAN R
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What Should Progesterone Level Be If Trying To Conceive?

Hi Jenny, Progesterone is a retrospective method to assess normal ovulation. Trying for pregnancy just with this is not very effective. What s the use of just having some follicle ruptured, if it s not healthy !Important Q are: 1. Your age - more than 35 years reduces good follicle count 2. Weight - Obesity could be reason for ovulation 3. An Polycystic Ovaries 4. Any Hormonal imbalance - Thyroid / Prolactin 5. Have you ruled out Pelvic Infection / Pelvic adhesions / Endometriosis 6. Have the tubal Patency been confirmed All these could be reasons for unruptured follicles. Hope male factor is ruled out! Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. BALAKRISHNAN R