TTC : On what cycle day (cd) should I apply Progesterone Gel Posted: 05-07-07 10:36am
Can I ask you a question, what day should
the progesterone gel be taken? I took
clomid on cd 3-7, doc advised to bd on cd
14 and every other day after that. Also
said to start using progesterone gel on cd
22. Does this sound right to you?
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DoctorAnswer
Doctor Answer
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Fertility Answer A2731 Posted: 05-18-07 03:19am
During cases of Poly-cystic ovarian
syndrome (PCOS) two problems are present:
difficulty conceiving and difficulty
keeping the pregnancy. A woman experiences
difficult conception during PCOS due to
lack of ovulation. This is because the
PCOS condition stimulates many follicles
required for producing an egg, but none
reaches ovulation. Clomid (clomifen) is
given to women experiencing PCOS in order
to stimulate ovulation. After ovulation,
the remaining follicle becomes a "yellow
body". Yellow bodies produce the
progesterone and estrogen that are
necessary for keeping the pregnancy.
Progesterone gel is given to supplement
progesterone in case of yellow body
failure. It seems to make sense to start
applying the gel in the first week after
possible conception to support yellow body
growth. FYI - Insulin resistance is
considered a possible cause of PCOS; this
is why metformin has been prescribed as
well.
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