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TTC : On what cycle day (cd) should I apply Progesterone Gel

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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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replied May 18th, 2007
Fertility Answer A2731
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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