14 days late

chsmebby

During my last cycle I was given 150mg dose of Clomid. My last progesterone was only 0.5. I'm supposed to call with the beginning of my next cycle for a check up before moving ahead to Hcg injections. My cycle is typically about 29 days. Today marks day 43!!! I'm about 14 days late! I took two home test that were both negative. Should I call my OB?

Durham1008

What's your diagnosis? How long have you been trying? And omg please stop seeing your OB for fertility issues. If you've been TTC for over a year (or over 6 months if you're 35 or older), then call an RE. I'm assuming you're not being monitored since you don't know what's going on with your cycle. Clomid is a serious drug and OBs like to hand it out like it's candy. Stop taking the Clomid until after you've had all appropriate testing (HSG, SA, CD3 b/w) with an RE.

chsmebby

OK, calm down... my OB also specializes in infertility, HIGHLY recommended!!! My diagnosis is simply unexplained low progesterone... all other tests have been done and no indications to any other issues... I am 25 and previously had a child with out using any help after 1 1/2 years ttc but he was 8 weeks early... this time we have been ttc for nearly 3 years and just recently decided to start accepting help! I'm not sure what you meant about me not being sure about my cycle I told you exactly what's going on with my cycle, I'M LATE!. I guarantee you everything has been very closely monitored with doc visits several times a month. The only thing that has confused me at all is the neg pregnancy tests.

Mochadoodle

My instructions have always been that if menses does not occur by day 35 of the cycle, do a home pregnancy test. Notify your physician with the result and you will be instructed in the next step.

Yes, you should call your doctor.

katib77

chsmebby:

OK, calm down... my OB also specializes in infertility, HIGHLY recommended!!! My diagnosis is simply unexplained low progesterone... all other tests have been done and no indications to any other issues... I am 25 and previously had a child with out using any help after 1 1/2 years ttc but he was 8 weeks early... this time we have been ttc for nearly 3 years and just recently decided to start accepting help! I'm not sure what you meant about me not being sure about my cycle I told you exactly what's going on with my cycle, I'M LATE!. I guarantee you everything has been very closely monitored with doc visits several times a month. The only thing that has confused me at all is the neg pregnancy tests.

:::::SMH::::: Tons of OBs claim they "specialize" in infertility but unless they have gone for the extra years of school and had a fellowship in reproductive endocrinology.  It's like the difference if I said "I can do your taxes, I specialize in it!" verses someone who actually went to school and got their CPA.  Personally I'd trust someone that has proof they know what they're doing.  

And when we say you have no idea where you are in your cycle because you're not monitored, we mean if you had mid cycle monitoring of an U/S then you would have KNOWN if you had a follicle near ovulation.  and then tested your P4 at 7dpo - not some random day like cd21 and gotten a .5, which CLEARLY shows you didn't ovulate yet.  So whenever you got that test done you still had not ovulated yet.  

IF you don't ovulate, then the issue is not "unexplained" it's annovulatory. If you ovulate weak (and a little late this cycle it appears) then the number would be above a 3 but below a 10.  Then the issue would be Leutal Phase Defect (LPD) what I have

THESE are the reason we say to go to an RE because your OB is not fully informed and not giving you either proper testing or at least not doing it in the proper way.  

If your cycle is normally 29 days then this sounds like a freak cycle that you either ovulated late or not at all.  You are not "Late" until you actually know confirmed through BBT and CM or U/S and B/W that you did indeed ovulate.  Wait a few more weeks, then ask for something to jump start AF if it doesn't come because you are not pregnant.  

Twinkie0612

chsmebby:

OK, calm down... my OB also specializes in infertility, HIGHLY recommended!!! My diagnosis is simply unexplained low progesterone... all other tests have been done and no indications to any other issues... I am 25 and previously had a child with out using any help after 1 1/2 years ttc but he was 8 weeks early... this time we have been ttc for nearly 3 years and just recently decided to start accepting help! I'm not sure what you meant about me not being sure about my cycle I told you exactly what's going on with my cycle, I'M LATE!. I guarantee you everything has been very closely monitored with doc visits several times a month. The only thing that has confused me at all is the neg pregnancy tests.

If you were being monitored, when did you ovulate?  How many days past ovulation are you?  Your period is only "late" if your LP (days after ovulation) is longer than normal.  You probably ovulated later than normal this cycle.  

At your several doctor's visits did he monitor you by ultrasound?  Ultrasounds are used for checking for cysts at the start of a cycle, to check follicle development, and to check the thickness of your uterine lining.  He should also be checking you progesterone level 7 days after you ovulate.

Twinkie0612

Here are a few stories from other women on the bump that used clomid unmonitored.

https://community.thebump.com/cs/ks/forums/thread/37113868.aspx

 

 https://community.thebump.com/cs/ks/forums/thread/52199545.aspx

chsmebby

Mochadoodle:

My instructions have always been that if menses does not occur by day 35 of the cycle, do a home pregnancy test. Notify your physician with the result and you will be instructed in the next step. Yes, you should call your doctor.

Thank you, this is the ONLY response that has helped me!!! To everyone else, thank you for your ATTEMPT to give advice but you have only reiterated the same things that my OB yes, the one that SPECIALIZES in infertility has already told me.

Thank you... Calling OB in the a.m.

Durham1008

chsmebby:

Mochadoodle:

My instructions have always been that if menses does not occur by day 35 of the cycle, do a home pregnancy test. Notify your physician with the result and you will be instructed in the next step. Yes, you should call your doctor.

Thank you, this is the ONLY response that has helped me!!! To everyone else, thank you for your ATTEMPT to give advice but you have only reiterated the same things that my OB yes, the one that SPECIALIZES in infertility has already told me. Thank you... Calling OB in the a.m.

If you only wanted certain answers, why didn't you just ask yourself instead of asking us? You never answered whether you've had an HSG, SA, and CD 3 b/w. If you haven't, your "infertility specialist" OB is wasting your time and money. Not to mention, potentially putting you in danger.

CarolinaGirl411

chsmebby:

Mochadoodle:

My instructions have always been that if menses does not occur by day 35 of the cycle, do a home pregnancy test. Notify your physician with the result and you will be instructed in the next step. Yes, you should call your doctor.

Thank you, this is the ONLY response that has helped me!!! To everyone else, thank you for your ATTEMPT to give advice but you have only reiterated the same things that my OB yes, the one that SPECIALIZES in infertility has already told me. Thank you... Calling OB in the a.m.

So the only response that helped happens to be one you wanted to hear, got it.  Why not take into account what the other ladies have told you?  You're ignoring great information that could be very valuable to you.  I don't understand why you'd call your OB after 35 days and no period, how do you respond to women that have long cycles? 

DebateThis

chsmebby:

Mochadoodle:

My instructions have always been that if menses does not occur by day 35 of the cycle, do a home pregnancy test. Notify your physician with the result and you will be instructed in the next step. Yes, you should call your doctor.

Thank you, this is the ONLY response that has helped me!!! To everyone else, thank you for your ATTEMPT to give advice but you have only reiterated the same things that my OB yes, the one that SPECIALIZES in infertility has already told me. Thank you... Calling OB in the a.m.

You're a tool.

There is no such thing as an OB with a legitimate "speciality" in fertility, as Kati told you earlier. There are OBs who TELL you that they're specialists and are blowing smoke up your ass, or there are REAL specialists, called Reproductive Endocrinolgists, who spend a LOT of extra time in school to become IF specialists. They are two separate disciplines.

But either way you can GTFO since you apparently only want one kind of response. Good luck with that unmonitored Clomid. Hope you don't want up with octuplets.

chsmebby

I provided all of the information needed to answer my question. I do know that I did ovulate and when. That is not relevant to the question. My diagnosis is plain unexplained low progesterone. All other tests have given no indication to any other issues. I do ovulate but my progesterone does not elevate on it's own to be able to hold on to a fertilized egg. My point is just because I didn't share every detail of my journey and don't feel the need to provide information unrelated to the original question does not mean that I'm not receiving adequate care.

Kathy4678

chsmebby:

I provided all of the information needed to answer my question. I do know that I did ovulate and when. That is not relevant to the question. My diagnosis is plain unexplained low progesterone. All other tests have given no indication to any other issues. I do ovulate but my progesterone does not elevate on it's own to be able to hold on to a fertilized egg. My point is just because I didn't share every detail of my journey and don't feel the need to provide information unrelated to the original question does not mean that I'm not receiving adequate care.

How do you know you ovulate? Let me guess- OPK's? Is that what Dr. Fertility Specialist told you?

If you knew when you ovulated you would know that you are either pregnant or not.  

chsmebby

FYI: US showed that I did indeed ovulate and so have many before but due to low progesterone and neg home tests I am uncertain that i am pregnant... as i previously explained in my case ovulation does NOT mean ability to become pregnant

DebateThis

chsmebby:

FYI: US showed that I did indeed ovulate and so have many before but due to low progesterone and neg home tests I am uncertain that i am pregnant... as i previously explained in my case ovulation does NOT mean ability to become pregnant

Your 0.5 progesterone level says otherwise.

chsmebby

otherwise to pregnancy?

Kathy4678

chsmebby:

otherwise to pregnancy?

Otherwise to ovulating.  

Twinkie0612

chsmebby:

FYI: US showed that I did indeed ovulate and so have many before but due to low progesterone and neg home tests I am uncertain that i am pregnant... as i previously explained in my case ovulation does NOT mean ability to become pregnant

But you didn't give us all of the information we need to answer your question.  Your question was I took clomid, my tests are negative, why am I late? The ladies on this board know a ton about medicated cycles, but we need details about your cycle to answer your question.  We need something like the following...

i took Clomid days X through X.  My monitoring appointments show I ovulated on CD X.  My progesterone at 7 DPO was X.  It is now CD X.

Progesterone should be checked at 7 DPO.  Your level of .5 tells me that either you ovulated later than you think you did or you didn't ovulate at all.  Either of those would explain why your period is "late."   

chsmebby

As I previously stated, that is part of my difficulty my progesterone does not typically elevate after ovulation as most people would... I'm convinced that my doctor and US tech know what they're looking at with their years of experience

Kathy4678

chsmebby:

As I previously stated, that is part of my difficulty my progesterone does not typically elevate after ovulation as most people would... I'm convinced that my doctor and US tech know what they're looking at with their years of experience

Oh FFS. I give up.

Neesey

And if you were seeing an RE, you'd be on progesterone suppositories or PIO.  You asked a question because you thought that we might actually know a thing or two about the process.  Don't act all pissy when we tell you the truth rather than blowing smoke up you ass as a PP put it.  And yes, when you ovulated is related to the question you originally asked!   

Twinkie0612

Also I wanted to add if you doctor diagnosed you as ovulatory with "unexplained low progesterone" because your progesterone was 0.5, he needs to stop claiming that he is a fertility specialist.  Google 7 DPO progesterone levels.  A level that low would indicate annovulation. 

Did he check your progesterone 7 days after ovulation?  If he didn't the reason your progesterone was low was because the test was done on the wrong day. 

Twinkie0612

chsmebby:

As I previously stated, that is part of my difficulty my progesterone does not typically elevate after ovulation as most people would... I'm convinced that my doctor and US tech know what they're looking at with their years of experience

If your progesterone was 0.5 that means you didn't ovulate.  At 7 days after ovulation, a progesterone level over 5 indicates some form of ovulation, but levels should be above 10 for an unmedicated cycle and above 15 for a medicated cycle.  So either you didn't ovulate or your progesterone level was taken on the wrong day.

so either your doctor diagnosed you incorrectly or your doctor doesn't know when to do a P4 test.  Some fertility specialist huh?

 Here is a website that lists what hormone levels should be through out your cycle

https://www.fertilityplus.com/faq/hormonelevels.html

 

DebateThis

Kathy4678:

chsmebby:

otherwise to pregnancy?

Otherwise to ovulating.  

Ditto. If your progesterone (P4) levels are 0.5 YOU DID NOT OVULATE. Period. End of story. There is no "I ovulate but the levels don't go up". That's physiologically NOT possible. 

Look. You have two options here. You can take the collective knowledge of the ladies on this board who've been at this a very long time plus the sources we're citing that absolutely without a doubt tell you that you did not ovulate and therefore your "fertility specialist" OB is full of horse manure. OR. You can trust this guy to keep feeding you full of clomid that's clearly not working. You've got a lifetime max of six cycles on Clomid (total, including however many you've already taken). YOU figure out what you want to do. But don't insult our intelligence by asking our advice and then completely ignoring it. 

chsmebby

I'm done!! I came here to try and get SUPPORT and an idea of what others would do in my situation. Obviously my condition is not well understood. Because of this I feel that I have been attacked and ridiculed because of my choice to stay with an OB that has years of proven success with infertility and yes SPECIALIZES in the field of infertility issues with many years of education and experience in the field. Just because I did not provide every detail of my journey does not mean that I do not know, understand, and put to use all of the same information as you. When I said that I was 14 days late that means that I am 14 days late. Yes I know I ovulated, Yes I know when and if you're that interested in WHEN you can either spend your time trying to figure it out or you can take the information I provided for what it is. As I said, I'M DONE!!!

Kathy4678

Buh-Bye. 

DebateThis

chsmebby:

I'm done!! I came here to try and get SUPPORT and an idea of what others would do in my situation. Obviously my condition is not well understood. Because of this I feel that I have been attacked and ridiculed because of my choice to stay with an OB that has years of proven success with infertility and yes SPECIALIZES in the field of infertility issues with many years of education and experience in the field. Just because I did not provide every detail of my journey does not mean that I do not know, understand, and put to use all of the same information as you. When I said that I was 14 days late that means that I am 14 days late. Yes I know I ovulated, Yes I know when and if you're that interested in WHEN you can either spend your time trying to figure it out or you can take the information I provided for what it is. As I said, I'M DONE!!!

Tell me what credentials this MD has after his name. I want the EXACT letters that prove he's a specialist. I also want to know what this "I ovulate but don't have progesterone" condition is called. 

Beyond that, don't let the door hit ya. Keep on taking that clomid that's not working for you and keep on not getting pregnant. Have fun with that.

Twinkie0612

chsmebby:

I'm done!! I came here to try and get SUPPORT and an idea of what others would do in my situation. Obviously my condition is not well understood. Because of this I feel that I have been attacked and ridiculed because of my choice to stay with an OB that has years of proven success with infertility and yes SPECIALIZES in the field of infertility issues with many years of education and experience in the field. Just because I did not provide every detail of my journey does not mean that I do not know, understand, and put to use all of the same information as you. When I said that I was 14 days late that means that I am 14 days late. Yes I know I ovulated, Yes I know when and if you're that interested in WHEN you can either spend your time trying to figure it out or you can take the information I provided for what it is. As I said, I'M DONE!!!

Support

 

 

DebateThis

Oh hey look, its chsmebby:

 

Neesey

chsmebby:

my choice to stay with an OB that has years of proven success with infertility and yes SPECIALIZES in the field of infertility issues with many years of education and experience in the field.

I've baked cakes from mixes at home for years so that must make me an expert SPECIALIZING in cake baking! I should open a cake shop!!! Take your ignorance and go the f away.