FSH, LH, TSH and prolactin

hopingtoconceivesoon · September 2011

all came back normal. MD wants Progesterone level on CD 21. I told him I don't O on cycle day 14 and he says it doesn't matter. Any experience or any thing I need to know?

JessicaJeanne · September 2011

Yikes - I don't have personal experience, but have read many times on this board that it should be tested 7 days after you O.....CD 21 is based on O'ing on CD 14. You are right.....I'd discuss this with your doctor or your results may be skewed. GL!

siple1am · September 2011

JessicaJeanne:
Yikes - I don't have personal experience, but have read many times on this board that it should be tested 7 days after you O.....CD 21 is based on O'ing on CD 14. You are right.....I'd discuss this with your doctor or your results may be skewed. GL!

I agree. My doctor said there is a time frame where you can still test and be okay..so do you ovulate near CD14? Or not even close?

ETA:: forgot words!

dani2480 · September 2011

Yeah. Your doctor is an idiot.

Let's say you don't O until CD 22. If you test for progesterone on CD 21, it'll be super low. Or if you O'd on, say, CD 18, your results will come back that your levels are too low (even though they may be appropriate for 3DPO).

Progesterone needs to be tested at the appropriate time, or the results won't be valid. And your doctor could end up prescribing a treatment plan that is unnecessary, and possibly even harmful.

hopingtoconceivesoon · September 2011

I usually O between CD 18-20. I will call and ask to speak to him as opposed to the nurse before I go in.

LLB430 · September 2011

Well I called the nurses line at my MD and asked the same ?. I go for my blood work on CD 21( tmrw) and I think I just o'd yesterday. The nurse said that yes I should go. I think in my case they will be able to tell if I o'd or not and since they think I have a short LP maybe then they will be able to see that. I have some faith that our MD's are not idiots though when I go for my follow up appt I will ask about doing more bw 7 dpo.

Mrs.Slick · September 2011

hopingtoconceivesoon:
I usually O between CD 18-20. I will call and ask to speak to him as opposed to the nurse before I go in.

I would definitely ask to speak with the dr and explain that you'll be 7DPO around CD 26. If he has a problem with that then I'd ask him for other dr's he'd recommend in the area.

siple1am · September 2011

Mrs.Slick:
hopingtoconceivesoon:
I usually O between CD 18-20. I will call and ask to speak to him as opposed to the nurse before I go in.
I would definitely ask to speak with the dr and explain that you'll be 7DPO around CD 26. If he has a problem with that then I'd ask him for other dr's he'd recommend in the area.

Yes That is what I am thinking.

dani2480 · September 2011

LLB430:
I have some faith that our MD's are not idiots though when I go for my follow up appt I will ask about doing more bw 7 dpo.

Unfortunately, there are many doctors that still believe that a woman's cycle is 28 days, and that she ovulates on CD 14. And that's just not true. It has been scientifically researched and proven. Yet many doctors either don't learn these things in medical school (believe it or not, medical school doesn't teach you everything there is to know about medicine), or are older and thus it wasn't even as widely understood/accepted when they were becoming doctors. Charting is not junk science. But telling a woman who uses scientifically proven methods to determine if/when she ovulates that she's wrong is junk medicine.

Personally, I'd switch doctors, opting to find one who is better educated on fertility and the female reproductive system. I wouldn't want to put myself through needless and costly tests, or wind up having my doctor prescribe something like Clomid because he didn't appropriately test due to his ignorance.

LLB430 · September 2011

dani2480:
LLB430:
I have some faith that our MD's are not idiots though when I go for my follow up appt I will ask about doing more bw 7 dpo.
Unfortunately, there are many doctors that still believe that a woman's cycle is 28 days, and that she ovulates on CD 14. And that's just not true. It has been scientifically researched and proven. Yet many doctors either don't learn these things in medical school (believe it or not, medical school doesn't teach you everything there is to know about medicine), or are older and thus it wasn't even as widely understood/accepted when they were becoming doctors. Charting is not junk science. But telling a woman who uses scientifically proven methods to determine if/when she ovulates that she's wrong is junk medicine.
Personally, I'd switch doctors, opting to find one who is better educated on fertility and the female reproductive system. I wouldn't want to put myself through needless and costly tests, or wind up having my doctor prescribe something like Clomid because he didn't appropriately test due to his ignorance.

Thank you for your input! However, my MD's got me through a very difficult end of pregnancy with my dd....she is here safely because of them and I trust them entirely. So I will be sure when I go in for my results that I will ask her about 7 dpo blood work and in fact request it. So if I am wasting time and a needle stick I really don't care because in the end I would never just pop clomid without giving it much thought and consideration along with the 7 dpo blood work.

My cousin is an MD, had a short LP, took clomid hgerself, and agrees that yes I should go get the blood work done at CD 21.

Again I truly do appreciate your input as I too have questioned what some people report their doctors do in conception planning, pregnancy, and child rearing, but will go with the trust I have in my MD's.

ansi29 · September 2011

dani2480:
LLB430:
I have some faith that our MD's are not idiots though when I go for my follow up appt I will ask about doing more bw 7 dpo.
Unfortunately, there are many doctors that still believe that a woman's cycle is 28 days, and that she ovulates on CD 14. And that's just not true. It has been scientifically researched and proven. Yet many doctors either don't learn these things in medical school (believe it or not, medical school doesn't teach you everything there is to know about medicine), or are older and thus it wasn't even as widely understood/accepted when they were becoming doctors. Charting is not junk science. But telling a woman who uses scientifically proven methods to determine if/when she ovulates that she's wrong is junk medicine.
Personally, I'd switch doctors, opting to find one who is better educated on fertility and the female reproductive system. I wouldn't want to put myself through needless and costly tests, or wind up having my doctor prescribe something like Clomid because he didn't appropriately test due to his ignorance.

Well said!

KatieTM · September 2011

Same thing with me...all normal FSH, LH and TSH and had CD 21 work done but the RE knows I ovulate later. They said they just wanted to get my levels on this day in my cycle because given my cycle length they would like to see me ovulating earlier and want a number to start with on CD 21.

I have confidence in my RE and did my research, besides if you are then getting work on CD 3 if necessary that will tell the RE if you ovulated regardless.

Shayliz · September 2011

KatieTM:
Same thing with me...all normal FSH, LH and TSH and had CD 21 work done but the RE knows I ovulate later. They said they just wanted to get my levels on this day in my cycle because given my cycle length they would like to see me ovulating earlier and want a number to start with on CD 21.

I have confidence in my RE and did my research, besides if you are then getting work on CD 3 if necessary that will tell the RE if you ovulated regardless.

What blood test run on CD3 tells you if you ovulated in the previous cycle?

MandyBrownNoser · September 2011

LLB430:
dani2480:
LLB430:
I have some faith that our MD's are not idiots though when I go for my follow up appt I will ask about doing more bw 7 dpo.
Unfortunately, there are many doctors that still believe that a woman's cycle is 28 days, and that she ovulates on CD 14. And that's just not true. It has been scientifically researched and proven. Yet many doctors either don't learn these things in medical school (believe it or not, medical school doesn't teach you everything there is to know about medicine), or are older and thus it wasn't even as widely understood/accepted when they were becoming doctors. Charting is not junk science. But telling a woman who uses scientifically proven methods to determine if/when she ovulates that she's wrong is junk medicine.
Personally, I'd switch doctors, opting to find one who is better educated on fertility and the female reproductive system. I wouldn't want to put myself through needless and costly tests, or wind up having my doctor prescribe something like Clomid because he didn't appropriately test due to his ignorance.
Thank you for your input! However, my MD's got me through a very difficult end of pregnancy with my dd....she is here safely because of them and I trust them entirely. So I will be sure when I go in for my results that I will ask her about 7 dpo blood work and in fact request it. So if I am wasting time and a needle stick I really don't care because in the end I would never just pop clomid without giving it much thought and consideration along with the 7 dpo blood work.
My cousin is an MD, had a short LP, took clomid hgerself, and agrees that yes I should go get the blood work done at CD 21.
Again I truly do appreciate your input as I too have questioned what some people report their doctors do in conception planning, pregnancy, and child rearing, but will go with the trust I have in my MD's.

What exactly does the end of one pregnancy have to do with whether or not you ovulate on cd14?

And I'd stop taking advice from your cousin.

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FSH, LH, TSH and prolactin

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