Trouble TTC

Day 21 progesterone blood work

So for a bit of a back story... I am 23, the husband and I have been TTC for 6 months now, and I never got a period, I could go a year without seeing AF. So after we got married, I started seeing a fertility specialist, I was put on progesterone to induce a period, then I started Clomid, to make me ovulate. Last month I ovulated, I went in for the day 21 blood work, and my progesterone was at a 7.8 (50Mg Clomid, days 3-7 of cycle) My DR wants my progesterone to be up at 8.0, so he upped my Clomid to 100mg days 3-7 of cycle. I just went in today for the day 21 blood work, and my progesterone was at 0.8. I probably won't hear from the DR until tomorrow, but I just wanted to know, has this happened to anyone else? I'm at a loss, I have no idea what could be going on. Any ideas would be great. I'm just so frustrated and confused.

Re: Day 21 progesterone blood work

  • It is because your P4 draw is being done on cd21 instead of 7dpo. If they are not monitoring you properly with and ultrasound and bloodwork in the middle of your cycle you have no idea is cd21 is seven days after ovulation.

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  • You probably didnt ovulate yet. Progesterone levels need to be drawn at 7dpo instead of cd 21.
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    Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
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  • imagemegs3084:
    You probably didnt ovulate yet. Progesterone levels need to be drawn at 7dpo instead of cd 21.
    this. Are you being monitored? I'm not on clomid so I don't have much advice for that, but I so know your dr should be monitoring you very closely while on it.
  • imagekatib77:
    It is because your P4 draw is being done on cd21 instead of 7dpo. If they are not monitoring you properly with and ultrasound and bloodwork in the middle of your cycle you have no idea is cd21 is seven days after ovulation.

    This and I assume that your fertility specialist is a OB/GYN and not a RE (Reproductive Endocrinologist).  Find yourself a RE, they are true specialists in infertility.

    Also did you do the stand IF work up before you started Clomid?  This includes CD3 blood work, 7 DPO blood work (since it sounds like you don't ovulate, probably can't be done), HSG (to check for blocked tubes), and a SA for your husband.  You need to know if you have other IF issues before starting Clomid. 

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • imageTwinkie0612:

    imagekatib77:
    It is because your P4 draw is being done on cd21 instead of 7dpo. If they are not monitoring you properly with and ultrasound and bloodwork in the middle of your cycle you have no idea is cd21 is seven days after ovulation.

    This and I assume that your fertility specialist is a OB/GYN and not a RE (Reproductive Endocrinologist).  Find yourself a RE, they are true specialists in infertility.

    Also did you do the stand IF work up before you started Clomid?  This includes CD3 blood work, 7 DPO blood work (since it sounds like you don't ovulate, probably can't be done), HSG (to check for blocked tubes), and a SA for your husband.  You need to know if you have other IF issues before starting Clomid. 

     

    The DR did the SA (husband is perfectly fine, nothing wrong with him) My OB/GYN referred me to the dr that I'm seeing now. She had a full blood work-up done. With the fertility DR, he had me BBT for a week, then come back in, then he put me on Clomid 50mg, BBT then come back in on cycle day 21 for blood draw, and then back into his office a week later to review. Clomid 100mg, then back in for day 21 blood. No other testing has been done. For my next cycle he is putting me on 150mg of clomid. I ovulated on 50mg, but my progesterone wasn't high enough. On 100mg, I didn't ovulate... When his office called me today, they didn't say anything about more monitoring or anything. 

  • imageJennaMelyssa:
    imageTwinkie0612:

    imagekatib77:
    It is because your P4 draw is being done on cd21 instead of 7dpo. If they are not monitoring you properly with and ultrasound and bloodwork in the middle of your cycle you have no idea is cd21 is seven days after ovulation.

    This and I assume that your fertility specialist is a OB/GYN and not a RE (Reproductive Endocrinologist).  Find yourself a RE, they are true specialists in infertility.

    Also did you do the stand IF work up before you started Clomid?  This includes CD3 blood work, 7 DPO blood work (since it sounds like you don't ovulate, probably can't be done), HSG (to check for blocked tubes), and a SA for your husband.  You need to know if you have other IF issues before starting Clomid. 

     

    The DR did the SA (husband is perfectly fine, nothing wrong with him) My OB/GYN referred me to the dr that I'm seeing now. She had a full blood work-up done. With the fertility DR, he had me BBT for a week, then come back in, then he put me on Clomid 50mg, BBT then come back in on cycle day 21 for blood draw, and then back into his office a week later to review. Clomid 100mg, then back in for day 21 blood. No other testing has been done. For my next cycle he is putting me on 150mg of clomid. I ovulated on 50mg, but my progesterone wasn't high enough. On 100mg, I didn't ovulate... When his office called me today, they didn't say anything about more monitoring or anything. 

    You have no idea what you're talking about. How do you know you ovulated on 50mg? And if you did- then why increase the dose? Increasing the dose without monitoring you for cysts or lining issues could actually HARM you.

    You need a new doctor. And some education.  

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  • imageJennaMelyssa:
    imageTwinkie0612:

    imagekatib77:
    It is because your P4 draw is being done on cd21 instead of 7dpo. If they are not monitoring you properly with and ultrasound and bloodwork in the middle of your cycle you have no idea is cd21 is seven days after ovulation.

    This and I assume that your fertility specialist is a OB/GYN and not a RE (Reproductive Endocrinologist).  Find yourself a RE, they are true specialists in infertility.

    Also did you do the stand IF work up before you started Clomid?  This includes CD3 blood work, 7 DPO blood work (since it sounds like you don't ovulate, probably can't be done), HSG (to check for blocked tubes), and a SA for your husband.  You need to know if you have other IF issues before starting Clomid. 

    The DR did the SA (husband is perfectly fine, nothing wrong with him) My OB/GYN referred me to the dr that I'm seeing now. She had a full blood work-up done. With the fertility DR, he had me BBT for a week, then come back in, then he put me on Clomid 50mg, BBT then come back in on cycle day 21 for blood draw, and then back into his office a week later to review. Clomid 100mg, then back in for day 21 blood. No other testing has been done. For my next cycle he is putting me on 150mg of clomid. I ovulated on 50mg, but my progesterone wasn't high enough. On 100mg, I didn't ovulate... When his office called me today, they didn't say anything about more monitoring or anything. 

    Like I said your "fertility specialist" is not an RE.  How can I tell?

    1. Drawing P4 needs to be done 7 DPO not CD 21, even my ob/gyn that does not claim to be a "fertility specialist" knows this.
    2. Charting your BBT for a week tells you nothing.  You need to chart a whole cycle to see a pattern.
    3. He keeps upping your dose of clomid without knowing for sure that you are ovulating (based on ultrasounds and correctly done P4 blood work)
    4. He is not monitoring you, which means he has no idea if you have cysts on your ovaries, are ovulating too many eggs, or if the clomid has thinned your lining so much that would make implantation impossible.

    Many ob/gyns claim to be "fertility specialists" but they have not had the years of training that a board certified RE has.

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

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