ovulated or not

ovulated or not

Carol2011
Carol2011

April 27th, 2011, 6:23 pm #1

hello,

I am new to this board...been lurking so far.

I am with Cooper with a highest fsh of 38 trying naturally. Today is CD 18 and with only estinyl following are the levels:

E2-347
P4-16
PH-99
FSH-22

Us tech saw a 20 and a 11 sized follicles.

I took a progesterone vaginal supp last night thinking that I would have ovulated already. Nurse also insists that I ovulated already and the 20 size follie could be corpus leutum. Is she right? Should I continue p4 supps? Please help

thanks,
Carol
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Mrs. A
Mrs. A

April 27th, 2011, 6:38 pm #2

welcome.

did you take the P4 vag supp on your own without Cooper instructing? If so you need to tell them this right away. Otherwise they are thinking that that P4 reading is your body's own P4. When in fact it's elevated because of the P4 vag supp you took. Taking P4 before confirmed ovulation can make things screwy.

At this point you really need to speak with the nurses on instructions and be upfront with what you've done. Good luck. Hopefully you still got/can get the follie!
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Carol2011
Carol2011

April 27th, 2011, 6:46 pm #3

hi Mrs.A,

Yes, P4 of 16 and LH of 99. I told the nurse that I took one suppository last night. She said that shouldn't spike P4 by that much. Also, I read on this board that the suppository doesn't show in bloods.
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Mrs. A
Mrs. A

April 27th, 2011, 7:02 pm #4

show up in b/w. Crinone does not; Prometrium does and the vag supps you buy at Success Meds across the way do.

how much of it would show up in the b/w I don't know.

So what did she say about continuing the supps?

And what about the LH of 99? That seems very elevated if ovulation did take place.

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Carol2011
Carol2011

April 27th, 2011, 7:21 pm #5

The nurse said I ovulated based on P4 and LH and to start the suppositories...
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KarenGH
KarenGH

April 27th, 2011, 7:43 pm #6

hi Mrs.A,

Yes, P4 of 16 and LH of 99. I told the nurse that I took one suppository last night. She said that shouldn't spike P4 by that much. Also, I read on this board that the suppository doesn't show in bloods.
It seemed to vary quite a bit, but they did show up. And I know none of it was my own since I was using them as sort of a BCP substitute along with Estrace or EstroGel.
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KarenGH
KarenGH

April 27th, 2011, 7:47 pm #7

hello,

I am new to this board...been lurking so far.

I am with Cooper with a highest fsh of 38 trying naturally. Today is CD 18 and with only estinyl following are the levels:

E2-347
P4-16
PH-99
FSH-22

Us tech saw a 20 and a 11 sized follicles.

I took a progesterone vaginal supp last night thinking that I would have ovulated already. Nurse also insists that I ovulated already and the 20 size follie could be corpus leutum. Is she right? Should I continue p4 supps? Please help

thanks,
Carol
A "play by play" showing CD, b/w results, u/s results would help us analyze better for you.

With that high of an LH level, it looks like you were surging. Probably your surge was enough to cause you to release the egg. But most of the time taking progesterone too early will keep you from surging and ovulating.
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Carol2011
Carol2011

April 27th, 2011, 7:55 pm #8

hi Karen,

cd3:
e2 lh 18
fsh 37
p4 0.4

cd10:
e2 74
lh 33
fsh 22
p4 0.4

cd14:
e2 149
lh 99
fsh 29
p4 2.4

cd18 (today):
e2 347
p4 16
lh 99
fsh 22

Only estinyl all along and one P4 suppository last night
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KarenGH
KarenGH

April 27th, 2011, 10:11 pm #9

Well, it isn't as clear as I'd hoped, but I'll try and give my thoughts.

I'm assuming that you started Estinyl after your CD3 results. Is that correct? If so, it looks to me like it may have lowered your FSH a little, but raised your LH. But despite that, it looks like your body still managed to make follicles that were producing estrogen.

Your CD14 LH of 99 looks like your body tried to surge. The P4 level climbing to 2.4 seems to confirm that. But it seems a bit odd that your E2 is still going up if your body tried to surge. Since you took the P4 supp last night, it isn't easy to figure out your true P4 reading for today. I'd tend to think part of that was your own and part possibly the supp. The P4 supp can show up in the b/w.

What concerns me is that your E2 is so high despite a possible surge. It may just not have dropped yet. But it makes me wonder also if your follicle isn't going to completely release. I'm assuming Cooper will do another b/w and u/s to check for release? If it doesn't look like it released, then one option is a trigger shot of HCG.

I had a very strange cycle a few years ago following an IVF retrieval cycle. My body was a little out of sync and we tried Cetrotide for about 9 days to suppress FSH and LH. Nothing was happening, so Cooper told me to stop the Cetrotide and take Provera. I wanted to see what my body would do on its own, so I didn't take the Provera and continued monitoring. Eventually, my E2 started going up and it looked like I tried to surge, but my LH was elevated (into the 30's I believe) and for some reason my body just didn't appear to release the egg. My P4 went up a little, but instead of my E2 dropping, it kept going up. So, I ended up doing a trigger shot and the P4 went up more and the E2 dropped. The next cycle ended up a little off, but I ovulated without any problem.

I do know Estinyl makes my FSH and LH go up instead of down. I'm wondering if it affected your LH in the same way. Is this your first cycle taking it?

I hope I didn't confuse you. I'm just trying to "think out loud" and throw out some thoughts. If you have questions, let me know and I'll be back on here to answer when I get another chance.
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Carol2011
Carol2011

April 27th, 2011, 10:43 pm #10

thank you Carol. Yes, I started the estinul on CD3. Cooper didn't want another BW/US since they say I ovulated for sure! I am going anyway for a US tomorrow morning. If the 20 is still there, I will do HCG to force it to ovulate. My bad in taking the P4 last night

I always have elevated LH in my cycles
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