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We offer a variety of services to help you and your partner achieve
your goal of having a baby. The services we offer are
- Hysteroscopy
- Laparoscopy
- Ovulation induction
- Timed inseminations
- Hormonal evaluation
- Semen analysis
- Post coital testing
- Hysterosalpingograms
- Endometrial biopsy
- Endometriosis treatment
One of the most important aspects of fertility is the production
of progesterone (the second female hormone other than estrogen).
This hormone is produced only after ovulation. Progesterone prepares
the uterus to accept the fertilized egg. Furthermore, progesterone
sustains the pregnancy inside the uterus until the fetus can maintain
itself after 10-12 weeks of pregnancy. If you do not get pregnant
during a cycle, the ovary stops making progesterone 14 days after
ovulation and you have a period.
Progesterone is the hormone which causes the body's temperature
to rise ½ to 1 degree at ovulation. Therefore if your Basal
Body Temperature shows a sustained rise, then we have indirect evidence
of ovulation and subsequent progesterone production.
A more direct method of evaluating progesterone production is with
a blood test. We draw the blood test between days 21-23 of your
cycle (determined by which of these three days is convenient for
you to come to the office). Remember, on a perfect 28-day cycle,
day 1 is the first day of your period, day 14 is when ovulation
occurs and day 28 is the day prior to your next period. We will
try to time the blood test on day 22 of the cycle. We actually do
not send the blood until your next period occurs. In this way, we
can be sure it was drawn on the correct day. Therefore, CALL THE
OFFICE as soon as your period starts after having a progesterone
level drawn.
1
First day of your period
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2 |
3 |
4 |
5 |
6 |
7 |
| 8 |
9 |
10 |
11 |
12 |
13 |
14
Ovulation
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15
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16 |
17 |
18 |
19 |
20 |
21 |
22
Blood Test |
23 |
24 |
25 |
26 |
27 |
28
Period could start |
29
Period could start |
31
Period could start |
31
Period could start |
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Mark the days on your actual calendar month with
these instructions so you will be certain to follow them carefully.
Call the office when your period starts.
Progesterone levels
- VERY IMPORTANT: you must keep a record of
your menstrual cycles.
- Progesterone levels are drawn two ways:Progesterone
levels will be drawn six days before your menstrual cycle begins.
If you are not regular, this method cannot be used. Progesterone
levels will be drawn day #22 after the first day of your menstrual
cycle.
If menses do not begin 6-8 days after the progesterone level is
drawn the level is inaccurate and must be repeated during the
next cycle.
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