QuestionDear Dr, My name is dina and I have been married and on the pill for 1 and half years. I stopped the pill a year ago and I have been trying to concieve but no luck , I did some tests and this is what I got:
I did blood test on 3rd day of my period and got FSH level of: 5.58 abd LH: 5.54 and prolactin 384, doctor put me on metaform but it got me so tired i stopped it after 2 weeks, I checked with an xray for my uteurs lining and ovaries everything looked good without any cycts, then i did progestrone test on day 21 it was 7.8 ng/ml , doctor put me on clomid for 1 cycle i tried the ovulation kit to check if i am ovulating but i never ovulate on the kit every day its negative. i just did another blood test third period day this cycle after clomid i got FSH: 6.7miU/ml , LH: 2.3miU/ml and prolactin 20.5ng/ml, whats wrong with my why dont i ovulate ever, should i continue on clomid? i get my period every month but from 25-30 days is my cycle. please tell me why dont i ovulate and how can i ovulate. thank you so much waiting for your reply
Answer
Dr. Ramirez
Hello,
Please verify that level on your prolactin. Prolactin should not be over 20 ng/ml. If that is the same measure that your lab uses, and it is indeed 384, then that is a very elevated level and may indicate a pituitary tumor. That could be the cause of your infertility. This would need to be taken care of first.
I cannot tell you if you are or are not ovulating. That requires some additional testing such as ultrasound or progesterone. You should review two of the other letters that were written to me today. They both asked about Clomid ovulation induction and I gave some specific recommendations. You're the third so if you don't mind, I'll leave it to you to review those letters to get the answer to your question. I hope you don't mind.
Your prolactin is a problem, however, so you need to get that taken care of.
Sincerely,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF program
www.montereybayivf.com
Monterey, California, U.S.A.
Check out my blog at http://womenshealthandfertility.blogspot.com and twitter with me @montereybayivf.
