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Kotena - February 14th, 2007 12:32 PM

Dr Jacobs,
As i udnerstand CCT is one of the ways to check ovarian reserve. If i have amenorhea, how would clomiphen be given (there is no 3rd day)?
In a regular ultrasound will follicles count be seen easily or my OBGyn should specifically tell to check the count when refering me to ultrasound procedure?
Thank you for your help

B. Jacobs, M. D. - February 14th, 2007 5:48 PM

First, I would recommend going to a Reproductive Endocrinologist for fertility management, not your OB. I do not use the clomiphene challenge test. I evaluate a day 3 FSH and use ultrasound for a follicle count. The clomiphene challenge test is not more reliable than a day 3 FSH and the follicle count is probabbly the most sensitive way to estimate ovarian reserve. If you are not already pregnant, Provera should start a flow for you.
Good luck.

Kotena - February 14th, 2007 8:25 PM

Thank you for the answer. As I udnerstand Provera is a progesterone. My progesterone test was negative, I am hypoestrogenic, only combined estrogen-progesteron therapy brought menses. In order to evaluate FSH 3 day, should the whole therapy be repeated?
Thank you

Kotena - February 14th, 2007 8:26 PM

Another question, the folikle count can be done on any day or specific day of cycle?
Thanks

B. Jacobs, M. D. - February 16th, 2007 6:41 AM

I would have to know more about your medical history and laboratory values to provide a relable answer. At this point, I think an ultrasound evaluation of your ovaries will probably be helpful.
Good luck.


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