Bad test - Upset. Have questions.

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smsturner's picture
Joined: 05/11/09
Posts: 1303
Bad test - Upset. Have questions.

Hi all.
My blood work came back. My progesterone was at 2.7.
The doctor says I did NOT ovulate. But my chart looks SOOO great. And I had all those symptoms that are not what I would normally have with my normal annovulatory cycles.

I don't understand. I'm very upset. I was so sure this was helping me and that my chart said I ovulated. I even got the def pos opk. The doctor said to try for another month and see if it does next time.

How could my chart have such nice spikes and not have ovulated?? Has anyone tried clomid, and not have it work, but still get the symptoms? Does it ever work at the same dose the second month, when it didn't work the first? Why wouldn't he want to increase my dosage if it's not working?

Lizbet22's picture
Joined: 04/01/09
Posts: 2859

I can't help with your questions here...but I didn't want to read and run..huge hugs love.
Hopefully someone else will have answers.
xxxxxxxxxxxxxxxxx

prncess473's picture
Joined: 08/01/06
Posts: 50

I just wanted to say that you know your body better thatn anyone else. Doctors have told me that according to the ultrasound I didn't ovulate, but my body was telling me I did, then send me for progesterone tests and I did in fact ovulate. Sometimes they just don't know. Trust your body.

smsturner's picture
Joined: 05/11/09
Posts: 1303

Thanks ladies Smile

I guess a better question is how will I know when I DO ovulate if my chart AND the opk's are wrong? He said he doesn't need to do blook work next month, we will just see. Well then how in god's green earth will I know next month then??
I'm so frustrated, upset and confused!

prncess473's picture
Joined: 08/01/06
Posts: 50

Do you have any symptoms after you Ovulate. For example my chest gets tender. That is my first clue. Maybe you can go off of something like that. With Clomid, I have to take 100mg to Ovulate by CD16 but if I don't take the clomid then I Ovulate at around day 16-18, So it's kinda a waste for me. I haven't taken clomid in 6 months and this is the first month I ovulated at a decent time.

smsturner's picture
Joined: 05/11/09
Posts: 1303

I haven't ovulated at all without Clomid from my charting (as best as I can tell). I did a couple of months with bloodwork with my md, and those showed nothing too. So I have no idea about symptoms for me really. I got a ton of symptoms this month. I was sure that meant it was working and I O'd. Sad

yellow.rose.of.canada's picture
Joined: 01/13/10
Posts: 1173

I'm sorry you're going through this. Sad Honestly, I don't know what to say about your situation because I have charted for a while now and I've had my share of annovulatory cycles, but they always showed clearly in my charts as annovulatory. I just feel like you are right in saying that you o'd. I know that there are some pre-ovulation temps above the cover line, but they are all open temps (so I'm assuming you woke up at a different time?) and you have enough temps below the cover line to determine the pattern.

I know a lot of doctors don't really give due credit to charting, which is kind of disappointing. I'm also wondering when you had the blood tests done? Progesterone levels rise after ovulation and start falling about 9 days after if the egg hasn't been fertilized.

Anyway, I just wanted to throw my two cents in to let you know that you have every right to be frustrated, and I hope you get real answers soon.

:bighug:

Elizabeth

raingirl28's picture
Joined: 09/03/07
Posts: 1347

Progesterone rises from the Corpus Luteum, which is the....shell where the egg came from in the ovary (the wall of the follicle that is leftover). If I recall, you have PCOS (or am I wrong?) If you had multiple follicles, your LH could surge based on the follicles your body thought it might release. However, if you had too many follicles and not enough LH produced, none of those eggs may have "broken" out, thus no ovulation and no progesterone increase. Could you have been sick to explain the temp rise? Are you getting monitoring for the clomid from your doctor? I think you had clomid this cycle, correct? I'm a little distracted today so if I got any facts wrong, I'm sorry. I hope this helps though!

smsturner's picture
Joined: 05/11/09
Posts: 1303

Hi Rachel. Thanks. I understand that... but I haven't been sick, and I've had a week plus of high temps. I don't understand how that can happen?
I am on clomid, my first dr said PCOS, the last two have said they don't think so.

Elizabeth - Thanks too. The blood test was scheduled on the 21st. FF seemed to think I ovulated on CD 15, but I had a bigger temp shift on the 20th.

smsturner's picture
Joined: 05/11/09
Posts: 1303

I couldn't resist. I had to have more questions answered, so I called back to talk with them again. They say that sometimes temping is just 'off' and there is no rhyme or reason as to why my chart is so good when I didn't O. And they don't want to do any blood testing or anything next month. And I need to just 'calm down' because me being so worried about it is going to be a whole other problem. If we add blood testing or monitoring next month, it will just make that 'emotional piece' too stressful for me and be counterproductive. I should just relax through the next three months on the fifty, working or not, and hopefully I will be pregnant.

This makes me mad. I was over analyzing and being annoying. But I was NOT worrying and I was NOT stressed over a blood test. I was super happy that we were moving forward actually. For him to say it's not working, but it's MY fault for stressing, and we are going to keep trying this thing that's not working??

Seriously? Are doctors supposed to do that? I feel so brushed off. Am I wrong to feel upset? Honest opinions, really.

dreamchaser's picture
Joined: 01/31/07
Posts: 681

It's possible you ovulated later than FF is saying. When did you have the progesterone tested? They suggest at 7dpo. But if you ovulated a bit later than your chart is showing you could have tested on the wrong day, thus causing the low progesterone level. I have seen this happen to women before, being told they didn't ovulate and then a week or so later get a bfp. As far as the response your doctor has given you... WTF?!!??!! Seriously???!! Why would you stay at 50mg if it didn't work? My first RE did the same thing to me! Gave me 3 months at 50mg of Clomid, no monitoring (not even a blood test to confirm/deny ovulation). I went back after 3 months and an ultrasound showed cysts so I was then put on birth control pills for a month to get rid of them and move on with the next protocol. While on bcp's I went for a second opinion. Even though you haven't been ttc with a doctors help long, doesn't mean you haven't been ttc for awhile! You shouldn't be brushed off like that!! Is there another doctor in the practice you can see? I'm so sorry you are going through this!! *HUGS*

smsturner's picture
Joined: 05/11/09
Posts: 1303

From my chart it looks like ovulated the day/night before the test. I asked if that mattered and he said no. But I think it should matter, shouldn't it? Doesn't it start low and increase?

I'm considering going back to my md and asking for a new referral. I'm not saying that it's unreasonable to do the 50 mg clomid again. But it IS unreasonable to not do any checking to see if it's working. Why not blood test again next month like I asked? It would take literally NO work on his part, and would be a good check to see if it is working. Why wouldn't he want that?

I don't understand that.

Lily2006's picture
Joined: 05/16/11
Posts: 896

Susan

First of all....I cannot believe you're doctor said that to you that is completely out of line. He pretty much is blaming YOU because you supposedly didn't ovulate...that's ridiculous. Secondly, I am no expert but that chart looks like a perfect ovulatory cycle. Your doctor is only human and humans make mistakes. I am wonder if there was a mistake made or what if they accidentally mixed up your results with another patients? I know that sounds completely absurd but trust me that kind of thing has happened before.

Anyways, I am so sorry for the confusion and frustration. I know if it were me I would be so ticked off. Unfortunately all I can do for you is extend my arms through the computer and give you a great big :bighug:

Joined: 03/19/05
Posts: 338

Lurker alert!

That is a beautiful chart. Did you by chance take your temps later on the weekend? this could falsely elevate your temps. I would bet you ovulated on the 26th and tested your progesterone too soon.

yellow.rose.of.canada's picture
Joined: 01/13/10
Posts: 1173

"cristancanoe" wrote:

Lurker alert!

That is a beautiful chart. Did you by chance take your temps later on the weekend? this could falsely elevate your temps. I would bet you ovulated on the 26th and tested your progesterone too soon.

Agreed. I think there's a strong case for you ovulating on the 26th. I'm sure you've been googling already, but here's an article I was reading about it: progesterone article

The thing I noticed about the article was if you had a low progesterone reading, you should have the blood test repeated the following month because it could change the course of action the doctor would take. I'm sorry. The feeling that a doctor is blowing you off is awful. You feel so helpless.

smsturner's picture
Joined: 05/11/09
Posts: 1303

Thank you for the article. It IS interesting that most doctors would definitely test again the next month to check levels, while mine absolutely refuses. That says alot.

Honestly, I think I O'd on the 26th. That makes it only 12-24 hours before the blood test. So there is no way that was an accurate reading of my luteal phase progesterone at it's peak. (thank you all for explaining that. I didn't realize it started low and increased until a week later) Unfortunately, that means we didn't time the bding right. I really think that we missed it and I won't get my bfp. BUT I think the clomid worked, and that's the big deal right now. I'm happy with that.

SO. I'm going to keep charting. Take my 50 mg of clomid. And in the meantime look for another doctor. I cannot see a doctor that is going to brush off my concerns and not listen to what I have to say about my own body. I'm not crazy, I'm my own rational person, who has valid rational points. He should hear me and be willing to work with me.

I really appreciate all the support that I get from people here! You ladies are all awesome. Thank you. You made me feel so much better! Whenever I have an issue or am upset, I can always count on getting the support I need to get past it. That makes all the difference.

Joined: 03/19/05
Posts: 338

Your chart looks amazing. I will definitely be stalking you for the next few days.

blissfulliss's picture
Joined: 03/03/09
Posts: 337

I just want to say EEEYEW EEW EEEEWWW about your doctor!! I got mad reading about their response to your concerns.. completely out of line and so arrogant!
And I wanted to give you HUGE HUGS!!! It seems that you have received some excellent advice from ladies who know far more than I do (or have great resources!! Smile ) and for what it's worth, I too agree that your chart looks like a perfect ovulatory cycle.
I am so glad that you're looking into getting another referral - hopefully you can find a great RE who is on the same track as you and willing to work with you!!! Smile

JustMeNHim's picture
Joined: 12/10/12
Posts: 76

I'm so sorry... Sad I have no ideas for you, but I do agree with "trust your body"... no one knows you better than yourself... Hang in there...