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RE: Early peak days

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I would suggest the progesterone just

taken post-peak. Is it possible she’s heading into menopause?

Early

peak days

Dear

List,

I'd like your help with a client...age 43. Cycles have historically been

23-25 days with peak day falling between days 10-12. Now over past year,

peak days have been more usually day 9-10, but at times has actually

occurred by temp DURING menses (like day 3 or 4) with no fertile mucus ever

seen, and a luteal phase which would seem to confirm this, as in cycles of

16 days or so. Also she is having several days of premenstrual spotting

which hasn't responded to luteal phase topical progesterone.

Her gynecologist is suggesting progesterone taken daily (orally as

prometrium)throughout the entire cycle to attempt to get the cycle longer.

I'm not sure how that would help. Thyroid ok. Any advice?

Thanks,

Poehailos, MD

Family Physician

STM Instructor, Diocese of burg STM program

Charlottesville, VA

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