Progesterone/Trigger/HSG/AF Question

So i went in for a sonogram on the 21st to see if i had any follicles that would be mature enough. There weren't so the IUI was canceled.
He did have me use the Ovidrel shot to trigger just in case and use TI for this cycle.

I went in today so they could test my progesterone levels. My Dr. just called me back and let me know that the one follicle that could have been ok, was actually way too smal and he letme know that it was probably just an empty sack.
When he called me today he also mentioned that I had a very weak Prgesterone reading (i was on Clomid 100mg) and that we would be moving on to Clomid 150mg next month and take it from there.

One thing has me curious/wondering/nervous though. He said that because my progesterone was so weak, i might not get my period next month. However, i have never had a problem getting my period. I get it every month even though i am not ovulating strong enough on my own.

I guess my question is, if you trigger, and the cycle is a bust, do you generally get your period earlier than if you didn't trigger at all? I'm not due to get AF until May 12th but my doctor told me he wanted me to come in on May 7th for bloodwork and a sonogram to make sure everything was clear before i could move on to my next cycle, but that if i got my period before may 7th, then i should just come in on cycle day 3.

Is it normal to get AF earlier if you trigger?
And, if any of you have experience with progesterone, what does having really low progesterone mean?

Thanks!

Re: Progesterone/Trigger/HSG/AF Question

i do believe if u have that low of progesterone u will not get ur period..i think it depends if it is just low or really low but if u r getting ur period regularly i would not worry

i never got af early and i triggered every cycle..but i was also on supps every cycle and it can delay af..when i stopped them after a negative beta is when i got af

if u have low progesterone u cannot support a pregnancy but it is very very easily fixed with supps...i have been on them forever

i just re read ur question bc i wanna make sure i am saying things right lol...if i did not trigger i prob would not get my period at all but that was my body

he checked ur progesterone after u triggered?

i am not sure why to come in the 7th if u r due on the 12th..if he wants to make sure everything is clear that would be cd 3..so if it is may 7th and u have no period yet what is he looking for


also i know when u find out nothing happened on the meds it is a suucky feeling but sometimes it can just be a change in meds u need...2 years ago we did 5 rounds of clomid and i never responded i felt so defeated

we switched to femara with the RE and saw results then once added injectables it was oh ok so that is what a mature follie is

Re: Progesterone/Trigger/HSG/AF Question

Re: Progesterone/Trigger/HSG/AF Question

i am not sure it def could..i am the wrong person to answer bc i never got my period every month

i think what he means is bc if u did not trigger,and did not ovulate af would come later

if u trigger u r def going to ovulate which means u r going to get ur period

i think that made sense lol...u think after all this time i would have any idea what i am talking about

Re: Progesterone/Trigger/HSG/AF Question

this is where i get confused myself..
i did trigger...but apparantly, i did not ovulate "Strong" enough for anything to happen.
This has happened to me before and i still got my period.

so if you don't ovulate, your not supposed to get your period, right? i've heard alot about this, going back and forth with no your not supposed to get your period if you don't ovulate and some people saying yes you still could even if you didn't..

thank you for attempting to answer my questions!!!!!!!!

Re: Progesterone/Trigger/HSG/AF Question

You can def get ur period and not ovulate. Those r called annovolotory and I spelled that wrong cycles

I am not familiar with triggering but it not being stron enough

What dose was the trigger?

Re: Progesterone/Trigger/HSG/AF Question

i guess i keep having those anovulatory cycles
i don't know what dose the Ovidrel was, I have to look it up once I get the prescription refilled

Re: Progesterone/Trigger/HSG/AF Question

Ok, this makes sense to me, so let me see if I can answer everything...

If you normally get your period, even when you don't ovulate, you should probably still get it this month. When he looked at your lining, was it thick? The issue is that the drop in progesterone is what triggers AF. If your progesterone is really low (which he confirmed with b/w) then it might not have anywhere to drop to induce AF. Does that make sense?

The reason he's seeing you on May 7 is b/c that is 16 days past your trigger. If you triggered on April 21 (and ovulated April 23), a normal luteal phase is 14 days, bringing you to about May 7. May 7 is therefore equivalent to CD 1 or 2. If you get AF sooner than that, you'd just go in for your regular CD3 appt to start your next cycle.

Also, knowing you see Dr. Grunfeld, I know he is on call on Mondays so that is likely why he's having you come in on May 7 and not a day before or after. He wants to personally see you, rather than you seeing another dr in the practice.

For me, I also don't have a strong ovulation and I have low progesterone and likely a luteal phase defect, but I still get my period like clockwork every month. I'm also on clomid, like you.

Likely they'll only try you on clomid for 2 or 3 months before moving on to try something else. You just have to give the dr a few cycles to figure out what's going on and then he can see how you're reacting to different protocols.

Re: Progesterone/Trigger/HSG/AF Question

Re: Progesterone/Trigger/HSG/AF Question

Sorry, let me just correct one thing I said. You'd count 14 days for your luteal phase from ovulation to the start of your next AF. So really you'd count from 2 days after your trigger. My math is off a day or 2, but still essentially the same idea.

Luteal phase defect is when you have a short luteal phase (usually 10 or fewer days). This doesn't allow enough time for the embryo to implant. My luteal phase ranges from 9 to 12 days so it's considered too short. Clomid brought me up to about 13 days, but with spotting starting on day 10, so it still wasn't great.

Re: Progesterone/Trigger/HSG/AF Question

so is Clomid known for backing up your AF?

Re: Progesterone/Trigger/HSG/AF Question

Last month, my first month on Clomid, my cycle was exactly the same (26 days) but I probably ovulated a little earlier than I naturally would have because I triggered. Then my LP was a few days longer. But all in all, about the same.

This month I triggered a day earlier than last month so we'll see what happens. Or if I"m lucky, I won't see AF at all!

Re: Progesterone/Trigger/HSG/AF Question

Posted by NYCGirl80

Last month, my first month on Clomid, my cycle was exactly the same (26 days) but I probably ovulated a little earlier than I naturally would have because I triggered. Then my LP was a few days longer. But all in all, about the same.

This month I triggered a day earlier than last month so we'll see what happens. Or if I"m lucky, I won't see AF at all!