Progesterone Levels and Symptoms After Ovulation - Obstetrics and Gynecology

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On March 27, I had a transvaginal ultrasound that confirmed ovulation, and I received an injection of progesterone on the same day.
It has now been 5 days, and my basal body temperature has remained at ovulation day 24 without any increase.
Could this indicate progesterone deficiency? Additionally, I have experienced mild, persistent discomfort on the left side of my abdomen for several days during the period from fertilization to implantation.
Is this a common occurrence? If anemia tests show no signs of anemia, does that mean I do not have "thalassemia"? Thank you.

sheji, 20~29 year old female. Ask Date: 2006/03/31

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: 1.
If there is no elevated temperature or if there is a high temperature phase (> ovulation 24 degrees) during a menstrual cycle, but it does not last for 11 days, one can suspect luteal phase deficiency.
2.
An MCV > 80 is required to rule out thalassemia.
Hsinchu Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2006/03/31

More Info


Understanding progesterone levels and symptoms after ovulation is crucial for evaluating reproductive health, especially in the context of fertility treatments or menstrual irregularities. Progesterone is a hormone produced by the corpus luteum after ovulation, and it plays a vital role in preparing the uterine lining for a potential pregnancy. If fertilization occurs, progesterone levels remain elevated to support the early stages of pregnancy. If fertilization does not occur, progesterone levels drop, leading to menstruation.

In your case, you mentioned receiving a progesterone injection on the day of ovulation and observing your basal body temperature (BBT) for five days post-ovulation. A stable BBT around ovulation typically indicates that progesterone is being produced adequately. However, if your temperature has not risen significantly, it may suggest that progesterone levels are not sufficient, which can lead to difficulties in maintaining a pregnancy if conception has occurred.

The mild discomfort you are experiencing in the left lower abdomen could be related to several factors. It might be a normal symptom of ovulation or early pregnancy, as some women experience cramping or discomfort during these phases. However, if the pain persists or worsens, it is advisable to consult with a healthcare provider to rule out any complications, such as an ectopic pregnancy or ovarian cysts.

Regarding your question about anemia and Mediterranean anemia (thalassemia), it is important to note that a standard anemia test may not detect thalassemia, as it is a genetic condition that affects hemoglobin production. If you have no signs of anemia in your blood tests, it does suggest that you may not have significant iron deficiency or other forms of anemia. However, thalassemia can sometimes be present without causing anemia, particularly in its mild forms. If there is a family history of thalassemia or if you have symptoms that suggest a hemoglobin disorder, further testing, such as hemoglobin electrophoresis, may be warranted to confirm or rule out thalassemia.

In summary, monitoring progesterone levels and understanding the symptoms post-ovulation are essential for assessing reproductive health. If you suspect hormonal imbalances or experience unusual symptoms, it is crucial to consult with a healthcare provider for personalized advice and potential further testing. Additionally, if you have concerns about thalassemia or other blood disorders, discussing these with your doctor can help ensure appropriate evaluations are conducted.

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