Post Menopausal Tests - Abstracts
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Abstract 4
4. Follicular growth and corpus luteum function in women with
unexplained infertility, monitored by ultrasonography and measurement
of daily salivary progesterone. M.M. Finn*, J.P. Gosling, D.F. Tallon*,
L.A. Joyce, F.P. Meehan*, and P.F. Fottrell Gynecol. Endocrinol. 3 (1989)
2979-308 Ovarian function was evaluated over a minimum of 3 consecutive
menstrual cycles from each of 41 women with unexplained infertility. Follicular
development and ovulation were monitored using real time ultrasonography
and luteal function was evaluated by daily salivary progesterone measurement.
In 129 spontaneous cycles, normal single ovulations were detected in 121
(93.8%). Luteal phase insufficiency was identified in 21 (17.4%) of these
121 cycles and this was a recurrent phenomenon in the cycles of 5 of the
41 women (12.2%). A successful pregnancy was seen only in association
with consistently normal salivary progesterone profiles or share the empirical
use of clomiphene citrate therapy had corrected previously diagnosed luteal
phase insufficiency. Basal body temperature records or mid-luteal serum
progesterone measurements were less satisfactory indices of luteal function
than salivary progesterone profile.
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