I have been trying to conceive our second child for the last 3 months with no success. This month my Dr performed a progesterone level at day 21 which was 0.4. Since my cycles have recently been a little longer-32 days we did another one at 25 days and it came back 1.1. She says it s possible that my follicle enlarged but did not rupture. I m not sure what that means. Is it possible to still ovulate this month later than day 25? Should we keep trying this month? Or could I have ovulated recently and my progesterone not gone up yet? Thanks! Jenny
Hi Jenny, Progesterone is a retrospective method to assess normal ovulation. Trying for pregnancy just with this is not very effective. What's the use of just having some follicle ruptured, if it's not healthy ! Important Q are:1. Your age - more than 35 years reduces good follicle count2. Weight - Obesity could be reason for ovulation3. A Polycystic Ovaries4. Any Hormonal imbalance - Thyroid / Prolactin5. Have you ruled out Pelvic Infection / Pelvic adhesions / Endometriosis6? Have the tubal Patency been confirmed these could be reasons for unruptured follicles. Hope male factor is ruled out! Hope I have answered your query. Let me know if I can assist you further.