Short luteal phase - GP was very dismissive!(31 Posts)
What a nob! I went to a fertility clinic many years ago and said my LP was 10/11 days and the male doc said it was impossible as every woman gets a period 14 dpo, so I understand the frustration! Have you had the day21 progesterone test which should be done at 7dpo? If it is continuously coming then, you should push for a referral to a gynae because it suggests there are ovulation issues. easily can be sorted but you need someone who knows. GPs can be pretty useless when it comes to fertility. There are so many books out there that will say the ideal LP is 12plus days and certainly not lower than 10 - can you Take somehing along like this to the GP? When I saw a gynae about my 10/11 day Lp she said it was too short. I am sure the odd person will manage to get pregnant with a short one but chances are reduced as apparently implantation happens on average around 9dpo....so clearly not much good if your period has come by then.
I would also say that some people who have come off the pill can take a while for their LPs to get to something normal. Sometimes it happens naturally. Other people I know has to go on clomid to extend their very short Lp.
Sparkle - how annoying! I'm experiencing the same thing with my lp. How long have you been off the pill?
That's annoying, the briefest of searches show that a pregnancy needs a luteal phase of 10 days minimum to support it.
I think the B vitamins help promote a longer luteal phase, have you looked into supplements at all?
See another GP who isn't a cocky, know-it-all asshole.
I've always had a shortish LP (about 10 days) but it went down to 7 or 8 when I was breastfeeding DS. I took B6 for a couple of cycles and it sorted things out without my having to wean him (I was charting my waking temperatures etc). I'm now four months pg with DC2.
When I got pg with DS, I showed my charts to my GP and he was like this - he said he'd never met anyone who'd done it I don't think all GPs are particularly knowledgeable about fertility.
Can you change surgery? If there are other GPs there I'd ask to see one of them. Don't go back to this one.
Do you know what, I've totally forgotten
I think I took it all cycle, but it might be that it's just the first bit that's important. I do remember you need to take it along with other B vits. I got the info from a thread on here (TTC while breastfeeding) so if you do a search it might come up.
And defo try to see another GP. Yours sounds underinformed
Hi Sparkle. My fertility consultant has been equally dismissive I'm afraid They just seem to be bothered that I ovulate at all rather than when I ovulate...
I have just been prescribed Clomid as this can induce earlier ovulation & therefore by default help with LP issues but I am still undecided as to whether I should take it or not as there will be no monitoring. I would much rather have monitored cycles (without meds!) but that's a 'resources issue'.
My experience is that once basic tests done (bloods, semen analysis, HyCoSy) they go straight for treatment regardless. I asked last week about further hormone investigations but was told 'you don't want more investigations you want a baby and IVF is the way to do that.'
Hope you have better luck!
B6 I believe really helped my LP after a MC. I cannot rember the dose, but it was 2 of the cheapest ones from holland and Barrett, so I think it was 10mcg (or whatever the units are called). Went from 9 to 14 days in 4 cycles, then got a BFP. Though some if that might have happened anyway as my body settled after the mc. Another friend had a LPD and was given progesterone by a specialist. She too was pregnant within a few cycles.
Just wanted to add that b6 lengthened my lot, too. Didn't affect when I ovulated. and I had a BFP the second cycle I took it.
GPs don't actually know very much about the detail of fertility. I don't think it's covered all that much in their training. I would bring printouts on minimum lp length. Anything to bolster the case.
I also had a dismissive gp, who told me progesterone had nothing to do with it, when I asked for it to be tested.
Hi Sparkles, GPs have so little knowledge on fertility, it's so frustrating! I had a 9d LP when I was ttc , GP totally dismissed it and my 21d bloods always showed low progesterone. However, I did manage to conceive DD eventually with a 9d LP
Now am ttc no 2, still bf and LP is 7-8d Have been trying b6 but has not really made any difference to my LP in 3 months although since starting it I am now ovulating on d21 rather than d25 (although maybe this would have happened anyway!) I have also read that B6 is not much use for increasing LP unless you are bf as it mainly helps reduce prolactin levels.
Anyway, sorry not much help I know, but just wanted to say you can conceive with a short LP so keep at it and FX for you
Hi Sparkle. I just want to share my story in case it helps. After DS we started thinking about no.2 and when my periods returned I started temperature tracking as they seemed on the short side 24/25 days long. At first I thought I must be getting it wrong but temps and ovulation pain showed I was ovulating late with a 7 day LP. After four months I went to the doc. I knew it was no use talking about LP to them so I said I felt things weren't right, my cycles were short and coincidentally I was also having bouts of insomnia. I had read about low progesterone being a cause of short LP and it can also cause insomnia so i had a feeling it might be the issue. i asked for the full gamut of hormone tests and the doc obliged ( she was new and keen)!
Everything came back normal EXCEPT my progesterone which indicated I hadn't ovulated. My temps showed I had but herein lies the issue. The 21 day progesterone test relies on you having a 14 day LP. The doc said for me to count back 7 days from last day in cycle and take the test. This happens to be 1dpo for me instead of 7dpo so of course my progesterone was low.
Anyway, they ask me to repeat the test next month and the same thing happens. So, the doc says, it looks like you aren't ovulating and at this point I try to explain about LP and get nothing. Doc then recommends I use OV sticks for a few more months and then come back and she will refer me to a fertility expert.
At this point my impatience kicked in and so we went privately. Consultant sent ,e for follicle tracking which confirmed that I was ovulating and had a 7 day LP. He explained that the corpus luteum secretes a certain amount of progesterone for 7 days in everyone and then after 7 days it can vary and they don't really know why. He prescribed a few months worth of progesterone pessaries to be taken two days after ovulation and sent me on my way. The very first month we got a BFP. It makes me wonder if we were fertilising eggs but my body was chucking them out, or perhaps it is coincidence and luck but certainly going privately saved a lot of frustration and heartache and fortunately it was just two appointments and some tracking so not major bucks.
I have my 12 week scan this week and hopefully there will be a healthy baby in there....if not that is a whole other hurdle but I feel like we were lucky with the LP hurdle.
Sorry it's so long but I hope this gives you something to cling onto and investigate. If you are near London I am happy to recommend my consultant.
I am having the same issue. Stopped the pill almost 6 months ago, but am only in my third cycle now. However, ov is always late (cd 18 now and think it's close), but then I have my AF a week later. Took B6, 50 mg a day, and ended up with tingling arms and legs, which after two weeks have not gone yet. The GP is doing blood tests for the tingling, but if my LP stays short, I'll be going back for that as well. So I would recommend staying off the B6 and getting a new doctor.
I know LP can be short after the pill, but after 6 months or more than three cycles, I think it should be checked out.
Totes, thanks for your story. It makes sense about the 7 days of progesterone, and after that it can vary. Good to hear progesterone can help so well. Was the private consultant expensive? Good luck with your scan!
Hi Sparkle. I had two appointments with him. The follicle tracking was done at a local clinic that offers scans privately.
The scans cost me £70 and I had two or three. I can't quite remember how much the consultations cost - I think between £100-200.
I thought I knew what the issue was and had done the bloods already with GP and had the details. He knows we were paying as we go so doesn't make you do tests unnecessarily so we didn't have to repeat blood tests.
GP should give you copies if you ask. Good luck!
Hi Sparkle, well you have the evidence right there that your LP is short. I am afraid I can't interpret them anymore than that as yours are much more detailed than mine.
Did your GP say anything to you about them? Did your thyroid come back ok? Have you heard back from any of the private clinics ?
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