Doctor insights on:
Lengthen Follicular Phase
Depends on how...: Depends on how long one's luteal phase is. If the luteal phase is 14 days (from ovulation to just before the period begins), then the follicular phase is 14 days as well. If the luteal phase is 2 days longer, the follicular phase is then 2 days shorter, etc., etc.... A normal luteal phase can be 10-16 days long among different women, but tends to stay the same number of days in an individual woman. ...Read more
What is the cause of long follicular phase (26 days) but normal luteal? What problems could it cause or hide? Solution?
What are your goals?: The follicular phase varies from person to person. The luteal phase is consistently about 14 days. Instead of thinking about these phases determine your goals. If your goal is cycle regulation then birth control methods can help. If your goal is pregnancy then a home ovulation kit would help. You would expect to ovulate 14 days before your next anticipated period. ...Read more
Had 13 day follicular phase before first baby 1.2 years ago. Now have 10-11day follicular phase. Could this indicate diminished fertility? I'm 34.
First half varies: The first half of the menstrual cycle varies from person to person. The luteal phase — the time after ovulation usually lasts about 14 days. What you are describing does not appear to be outside the range of normal. If you are having trouble getting pregnant see your obgyn for assistance ...Read more
Do both ovaries produce follicles at the same time in their follicular phase? Or one ovary produces follicles and the other, the next month?
Can vary: This can vary from month to month and from person to person. This is not really something Obgyns track and it is not very clinically useful. ...Read more
Long follicullar phase but normal 14 day luteal phase. Is this ok? What causes long follicular phase what can I do? Always ovulate around cd 25
Keep body weigh down: Although premature death of the dominant follicle followed by replacement or follicular suppression are possible causes, the most common reason for long follicular phases in women is prolongation of the time from recruitment to emergence of the dominant follicle. This is most commonly seen in PCOS. You are ovulating and menstruating, so that is good. There is not much for you to do. ...Read more
Should 17-oh progesterone test be done in a fasted state, first thing in the morning? This is not the stimulation test, this is follicular phase test
17 oh progesterone: This test measures the hormone from the adrenal gland primarily and is used to screen newborns for rare congenital defects. Ask you gynecologist if there are different methods to test for follicular integrity or occurrence. Progesterone is a thermal hormone and often temp rise during proper ovulation causes an increase in temperature. ...Read more
2day of period had test, (lh) 2.89 is this normal? . Ref range follicular phase : 1.1 – 11.6
Lab results: According to the isolated lab result without knowing any of your clinical history this is a normal result. In order to know if this is a normal result for you in your situation you will have to ask the doctor who ordered the test. ...Read more
Does a short follicular phase affect fertility? I ovulate on day 9 or 10 of my cycle. My luteal phase is always 16 days.
What can you infer from permanent too low FSH and LH in luteal phase but normal (though tending to the lower ranges) in follicular phase?
Luteal phase defect: This suggests that the secretory phase of your endometrium is too weak so that the lining of the uterus may not support the implantation of the fertilized egg. ...Read more
Follistim has miraculously stopped my chronic spotting during my follicular phase. What is the physiology behind this? I have normal estradiol levels.
What causes a follicular phase E2 level in the ovulation phase, or even luteal phase? Proges is also low for the phase. How to treat please? Not on BC
The ovary: Simplistically: Estrogen (E2) is produced during the follicular phase from the ovary in response to another hormone called FSH(follicle stimulating hormone). At mid cycle, ovulation occurs(now in the luteal phase)and progesterone starts to rise, and typically peaks midluteal phase. If you don't get pregnant, the E2 and Prog. Levels fall, and you start your period. Then the whole cycle begins again! ...Read more
I had norethesterone during middle of my cycle for spotting then after i finishd this my period came, so my follicular phase will start again after it?
Yes: Your 'period' was withdrawal bleeding the lining should now be capable of normal change in response to follicular stage hormones. ...Read more
Why is it I feel at my best in luteal phase and on my period and not in follicular phase? it's usually the contrary to other females.
Immediately after my period ends, I spot for about a week. This happens every cycle. What would cause this follicular phase spotting?
A few things: Endometrial polyps, cervical polyps, submucosal fibroids, infections and hormonal fluctuations are a few of the many possible causes. An obgyn evaluation will be needed to narrow down the causes ...Read more
Been trying to conceive naturally w/o success n noticed I have a short follicular phase (~7days) n normal luteal phase. Is this a contributing factor?
Possibly: Short follicular phase si not a problem by itself but 7 days is extremely short. How are you determining the length of your follicular phase? Are your cycles actually only 21 days? Consistently? ...Read more
More than 12microcysts on each ovary. Ultrasound in follicular phase. Could it be functional cysts? I'm afraid its pcos but don't have other signs.
Could be: If your periods are regular and you don't have the other signs and symptoms of PCOS, these are probably normal functional cysts. Several eggs begin to develop each month. One becomes the dominant follicle and that is the one that goes on to ovulate. The others just atrophy and go away. Occasionally there will be 2 dominant follicles that ovulate and can result in fraternal twins. Hope this helps. ...Read more
Cd 23 of an average 35-day cycle, not ovulated yet and progesterone still in follicular phase but I have white CM in urine and cramps all day. Why?
Check it out: See you doc if persists. Not sure what happening. ...Read more
Test on 2nd day of period, FSH came 4.96 ref level in report :follicular phase : 2.8 -11.3
mid-cycle : 5.8-21
luteal phase : 1.2 – 9.0. Is this normal?
Depends: Lab tests must be analyzed knowing the individual and their specific history. What you describe sounds normal. Confirm with your doctor. ...Read more
My oestradiol is 1339pmol/l progesterone 0.9 nmol/l in the follicular phase. What could this mean? Irregular periods, pms, fatigue and dizzieness.
Irregular periods: Irregular periods are one of the most common problems obgyns treat. If this is one time problem it usually resolves on its own. If this is a recurring problem you should be evaluated. Infections ; hormonal changes can cause spotting. If there is a concern for pregnancy then do a home pregnancy test. There are many options available to help regulate the menstrual cycle. Schedule a visit. ...Read more
What is the FSH and LH ratio during follicular and lhuteal phase? Is it possible for LH to be 5 times higher on day 14 on the cycle?
Does a shortened follicular phase (ovulation on day 11) after laparoscopic ovarian surgery (before on day 17) means ovarian failure?
No: Ovarian failure is diagnosed after months of no periods not because one cycle was abnormal. ...Read more
I am experiencing postmenopausal. My follicular phase is 3.5-12.5 ovulation 4.7-21.5 post menopausal 25.8-134.8 can I still get pregnant naturally?
Unclear question: I apologize but it is not possible to answer this. It is not clear what the numbers you listed are referring to. If you are menopausal then you would not be ovulating. If you are ovulating the you are not in menopause. Consider doing a one on one virtual visit to help decipher this situation ...Read more
I started Clomid (clomiphene) at day 3 of light bleeding without the flow of blood, was this wrong, how my follicular phase, ovulation,uterus will be affected?
Probably OK: If the time was right for your period then day three start is OK. If your periods were irregular and you known you were not pregnant — the bleeding may have just been BTB and starting the Clomid (clomiphene) would be OK. The only time Clomid (clomiphene) would be a bad idea would be if you have already conceived or if you have ovulated within the last 24 hours and still could conceive. We do not take Clomid (clomiphene) if pregnant. ...Read more
Can this be hypopituitairism: high cortisol, highish prolactin, low HGH, lowish TSH, low LH and FSH in luteal phase, (lowish in follicular), low ADH (vasopressin)?
Pituitary: It is difficult to diagnose hypopituitarism vased on labs you provided. High cortisol goes against hypopituitarism. High prolactin can lower FSH and LH. TSH normal range is 0.3-4. If pituitary dysfunction is suspected, we check Free T4, not TSH. I hope this answers your question ...Read more
I'm trying to conceive but my menstruation started earlier than expected. Can I delay ovulation if I take norethisteron in the folicular phase?
Unclear goals: It is not clear what your goals are. If you are trying to get pregnant then there is no reason to try to delay ovulation. Just have sex often around the time of predicted ovulation. Progesterone can be used to delay or prevent ovulation in the various brands of emergency contraception but this seems counter to your goals of getting pregnant ...Read more
Follicles: The size difference between the two ovaries probably means you have more follicles on your right ovary compared to your left. Was any mention of follicles made in the report? And,what was the size range of the follicles? ...Read more