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  1. #1
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    Default spotting

    Hi
    I have a question re spotting before period. It occurs approx 4 days prior to period every cycle. I am wondering if this would be due to low progesterone or possibly a lutal phase defect? I have done 1 icsi round - negative (spotting started 11 days past transfer - using progesterone pesseries ) and 1 natural fet - negative (spotting occured 5 days past transfer). Any info would be appreciated.

    Thanks

  2. #2
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    Default Spotting

    Hi kbw

    Spotting before the period may indicate several problems. Firstly, it may be associated with endometriosis. Have you had a specific history taken for this? Have you had a laparoscopy? Some papers suggest that there is such a condition as a luteal phase defect, and potentially, this may benefit from treatment with additional or extra progesterone support in the luteal phase. On a positive note, those patients I have seen with your symptoms who have either had their endometriosis treated and/or have taken addtional progesterone have all fallen pregnant.
    Good luck. Sonya


 

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