Trying to figure out if the infertility treatment cycle is proceeding as planned can be arduous. We do get clues. We can look at the estrogen levels, both early and later in the cycle. If they rise quickly to over 150 pmol/l on day three there is a good chance of pregnancy. We know that those higher estrogen levels are also associated with a nice endometrial lining, as the place the newly fertiliezed egg wants in the way of a "bed" to lie (implant) in!
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you
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