Dr Eric Daiter has successfully served thousands of patients with ovulation problems over the past 20 years. If you have questions, or you are simply not getting the care that you need, Dr Eric Daiter would like to help you at his office in Edison, New Jersey or over the telephone. It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).
"I always try to be available for my patients since I do understand the pain and frustration associated with reproductive problems or endometriosis."
"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."
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Progesterone concentration in the blood increases dramatically after ovulation. Obtaining a single random (or multiple) serum progesterone concentration(s) during the post-ovulatory phase of the menstrual cycle is often able to confirm the usual “post ovulation” rise in circulating progesterone.
Progesterone concentrations are pulsatile in the post ovulatory phase of the menstrual cycle. Therefore, it is possible to obtain a progesterone concentration that is “lower than expected” with single random samples since one might catch the nadir (low point) of a pulse. The progesterone concentration that suggests that ovulation has occurred is controversial, with many Reproductive Endocrinologists using progesterone concentrations in excess of 3-4 ng/mL to signify a luteal phase level. Progesterone concentration is usually less than 1 ng/mL prior to ovulation.
The progesterone concentration does not allow one to determine the time that ovulation occurred, rather simply that ovulation has occurred.
“Luteinized Unruptured Follicle Syndrome” (LUFS) is a theoretic (hypothetical) possibility, implying that an ovarian egg containing cyst (follicle) became luteinized (among other things, to primarily produce progesterone rather than estradiol) at the time of “ovulation” yet did not release the mature egg (the follicle did not rupture to release the egg into the pelvis). In this situation, progesterone concentrations would be elevated yet the egg may not have been released. It is not clear that LUFS really occurs, with many Reproductive Endocrinologists believing LUFS to be extraordinarily rare or nonexistent.