Scarring around the tubes and ovaries can often be detected as well. The LH surge is the brain's signal to the ovaries ordering release of the mature egg. Our patients are asked to monitor their urine at home in anticipation of the LH surge that will occur just prior to ovulation. The uterine lining can be seen with ultrasound, and measured to assure that the lining has developed to an adequate degree to support a new pregnancy should one arrive. Luteal phase Progesterone level.
Progesterone performs many crucial functions in the second half of the menstrual cycle.
It signals the uterus that ovulation has occurred and prepares the uterus for implantation of the new conceptus, should it arrive. Patients with abnormal Progesterone levels may actually conceive, but lose their early pregnancies before they ever know they were pregnant. This condition can usually be detected and corrected with careful monitoring. A small fragment sampled from the lining of the uterus just before the end of a menstrual cycle can reveal important information about the response of the uterus to all of the hormonal signals that have occurred during the cycle. All of the above represent a sampling of some of the initial studies that we obtain on nearly every patient.