progesterone for luteal phase defect while breastfeeding

[boo'smom]

Folks -

Hoping that you all can help with this one.

I just turned 42 years and am trying to conceive number two. My daughter is 21 months and we still love to breastfeed together -- about 4-5 times a day with no signs of weaning.

So here is the challenge: I have had my "AF" (period) now for 4 months and have been trying to conceive with no luck. Using the Toni Weschler charts and ovualtion tests I have determined that I have a regular 28 day cycle with 9 day luteal phase (ie: ovulation on day 17) -- so a classic luteal phase defect.

My OB is very sympathetic to my desire to continue breastfeeding and prescribed progesterone suppositories to take starting 48 hours after ovulation. He also thought 100 mg of B6 would be fine.

Has anyone else had any luck with this approach? I am open to other ideas as well, but concerned about the effect of herbs on my milk supply. Would appreciate any wisdom.

Thanks - Boo's Mom

[AnaMom]

Hi Boo's Mom,

I'm in same situation as you only have been doing 200mg Prometrium 2X day for 6 unsucessful cycles. DD BFs 2-4 times per day. I am leaning toward Clomid at this point. Some REs believe that Clomid is the only really effective way to address LPD because Clomid does it at the level of the Corpus Luteum where progesterone originally comes from. Plus there is added benefit of increased egg quality. We are afraid of twins but probably going to try it. For what it's worth. I've been on B6 (B comlex) for years.

Some have tried Vitex, but I had LPD even while on Vitex. But I will say it had no adverse affect on my mild supply.

Best,
AnaMom