Low progesterone. Eeep! - Mothering Forums

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#1 of 19 Old 09-05-2008, 06:44 PM - Thread Starter
 
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Got my bloodwork done yesterday. Doc's office called today to say my progesterone level is 17. She says it has to be 20 or higher or there is an increased chance of miscarriage. Wants me to start on vaginal prog suppositories. Yuck.

What do you guys think? Should I be worried?

I just read on the internet that low progesterone doesn't cause miscarriage but that it is an indiction of a problem. Anyone know anything?

I would have to take this nightly until 12 weeks! That's 6 weeks of this stuff.
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#2 of 19 Old 09-05-2008, 06:49 PM
 
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What would I do? Get online and buy a copy of Garden of Fertility by Katie Singer ASAP

Seriously, the book is awesome. It's helped me a ton, answered questions that midwives and holistic doctors could not.

She tells how to tell if your progesterone is low, and gives a number of ways to remedy it - much of it through traditional foods, but she also starts from most basic natural things to mainstream medical things.

You might even be able to find info on her website about natural ways to raise progesterone. However, I think I'd be inclined at this point to consider the suppositories. Low progesterone does lead to miscarriage. Can you have another test done? Maybe it was just low that day due to something you ate? Soy can raise estrogen/lower progesterone...

Best of luck!
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#3 of 19 Old 09-05-2008, 06:53 PM
 
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I would take them, although mine is much lower. At 6 weeks mine was only 9.6 so I was put on 200 mg. the next week 11.2, the next week only 11.3 so I'm now on 400mg orally, and will be on 600 vaginally. EEK. I do think it has helped to keep me pregnant though considering i had 3 miscarriages in a row prior to this pregnancy. I would take the suppositories.
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#4 of 19 Old 09-05-2008, 07:11 PM - Thread Starter
 
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What I have found online though is it says in the first trimester 9-46 is normal. I guess my OB is saying that it's below average. I definitely have an aggressive Ob who likes to run a ton of tests and do a lot of procedures.

I'd just rather not do anything that isn't necessary. I mean, if I thought it was necessary I'd do it in a heartbeat, but it just sounds like I'm in the normal range. I've had 2 healthy pregnancies before this one...
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#5 of 19 Old 09-05-2008, 07:35 PM
 
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A difference between 17 and 20 isn't huge, but I would definitely take the suppositories. They can't hurt. They can only help.

Bradley Teacher, Doula, Wife To DH (6 yrs), Mama to DS (9/07), DS (4/09), and due in February of 2011
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#6 of 19 Old 09-05-2008, 09:28 PM
 
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I used OTC progesterone cream while TTC to lengthen my LP. I talked to my MW and she said to keep taking it until 11 weeks. I asked her if there was any harm to the baby from increased Progesterone and she said none whatsoever. I would take it. It can't harm the baby and even if it's unnecessary, it's at least safe. Good Luck!

Mama to one little blur, watching everything move too fast. Eden 4/10/2009.
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#7 of 19 Old 09-05-2008, 10:30 PM
 
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i started prometrium the day i got my bfp...and believe me, i'm not a medicated kind of gal. i don't even do asprin. but after my m/c in april, and with my age, i figured it wouldn't hurt... so far so good...the only thing i experience with it is i think i'm more tired the first hour after i take it. i started out using it vaginally, now i just take it orally because i honestly couldn't stand sticking a pill up there.

Cat - Mother to Jonathon (1-24-1987) ; Lola (3-24-2003) ; Xiola (9-27-2005) : 8 wks (4-2008) ; 11 1/2 weeks (9-2008); and 7.5 weeks (5-2010) Nana to William (3-27-2009) Blog: AmLo Farms
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#8 of 19 Old 09-05-2008, 11:25 PM - Thread Starter
 
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It's going to cost me $600 for the 6 week supply. My insurance won't cover it. So before I do it I just want to make sure it's necessary. I mean, is 17 really so low? Online it says 9-46 is normal.
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#9 of 19 Old 09-06-2008, 12:35 PM
 
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Ouch! The magnificence of modern medicine. Can you ask your dr if there's a cheaper option? Or ask if you can use an OTC cream?

Mama to one little blur, watching everything move too fast. Eden 4/10/2009.
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#10 of 19 Old 09-06-2008, 04:54 PM
 
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I took it with my last pregnancy. Mine was low too.

If you can't afford the meds, then you could explain that to the dr and ask if there is another alternative. Could you be tested in another week or two? Could you try OTC prog cream and then be retested in 2 weeks? Since it's close, that may be all that's needed. But, most otc prog creams are low doses, so you'll need to put it on a few times a day (inside thighs, bottom of your feet, on your belly are the best areas)

I would be shocked that there isn't a generic form of it. I would check with the pharmacist for alternatives and take that back to the dr.

At least if you do these things, she knows you are trying to do the right thing. But, $600 is alot. But, in her opinion, if your prog is low - it's a risk that doesn't HAVE to be a risk. KWIM?

GL, I hope you find an alternative.

Steph, wife to C, mama to O :, E , and I :.
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#11 of 19 Old 09-06-2008, 06:30 PM
 
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oh my gosh!! that's pricey...mine is $176 for a 5 week supply of prometrium...that's crazy your insurance won't cover it. i'd definitely ask to be re-tested and see if it's going up or anything...i know i could never afford tht much for a prescription... i'm so sorry you are having to weigh all this right now...

Cat - Mother to Jonathon (1-24-1987) ; Lola (3-24-2003) ; Xiola (9-27-2005) : 8 wks (4-2008) ; 11 1/2 weeks (9-2008); and 7.5 weeks (5-2010) Nana to William (3-27-2009) Blog: AmLo Farms
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#12 of 19 Old 09-07-2008, 07:48 PM
 
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I'm an RN for an OB practice. My docs get excited to see numbers in the low teens. Usually 17 would be okay, depending on your history. Did they prescribe Proceive gel? That stuff is crazy expensive. Ask for Prometrium if you don't have peanut allergies. It can be used orally or vaginally. Our docs also do weekly progesterone injections as another option.

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#13 of 19 Old 09-08-2008, 11:27 AM - Thread Starter
 
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Yes it was Proceive! Wow, okay I'll see if I can get the prometrium orally, that sounds good to me.

Thanks for the tips and advice. Very helpful.
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#14 of 19 Old 09-08-2008, 11:35 AM
 
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Low progesterone can cause bleeding and cramping and in turn that can cause a healthy pg to m/c so I would take the progesterone. I took the oral pills and my insurance paid for it. Cost me around $5.00 for 30 pills with my copay.

 
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#15 of 19 Old 09-09-2008, 10:33 PM - Thread Starter
 
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Got a new prescription for some suppositories that only cost $45 for a 30 day supply. Much better. Now if I can just get this suppository in the right spot...
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#16 of 19 Old 09-10-2008, 12:09 AM
 
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Quote:
Originally Posted by Polgara1111 View Post
Got a new prescription for some suppositories that only cost $45 for a 30 day supply. Much better. Now if I can just get this suppository in the right spot...
good luck!

Mama to one little blur, watching everything move too fast. Eden 4/10/2009.
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#17 of 19 Old 09-10-2008, 08:32 AM
 
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I'm crashing here from the May 2009 DDC. I am 6 weeks' pregnant. I have been taking 200 mg of progesterone per day since pre-conception because of a short luteal phase. I have had spotting and bleeding since I found out that I was pregnant at 4 weeks. At 4.5 weeks, I had my progesterone level checked (of my own doing - not because my gyn was worried) and it was just above 15. My gynecologist thought that this was fine and does not think that it is necessary to increase the prescription. I am, however, now wondering if I should not increase the dose. What should the level be at 4 weeks?

I should add that my HCG levels have been almost tripling within a span of 2 days and my gynecologist seems to focus more on this.

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#18 of 19 Old 09-10-2008, 09:02 AM
 
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My RE likes to see it above 20, and they space the dosing out thruout the day ( would have you do 100mg twice a day, not 200 at once). You might want to talk to your doc about increasing, and spacing it out. They have me on prometrium capsules taken vaginally. It's supposed to be absorbed better when used vaginally.
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#19 of 19 Old 09-10-2008, 09:22 AM
 
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Quote:
Originally Posted by Polgara1111 View Post
What I have found online though is it says in the first trimester 9-46 is normal. I guess my OB is saying that it's below average. I definitely have an aggressive Ob who likes to run a ton of tests and do a lot of procedures.

I'd just rather not do anything that isn't necessary. I mean, if I thought it was necessary I'd do it in a heartbeat, but it just sounds like I'm in the normal range. I've had 2 healthy pregnancies before this one...
Depending on the kind of birth you want to have (and if it's the "I'd rather not do anything that isn't necessary" sort, especially...) it sounds you're going to have an uphill battle with this OB... Why fight??

Autumn (1990) Blake (1993) Zoe (2001) Dmitrios (2002) and William (April 2009) born still @ 39 wks - my 4ever
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