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Discussion Starter · #1 ·
i have been having brown (sometimes pinkish brown turning to brown) spotting every time (except once) after any kind of sexual penetration and a time or two after having bowel movements. i understand that spotting is normal during pregnancy because the cervix is more friable/sensitive but i am having A LOT more spotting this pregnancy than i did with my 1st pregnancy. i don't think i had any real spotting during my 1st trimester and what i have been able to find about low progesterone during pregnancy really only mentions spotting in the 1st trimester and increased risk of miscarriage. but it seems to me that it is possible that the placenta could be not producing sufficient progesterone and this could be causing increased frequency of spotting. am i wrong? prior to conceiving i suspected that i was low progesterone and started taking vitex, but did not take it very regularly (though when i was better about taking it regularly my cycle changed.) i'm wondering if i might try taking vitex again to see if it will help with the spotting.<br><br>
another thing, i was reading stories about low progesterone in pregnancy and one woman mentioned that after she quit taking her progesterone supplement beginning the 2nd trimester, she noticed a decrease in fetal movement. (she subsequently went on to miscarry.) i have been feeling the baby move for about 2-3 weeks now but it is infrequent. at my appts the heartbeat sounded fine and was in the 150-160 range. i'm 17 weeks according to LMP, btw. could this be because of low progesterone or should i see an increase in discernible fetal movement over the next couple of weeks? i do plan on asking my midwives about this eventually but i wanted to post on here first. and thanks if you read all of this. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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I can honestly say I've NEVER heard of a loss solely due to progesterone in the 2nd trimester. My guess would be that was coincidental with some other cause. (and I have progesterone issues that have caused loss, so I've researched it to death)<br><br>
Spotting, on the other hand, when in the 2nd trimester could indicate a subchorionic hemorrhage and might merit an ultrasound just to see what is going on.<br><br>
It is VERY normal for mamas to feel less of baby, especially between 13-16 weeks or so. Plus even through 20ish weeks when baby is still small enough to have lots of room, they tend to face their placentas and kick it, so mom feels less.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Discussion Starter · #3 ·
in the story the woman said it happened to her twice (she went off the progesterone, immediately started having odd symptoms, and then miscarried.) i didn't read it really closely as i was just skimming looking for info.<br><br>
the stuff i am pulling up on subchorionic hemorrhage doesn't really sound like what i am dealing with. everything i am reading involves either episodes of red bleeding or very dark bleeding and/or uterine cramps/contractions and nothing mentioning that it started after intercourse, etc. i haven't had red or dark bleeding or cramps. i did find on another message board some posts made by women with dx subchorionic hemorrhage discussing low progesterone levels during their pregnancies. is this why you mentioned it? from what i am pulling up the only treatment is pelvic rest, bed rest, avoiding exercise, avoiding lifting anything heavy, etc to help prevent miscarriage. it doesn't seem like something that would necessitate an u/s because i can't find anything on treatment otherwise. though if someone could direct me to info that proves differently, that would be appreciated.<br><br>
i thought about the baby facing the placenta, and the placenta being in the back...it seems like when i feel movement it generally feels like the baby is stretching or pushing against the front and it feels like one smooth line across my uterus, which i would say is likely the back.
 

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I suppose it is possible, it's just highly unlikely since the placenta itself takes over progesterone production starting at 8 weeks and usually completely by 12 weeks. The progesterone problems in 2nd and 3rd are usually preterm labor (for which progesterone injections are most effective, oral/vaginal not helping much). I'd still guess it was something else or her particular genetics/biology.<br><br>
I've known many PG mamas whose SCH started off as spotting rather than heavy bleeds (and plenty whose did). It would be the first thing I looked at for any vaginal bleeding, along with placenta previa. If you weren't bleeding much (small SCH, etc) then it could easily stay inside until something like intercourse forced it out, hence the brown color.<br><br>
it could also be a polyp on the cervix.<br><br>
In terms of how it is treated, you read correctly. It's mostly a matter of being gentle with your body and not causing the SCH to grow or worsen. It is good to know if you have one, though, since if you suddenly started hemorrhaging (especially later on in the PG) you could quickly tell emergency providers what the original problem was.<br><br>
Plus, on the off chance it was placenta previa you'd likely want to know.<br><br>
JMO of course. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Discussion Starter · #5 ·
thank you for your responses NatureMama! they have been enlightening. i did find some info on treating subchorionic hemorrhage with progesterone. i investigated placenta previa about a week ago. your responses have helped me decide how to proceed. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 
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