Miscarriage/progesterone/PG
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Category: Planning Pregnancy (trying for baby)
Forum Name: Planning Pregnancy (trying for baby)
Forum Description: Trying to get pregnant? Going through fertility treatment? Just planning your first or second child? There are many people out there in the same boat to help and listen and share with
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Topic: Miscarriage/progesterone/PG
Posted By: popstress
Subject: Miscarriage/progesterone/PG
Date Posted: 05 July 2010 at 4:25pm
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Ok so one of the reasons for MC can be low progesterone right?
So say I get PG again soon, I want to go on progesterone straight away, more as a precaution rather than anything else - so is this something I should sort out now before I get PG – or can I get my BFP and then go into my GP the very next day for a prescription? And then I the other question is would this be a job for your GP or midwife? I have had two MC and feel like no one really gives a stuff until you have 3, so am trying to do everything I can for myself. |
Replies:
Posted By: didi99
Date Posted: 05 July 2010 at 5:40pm
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Hi popstress, I completely know how you feel, I have also had 2 MC's and really wanted to be pro-active about things rather than sit and wait for a 3rd.
Personally I am seeing a naturopath, who specialises in infertility/mc's, I am on heaps of herbs and vits to help address some of the main causes of MC, plus eating healthy and exercising. I am also getting some bloods done to test for various things as well. So far I am really happy with her, although time will tell I guess I need to get UTD and past that magical 12wk mark before I can say it has worked, but even if it doesn't work I am at least going to be really healthy and it feels great to actually be doing something about this. Where do you live? if you are in Auckland let me know if you want the info for my naturopath. -------------  Angel Babies Nov 09, May 10, Dec 10
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Posted By: Kicker
Date Posted: 05 July 2010 at 5:46pm
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Popstress i had to get the progesterone pessaries from a fertility specialist, i also started them on the day of ovulation. -------------  
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Posted By: KH25
Date Posted: 05 July 2010 at 6:38pm
Yip progesterone pessaries from a fertilty spec unfortunately. I think people normally take them from a bfp but because my mc's were so early and I was starting to spot before a bfp, I started them on day 21. I would recommend (and privately if you have to) going to see someone who specialises in recurrent mc's and they can look at your history and do all the bt's etc to get a full picture and hopefully a reason for them. Good luck  ------------- Kelly, mum to DD, 19Jun06 (26wks 1lb15oz) DS1, 24Oct10 (32wks 4lb11oz) and DS2, 31Dec11 (32wks, 4lb11) http://lilypie.com"> 
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Posted By: Shezzey
Date Posted: 05 July 2010 at 8:55pm
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Popstress.... I got my prog pessaries from FS too... and would recommend taking them a few days after ov... perhaps from 7dpo because that is when prog peaks, from the follicle that released the egg, and thus maintaining your prog levels. They are quite expensive.. so you may have to budget for them Best wishes |
Posted By: minik8e
Date Posted: 05 July 2010 at 10:49pm
| I got mine from a FS also (I went to see her privately). They aren't subsidised at all, so I would suggest maybe arranging for some tests to check your progesterone levels first, before going all out. It also means you can start taking action now, instead of waiting for that dreaded 3rd one (I had 3, then went private, but only because the waiting list to go public was so freaking long). |
Posted By: spanky77
Date Posted: 06 July 2010 at 6:01pm
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interesting thread topic, I'm not convinced my progesterone is as it should be either.
I found a link to this discussion yesterday - might have been from a thread here, can't remember. http://www.fertilityfriends.co.uk/forum/index.php?PHPSESSID=31gdcrjen00tku9ta9lkui9jf1&topic=217901.15 Its mainly anecdotal stuff, and I think is UK based, I'm only on page 3 so far! My understanding was that progesterone supplementation is only effective if started literally the day after ovulation. The general discussion on this thread seems to be around starting after 7DPO when your levels usually start to drop, then taking for 2 weeks to tide the embryo over until it can produce Hcg to continue the feedback loop to keep producing progesterone (apologies if this is completely wrong and I'm leading you up the garden path!) I also have read that the vaginal suppositories are most effective, followed by the topical cream, with the pills least effective, due to the amount of time the increased progesterone actually spends circulating in blood (not long) I also understand in the medical profession that prog supplementation is quite a controversial topic. Unfortunately my gynae specialist is one of those who does not seem to think it works/wasn't interested to pursue further. Just out of interest, anyone give me a ballpark figure re how much we're looking at for pessaries? (I'll be mega surprised if I can wheedle a script for them out of anyone I'm seeing, but at least to take the sting out of my purse!) My plan so far is to (1) get utd. (2) Try not to get too attached (wish me luck!) to a positive outcome. (3) When I get a +POAS, go to docs for BT, and at that time, ask for them to check prog levels. I would like these monitored throughout the first trimester/as long as the pregnancy persists, whatever ends first Either way, I'll know if the progesterone REALLY is the issue from a real pregnancy. My 7DPO result was good, but I'm not convinced my levels are sufficient for the luteal phase for implantation Oh and in relation to the OP, if you can get progesterone "as a precaution" good luck to you! I can understand your reasoning completely, hopefully your doc will too. Personally I would recommend the BFP first and get your levels checked with HcG BT confirmation, but then thats cos its my gameplan too. If doc is another of those "not enough clinical evidence to support this" types, maybe if you have a midwife as LMC and explain your concerns to here, she might be able to monitor prog levels although I'm pretty sure she can't prescribe progesterone. Might just send you back to doc? |
Posted By: mylilmosaic
Date Posted: 06 July 2010 at 6:27pm
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Hi there
I am on progesterone pessaries & have been since 7dpo. My pessaries are given to me via Fertility Associates and Im pretty sure you would have to get them though a specialist. Spanky it is $30 per box and a box last five days, I will have been on them for approx ten weeks and am about to wean off them starting tomorrow. My problem was recurrent miscarriages and although they are not certain whether my progesterone levels were a problem they have put me on them as a precaution. HTH's ------------- http://lilypie.com"> 
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Posted By: spanky77
Date Posted: 06 July 2010 at 6:55pm
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thanks appy, wow that ISN'T cheap
quick calculation is thats 17 boxes for the first trimester (12 weeks?) coming in at a whopping 500 odd bucks I've only heard you can get them thru specialist too. Anyone know why a GP can't refer if levels are shown to be low? Surely by the time you get to a specialist after a BFP (presuming you haven't gone through IVF or suchlike) its too late to intervene? |
Posted By: Shezzey
Date Posted: 06 July 2010 at 7:38pm
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Spanky.... that thread re prog supplementation... I think they were discussing whether to take them straight after ov or 7 dpo or when AF is due. I personally think that the best time would be from 7dpo or later because prog can inhibit ovulation and we don't want to risk that |
Posted By: spanky77
Date Posted: 06 July 2010 at 8:01pm
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no of course not, I guess it would be hard to take straight after ov unless you were having monitored ov with USS.
How then? positive OPK with definite temp rise for 2 days from at least a day after opk? Thats still 2 days past ov. Just that what I'd heard was the effectiveness was supposed to be straight after ov and no later, but I know, the thread says otherwise, with good results. Thats the trouble with the internet, lots of conflicts in info. Hard to build a valid case for a disbelieving doc! |
Posted By: Shezzey
Date Posted: 06 July 2010 at 8:57pm
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Spanky... yea it is all so confusing.... |
Posted By: minik8e
Date Posted: 06 July 2010 at 9:52pm
| I started my pessaries the day I got my BFP (13DPO). I had my blood test in the morning, and progesterone was checked at the same time, results were through by lunchtime and I picked up my prescription and my pessaries that afternoon. I was under a FS for recurrent m/c also. |
Posted By: popstress
Date Posted: 13 July 2010 at 9:05am
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Thanks for all your comments! dam it is not as straight forward as I was hoping..... lol whatever is with TTC and PG!
I got a BFP this morning so I will go to my GP today or tomorrow and see what they say. At the very least they can take bloods or refer me to a specialist. Didi - I will be sure to keep posting for you to see how I get on 
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Posted By: mummyofprinces
Date Posted: 13 July 2010 at 9:13am
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Congrats popstress, sending you lots of sticky vibes hun! -------------   
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Posted By: popstress
Date Posted: 14 July 2010 at 8:36am
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UPDATE - My GP spoke to a local specalist and they are going to give me progesterone and low dose asprin - to take until 12 weeks.
I am VERY happy  and I LOVE my GP - wish she could be my MW - lol.
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Posted By: mummyofprinces
Date Posted: 14 July 2010 at 9:00am
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Great news hun! FX for you -------------
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