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Re: A break in progesterone use

From: Laurie (anonymous@obgyn.net)
Wed, 28 Jan 1998 17:55:38 -0600 (CST)


At Wed, 28 Jan 1998, Karyn wrote: >
>Can you answer a question for me? I had
>IUI Cycle day 12. Started progesterone
>sups 100/2x daily for 14 days. Progesterone usually
>extends my cycle for the whole 28 days. Problem
>is, I am afraid to stop taking it! I am afraid that with my
>low progesterone levels, if I stop taking it (on day 26) I will start to
>bleed and and lose any chance to actually carrying . I have to wait
>until the first day of a missed period to test. By this time I will
>have been off the Progesterone for a couple days. On the other hand I
>don't want to take it past 28 days for fear of mucking up the upcoming
>cycle! Blood work takes a week to get in and out of an isolated posting
>up here so that dosen't help much. Should I be concerned?
>
>Sure appreciate this!
>Hilly

Hilly,

I'm a little confused by your post, because we usually begin progesterone a couple days after ovulation, not the same day as IUI,but I do have three suggestions (in my order of preference):

1. You can always get a refill on the progesterone and continue it until your pregnancy test (two more days, right?) If you aren't pregnant, and stop the progesterone, you will have a period, and your next cycle will not be at all "mucked up." You could then use the remaining progesterone the next cycle. If you're pregnant, of course, you'll need the refill anyway.

2. You could do a pregnancy test on day 26--it could possibly be positive by then, though if it's negative, you'd be in the same quandry.

3. You could stop the progesterone and test on day 28--if positive, re-start the progesterone. Just a couple of days missed on the progesterone usually won't hurt anything.

Hope this helps.

--
Laurie Lovely, MD
RE fellow, UNC-Chapel Hill



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