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Re: Progesterone vs. HCG shots

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 22 Mar 1998 14:55:37 -0600 (CST)


At Fri, 20 Mar 1998, Pernille wrote: >
>I am currently 5 weeks pregnant with two previous miscarriages at 8
>weeks, possibly due to progesterone deficiency. My doctor put me on
>progesterone suppositories (100mg x3), but mentioned the possibility
>of switching over to HCG shots instead.
>
>My questions are:
>
>1. Is there any benefit of taking HCG shots when pregnant instead of
>progesterone suppositories?

As far as I know, the HCG is used in IVF cycles, if at all. The problem with HCG is that you can't do a pregnacy test to know if you are really pregnant or not. If you are using hte progesterone, you can do an early pregnacy test about 12-13 days after ovulation. If your progesterone levles are sufficient on hte progesterone supplements I don't see why you'd switch. In the IVF protocols, when HCG is used, 1500 IU is given every 3-4 days x 3 doses (from the day of embryo transfer), so I don't see why you'd be switched to HCG at 5 weeks. >
>2. Is it harmful to take both progesterone and HCG shots at the same
>time (or will this increase the effect)?

I don't think so (to either question in there!) >
>3. Should I also be taking babyaspirin?

If you have been diagnosed with antiphospholipid syndrome, yes. >
>I really hope someone can give me some advice on these points.
>
>Thanks a lot in advance!
>
>-Pernille
>

Good luck. Maybe Dr. Lovely, our reproductive endocrinologist, will see this and elaborate.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination. Sorry, but private e-mails will not be answered.




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