Re: prometrium/miscarriage/how long? etc...Doc Please answer!!

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I was seeing a Reproductive Endocrynologist for the above conditions and it was under his direction that I was on this. I continued for 16 weeks in order to decrease the chance of a m/c due to autoimmune problems.

There is a doctor at University of Chicago [I forget his name] who is also doing research in this area. There have been no scientifically validated studies due I think to the difficulty of putting together a double-blind study --- what family would agree to this?

I am currently 36 weeks pregnant.

--
Ann-Marie

P.S.  My ob who I transferred to after the first trimester didn't think
it was necessary to continue, nor did a perinatologist that I also saw
but I did continue with it until 16 weeks, neither saw any harm to the
baby from it.  They did think the baby aspirin was a good thing to do
for the APLS.

At Sun, 13 Aug 2000, William F. von Almen, II, MD, FACOG wrote:
>
>At Sun, 13 Aug 2000, keri wrote:
>>
>>At Sun, 13 Aug 2000, JJ wrote:
>>>
>>>I, too, was on progesterone with my last pregnancy.  My doc thought that
>>>my previous m/c was due to low progesterone.  I took it until about week
>>>9.5-we saw a heartbeat then.  However, at next ob appt., the baby had
>>>stopped growing at week 10 and I had to have a d&c.  My doc said next
>>>pregnancy he'll keep me on it until week 16...Best of luck to you.  Hope
>>>this helps.
>>>
>>>At Sat, 12 Aug 2000, keri wrote:
>>>>
>>>>i have had 3 miscarriages previous to this now 11 1/2 week pregnancy
>>>>(never making it so far)But i am a little nervous and have alot of
>>>>questions.  So afraid to miscarry again.
>>>>
>>>>I am on prometrium, I know they usually take you off around 12 weeks,
>>>>what happens when you go off? I know the placenta is making own prog.  at
>>>>12 weeks, but when stopping prometrium will it signal to shed lining?
>>>>What if you only were taking it once a day instead of twice (instead of
>>>>going all the way off) would that hurt the baby?
>>>>
>>>>I sometimes wonder if i am taking too much anyway, or maybe my prog
>>>>level is normal all by itself, are these symptoms normal? I get very
>>>>very dizzy, tired, and feel like i need to eat alot, alot, for 3-4 hours
>>>>after i take it.  Kind of lick a drunk feeling.  i absolutely hate
>>>>taking it during the day as it is very difficult to work and drive, but
>>>>love it at night it helps me sleep.  should symptoms be so strong, or
>>>>could i be getting to much prometrium?
>>>>
>>>>also, i worry when i don't feel pregnant, i wonder if i would still
>>>>miscarry while on it since lining is so thick.  Would i still cramp and
>>>>bleed and expel?
>>>>
>>>>Thanks for taking time to answer questions.
>Keri
>
>We usually continue the prometrium until 12 weeks(some stop at 10
>weeks).  Yes, by this time, the placenta has taken up the progesterone
>making.  I have never heard of continuing longer than this, and I feel
>most of us think that if you miscarry after the 12 week time frame, it
>is more likely an abnormal pregnancy anyway.  Hope this helps.
>
>--
>William F. von Almen, II, MD, FACOG
>Editorial Advisor-Pregnancy and Birth
>Private Practice
>New Orleans, La.
>
>*Please understand I can not respond to private emails.
>
>*These comments are for educational purposes only.  They are
>not meant to take the place of an examination by a qualified
>health care provider.  They are not intended to be the start
>of a physician-patient relationship.
>

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