Re: Progesterone supplement
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Nov 2000 18:09:11 -0600 (CST)
At Thu, 30 Nov 2000, Rena wrote:
>
>Hi,
>
>I am currently 6w5d pregnant, and twice during the last week I had very
>light browinsh spotting, but no bleeding and spotting does not continue.
>Since 1 week I also have very significant crampy pains in my lower
>abdomen, like heavy PMS and very tender ovaries (both sides). Also I
>have a very low fever (37.5 C at most).
Fever is 38.0
>Yesterday I had abdominal US
>which was normal, 6mm fetus with heartbeat. While the technician
>checked my ovaries it was very painful, but she saw no problems in the
>US. A year ago I had a missed abortion (sac was empty at 10 weeks,
>after already seeing heartbeat at 6 weeks), this is why I am so
>concerened. My gyn never tested my HCG or progesterone levels, never
>examined me and claims the cramping is normal. He prescribed 100 mg
>progesterone 3 times daily for the next 30 days. Is this common to
>prescribe without blood testing before?
Not in my practice. On the other hand, natural progesterone shouldn't
hurt either.
>Also when I bought the prog. at
>the pharmacy I found out that the same pill can be taken orally or
>vaginally, but it said in the leaflet that if it is for pregnancy I
>should take it only vaginally. I called back the gyn to ask him how he
>wanted me to take it, and he said orally! When asked why it said to take
>it only vaginally in pregnancy, he said that his answer was clear
>enough. My questions: What is the difference between taking prog.
>orally or vaginally, and can taking it orally harm the pregnancy or the
>baby?
It really doesn't seem to matter - both ways are fine.
>How can I know if the prescribed progesterone is natural or
>syntetic, as I heard the syntetic prog. can cause problems?
If there are instructions for pregnancy, it should be natural.
>Do I need
>progesterone at all according to the history?
Some say no one needs progesterone (see archives), but if you're going
to do it, without a blood level, no one be certain.
Hope this helps and write back anytime for more information.
HSM
>Sorry this is so long and thank you so much for your time.
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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