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Re: 11 week miscarriage preventable with Clomid/Progesterone?From: Lynn D. Montgomery, MD (anonymous@obgyn.net)Wed, 7 Nov 2001 16:16:50 -0600 (CST)
At Wed, 7 Nov 2001, Lucy wrote: > >I recently had a miscarriage at 11 weeks. My doctor feels that it is >likely because of a progesterone deficiency. My first pregnancy >(successful) was achieved with Clomid and progesterone supplements, but >that was because I had a lpd and couldn't get pregnant without Clomid. >The latest pregnancy occurred without Clomid and it seems odd to me that >the doctor believes an 11 week pregnancy was lost due to low >progesterone, especially since I was tested early on and my level was >fine. From what I read the more likely cause was chromosonal, >especially since my age is 35. But he doesn't want me to try to get >pregnant again except on Clomid, and I am scared to try without Clomid >and then lose another pregnancy. I guess what I'm wondering is, does it >seem likely that at 11 weeks a miscarriage would occur due to low >progesterone? Thanks! > >-- >Lucy > Lucy, Unfortunately, we do not know the cause of at least 2/3's of first trimester pregnancy losses. Emperic progesterone is used in cases of recurrent loss in an effort to "do something" because there is nothing else that we know of to do. Whether or not progesterone used in this way works is controversial. As for the clomid, I think that is putting the cart before the horse. If ovulation occurs, which it did, then a corpus luteum is formed-this is all clomid will do. I would not use clomid in this picture... Lynn
-- Lynn D. Montgomery, MD Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center Missoula, Montana
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