PREGNANCY-BIRTH Messages for July, 2003: Re: Is it normal to not test for progesterone after first beta?

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Re: Is it normal to not test for progesterone after first beta?

From: KAH (anonymous@obgyn.net)
Fri, 4 Jul 2003 07:20:03 -0500 (CDT)

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In reply to: anonymous: "Is it normal to not test for progesterone after first beta?"

At Thu, 3 Jul 2003, anonymous wrote: >
>My doctor knows that I have had at least 2 miscarriages and it took 2
>years to get pregnant again with a donor egg. I finally tested pregnant
>with a first beta of 266 and a progesterone level of 23 last Wednesday.
>I assumed that my progesterone level was being monitored with each beta
>test, which were on Friday, Monday, Wednesday. My numbers were
>wavering.
>
>1st Beta: 12dp3dt = 266 Prog = 23
>2nd Beta: 14dp3dt = 340
>3rd Beta: 17dp3dt = 660
>4th Beta: 19dp3dt = 668 Prog = 8
>
>My doctor is concerned and scheduled an ultrasound on Tuesday to rule
>out an ectopic pregnancy.
>
>He told me today, Thursday, to start taking progesterone injections. I
>am very surprised that my doctor was not monitoring progesterone with
>each test and now it is way down. Isn't this an oversight on the
>doctor's part? Shouldn't they have been testing progesterone with each
>beta, because of my past miscarriages and since I am on a natural cycle?
>
>Would I lose a pregnancy that is normal because of dropping progesterone
>levels?
>
>Doctors please respond with your thoughts or anyone else who has an
>opinion.

Hello Anonymous,

I know that in natural cycles, if the initial progesterone is above 10 ng (or some say 12-15) they do not tend to test for it again as it is considered normal and there is no reason to expect a fall in the levels (in a normal pregnancy)..of course this does not include those who have had proven m/c from progesterone insufficiency.

However, in a stimulated cycle, or one using a donor ovum (IVF and even some IUI injectible cycles)it is my belief that they usually supplemetn with either Progesterone in oil injections or tablets/suppositores as the body has been coaxed into pregnancy.

I would think that if the dr started you on progesterone on time and the pregnancy is 'normal' (genetically etc) that it is possible to save it.

best wishes, not a dr..

--
KAH, mother to a son (12 months)
13w6d EDD Jan 2 2004

Next message: Marie: "Re: pregnency and zyban"
Previous message: KAH: "Re: possible misscarriage (links)"
In reply to: anonymous: "Is it normal to not test for progesterone after first beta?"

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