PREGNANCY-BIRTH Messages for September, 1999: Re: Dropping progesterone levels

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Re: Dropping progesterone levels

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 7 Sep 1999 20:00:30 -0500 (CDT)

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In reply to: Tracy: "Dropping progesterone levels"

At Tue, 7 Sep 1999, Tracy wrote: >
>I am on my third pregnancy this year. I had 2 early miscarriages due to
>luteal phase defect due to low progesterone. This was verified by 2
>endo. biopsies. I have been on progesterone suppositories since the
>luteal phase of this pregnancy. I take 100mg. at bedtime, and 100mg.
>in the A.M. What concerns me is over the last 3 weeks my blood
>progesterone level has been dropping. At 5 wks.-32.1 6wks.-29.9
>7wks.-24. I'm afraid at this rate by next week I will be in the teens
>and endangering the fetus. At 6 wks. we did see the embryo which
>measured .45cm, and a good heartbeat over 100 B.P.M. But we also saw a
>heartbeat and everything looked normal at 6 wks. with my first
>miscarriage. Genetic testing was done and the miscarriage was not due
>to any genetic defect,(a karotypically normal male) so I assume it was
>low progesterone. I also have had 2 healthy children before this
>problem with the miscarriages.
>My question with this pregnancy is, if I am having dropping progesterone
>values while on 200 mg. natural progesterone daily, should I: a)
>increase the progesterone dosage b) try crinone gel c)progesterone in
>oil injections d)are there any other options???
>My OB is very wishy washy and said she will do whatever I want to. At
>this point I wish I had more direct medical advice or research to guide
>me before it is too late for this pregnancy, too! Tracy

a) b) or c) are all good choices. However, my office was told c) is no longer available. My discomfort is with a doctor having the patient make a medical decision. We all understand there are no guarantees but this is a medical decision.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

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**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Failed 1hr GTT"
Previous message: Harvey S. Marchbein, M.D.: "Re: Blood pressure was high at my 30 week pg appt and worried"
In reply to: Tracy: "Dropping progesterone levels"

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