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Re: Progesterone during pregnancy?

From: Marcia (anonymous@obgyn.net)
Fri, 10 Sep 1999 15:35:50 -0500 (CDT)


I used natural progesterone during my last pregnancy. I believe that it helped me to maintain the pregnancy. The suppositories that I used were prescribed by an obstetrician and made in the hospital pharmacy (by hand).At Fri, 10 Sep 1999, anonymous@obgyn.net wrote: >
>At Mon, 22 Mar 1999, Tina wrote:
>>
>>Hello
>>I am not a medical doctor but I have a Ph.D. in biochemistry. I am
>>currently in my 31st week. During my first week, I spotted and when
>>checked, discovered that my progesterone was borderline. My OB
>>prescribed Protmetrium for me (I can't remember the dose but it amounted
>>to 2 tablets/day). I read the product insert and also was scared but
>>the same line (not recommended for pregnancy...). I called Solvay
>>Pharmaceuticals who is the producer of Prometrium (if I recall
>>correctly). Anyway, I spoke with one of their Ph.D.s who worked on
>>Prometrium. She told me there have been isolated cases of children born
>>with birth defects whose mothers had used Prometrium. The birth defects
>>were one case of cleft pallate (sp?), a couple of cases of heart
>>problems. However, there was no evidence to indicate these problems
>>were directly caused by the progesterone and were merely coincidental.
>>However, because they occurred and these mothers had taken Prometrium,
>>they were required to use this disclaimer in the product insert. She
>>went on to tell me the statistics (although I can't remember them) on
>>the number of "normal" babies born to mothers taking prometrium. To me,
>>there was a greater risk of losing the baby than having birth defects
>>caused by supplemental progesterone. I have had 2 u/s and my babies
>>heart looks perfect. Additionally, I my best friend was on progesterone
>>suppositories with her second child (after miscarrying her first - which
>>was attributed to progesterone deficiency). Her now 4 year old daughter
>>is very intelligent and healthy. I know, however, that many OBs state
>>that their is no proven relationship between supplementing with
>>progesterone and not-miscarrying. Incidentally, I had swithched OBs
>>shortly after initiating the Prometrium. The new OB told me that as far
>>as he was concered my progesterone was not too low but that if taking it
>>eased my mind then to take it as there was no risk to the baby. I ended
>>up taking only 1 pill per day which may have been physically
>>inconsequential but mentally reassuring at the time. Sorry this is so
>>long.
>>
>>Tina
>>
>>At Sun, 21 Mar 1999, Monica wrote:
>>>
>>>I was wondering how safe progesterone (Prometrium specifically) is to
>>>use during pregnancy? I know a woman whose daughter was born with heart
>>>defects attributed to the use of prosterone during her pregnancy. The
>>>insert in the box specifically says "Do not use Prometrium if you are
>>>pregnant or nursing." Why would my OB prescribe this for my pregnancy if
>>>it is unsafe to use while pregnant? This is my ninth pregnancy, and I
>>>have two children. My last miscarriage was in October 98, at 10 weeks
>>>(all my losses were 6-7 weeks developed). I am extremely frightened of
>>>losing another child, so I accepted the progesterone prescription from
>>>my doctor, but I am also afraid of causing the baby and harm.
>>>How long is progesterone usually used in a pregnancy? The package insert
>>>says that if you stop taking it you will shed the lining of your uterus.
>>>Could it cause a miscarriage if I stop taking it?
>>>I have also learned that natural progesterone is less harmful than
>>>synthetic progesterone. Is "Prometrium" a natural or synthetic
>>>progesterone supplement?
>>>I understand that it is almost impossible to diagnose problems online,
>>>but I would appreciate any statistics and information you can give me.
>>>
>>>Thank you in advance for your help.
>>>
>>>--
>>>Monica
>>>
>>--
>>



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