WOMENS-HEALTH Messages for December, 2000: Re: Progesterone and Cortisol Level

Re: Progesterone and Cortisol Level

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 31 Dec 2000 08:32:59 -0600 (CST)

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In reply to: Tami: "Progesterone and Cortisol Level"
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Reply: Tami: "Re: Progesterone and Cortisol Level"

At Sun, 31 Dec 2000, Tami wrote: >
>I'm 34, Have two children, two miscarriages. Bled for almost 6 months
>after my son was born had a D&C and a tubal at that point, and I was 21.
>Gained a bunch of weight, have horrible cramping, bleeding during
>menstruation,swelling in my hands and feet and PMS.. high levels of
>anxiety and stress all month long as well.
>Doctor said I had edema, put me on Maxide. Divorced, remarried, wanted
>another baby, but was told reversal was impossible so we went for
>IVF...unsuccessful.... I over-stimulated from the meds almost ended up
>in the hospital I generated 24 eggs. I went off the maxide (after 11
>yrs of taking it w/no relief and terrible side effects I frankly was
>just sick of tingling in my hands and my feet falling asleep) Now
>(coincidentally maybe) my blood pressure is 160/120 and I have to take
>meds. New family doc thinks I was alergic to the sulpha in the Maxide.
>Read up online about Estrogen Dominance (low levels of progesterone
>causing heavy bleeding and PMS)and sent for saliva test kit.
>Progesterone level was .05 at luteal phase, chart said lowest should be
>.50. I saw an endocrinologist and he said my levels were normal. He
>had to re-test my cortisol and alpha-hydroxy progesterone levels, second
>time around he said it's normal. Did some more reading tonite, now I
>found some articles that state that Cortisol controls blood pressure.
>OB/GYN is giving me D&C for bleeding and suspects I'm not ovulating (I
>read that that can be associated w/low levels of progesterone)She
>ordered a blood test for progesterone....Day 25 of my cycle and my level
>was 14. From what I read online, that's low. Not sure who or what to
>believe or trust anymore. My cycle is like clockwork every 28 days.
>What is low? Can, if it is low, this be the cause for all of this
>insanity?
>
>--
>Desperately seeking a straight answer.
>

Tami

It is hard to say if this is low, as I do not have the units to compare it. I will tell you that a d+c can be helpful as it can date the endometrium to tell your md if you are in phase or not. If you are not, this is strongly suggestive of either anovulation or luteal defect, both of which are caused by low progesterones. This, however, is not the reason for your hypertension. I would go for the surgery and possiby more answers. Hope this helps

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: Anxiety?"
Previous message: William F. von Almen, II, MD, FACOG: "Re: Bladder Too Tight - cystocele/cystourethrocele repair"
In reply to: Tami: "Progesterone and Cortisol Level"
Next in thread: Tami: "Re: Progesterone and Cortisol Level"
Reply: Tami: "Re: Progesterone and Cortisol Level"

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