WOMENS-HEALTH Messages for August, 1997: Re: Progesterone and pregnancy

Re: Progesterone and pregnancy

From: Kelly (anonymous@obgyn.net)
Thu, 28 Aug 1997 19:44:50 -0500 (CDT)

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In reply to: Peri: "Progesterone and pregnancy"

At Mon, 25 Aug 1997, Peri wrote: >
>I am currently a little over 7 weeks after dealing with IF for over a
>year. When I found out I was pregnant, progesterone levels were only
>13.6. I was put on suppositories 100mg 2x a day. A week later I
>returned for an ultrasound and level check. Levels were only 13.7, so
>the dosage was upped to 200 mg 2x a day. I had u/s #2 today, and all
>looked good with the baby, and I'm waiting to hear back for the prog.
>level. My question is this: My RE said that with suppositories, blood
>levels are often quite a bit lower than the actual levels in the uterus,
>and not to worry. Cyber sisters are saying that I should worry, and I
>should take shots instead. What do people think? I would especially
>like the opinion of another MD or professional. Thank You!

Peri

Progesterone is pretty well absorbed from suppositories. Some women find them incredibly messy and prefer oral (not as well absorbed so we use higher doses) or shots (painful). The way you get the progesterone is less important -- what counts is that the baby looks good. If your levels aren't higher than before, and you are going to worry alot about it, ask you doc about shots, if only because that may make you feel better and worry less (and yes, I know it is absolutely impossible to worry less when you have been dealing with infertility, but I figure if I keep telling my patients not to worry, then maybe I won't either :-) )

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

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