WOMENS-HEALTH Messages for November, 1999: Re: Progesterone use after miscarriages

Re: Progesterone use after miscarriages

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 29 Nov 1999 20:32:55 -0600 (CST)

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In reply to: Kris: "Progesterone use after miscarriages"

At Mon, 29 Nov 1999, Kris wrote: >
>I am hoping someone can let me know if this is routine after someone has
>had multiple losses. I'm 25 and have no children. I've had 2
>miscarriages since August of this year, and both pathology reports from
>the D&C's came back normal. I've has the blood tests for lupus and
>other antibodies, and they've come back normal, too. We are still
>waiting on the results of the chromosome testing. My doctor has told me
>that he'll have me start progesterone supplements once I'm pregnant
>again. I don't think I've had any progesterone tests during the
>previous 2 pregnancies. Is it common to prescribe the progesterone
>without any testing? Will this have any adverse affects if low
>progesterone isn't causing my miscarriages?
>
>I'd be interested in any opinions on this. Thanks,
>Kris

Many physician does things a little bit differently but still within accepted practice guidelines.

Another way to work the progesterone would be to take a progesterone level 7-10 days after ovulation and if it's good, recheck once a positive pregnancy test is obtained. Another thing some physicians do is empirically (means no test results indicate the need but it works in some patients reagrgdless) treat with a baby Aspirin a day in the first 3 months.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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