Pregnant after a Loss
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Need advice regarding Progesterone testing...

So for those of you that didn't see my post earlier today, my betas are not doubling like they should, and this pregnancy is most likely not viable.  I saw my MW today, and she is going to run one more beta draw for tomorrow, but she isn't very optimistic.  She believes it could be that my progesterone is low, but is unable to order the test herself.  Given my history of missed miscarriage, I am doubtful that my body will miscarry on it's own, and so far there are no signs.

My question is... 

Do I have my progesterone tested now that I am still currently pregnant so I have the information on hand for future pregnancies?  (I'm not even sure they will do this for me, but it's worth a shot if you think it would be beneficial)

OR

Do I wait and just test my progesterone as soon as I get pregnant next time?  

Thanks in advance ladies!  I know very little about how low progesterone works, and want to make sure I have all my ducks in a row for my appointment with the fertility doc on the 12th.  

Me: Endometriosis, PCOS, Insulin Resistance, Estrogen Dominance, Irregular Cycles
DH:  100% Abnormal Sperm Morphology
 BFP #1 (Surprise!)  "Monkey"- 09/16/2006. DS born 06/01/2007.   
BFP #2  "Quinn" EDD 06/21/13- MMC @ 8 weeks - Disc. 12/12/12 @ 13w0d 
BFP #3  "Luna" EDD 03/31/14- MC 07/29/13 @ 5 w0d 
BFP #4  "Star" EDD 07/06/14- MC 11/28/13 @ 8 weeks
BFP #5 "Baby J"- 02/07/14. DS born 10/29/2014 My Rainbow!
~Everyone Welcome~

Re: Need advice regarding Progesterone testing...

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    I'm very sorry you're going through this.  Honestly I am not sure they could gain anything from testing your progesterone now.  When I got pregnant last year, it was my first pregnancy with my RE and they tested my progesterone then along with my first beta draw.  It was ok, but she put me on progesterone supplements anyway because of my loss history.

    So with your RE and the next time you get pregnant, they'll likely either test you when you first become pregnant, and/or just go ahead and put your on progesterone anyway due to your history.  But maybe someone else knows something I am not thinking of.  Big hugs to you!

    Lilypie - (fm2j)

    Lilypie - (YesX)

     My Pregnancy/Parenting BLOG TTC since 5/2011, BFP #1 12/3/11, M/C 12/7/11 @ 4wks 2d. Began seeing RE Sep 2012. October 2012 Metformin 1500 mg= ovulation on CD34 BFP#2 11/14/12 9DPO, EDD 7/26/13, DX Gestational Diabetes @14 wks, our angel born sleeping 3/24/13 @ 22wks 2d. BFP #3 7/4/13 8DPO EDD 3/22/14, DX Gestational Diabetes @14 wks. started insulin @16 wks.  Our rainbow, born 3/19/14 @ 39wks 6d., we're so in love!

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    I'm very sorry you're going through this.  Honestly I am not sure they could gain anything from testing your progesterone now.  When I got pregnant last year, it was my first pregnancy with my RE and they tested my progesterone then along with my first beta draw.  It was ok, but she put me on progesterone supplements anyway because of my loss history.

    So with your RE and the next time you get pregnant, they'll likely either test you when you first become pregnant, and/or just go ahead and put your on progesterone anyway due to your history.  But maybe someone else knows something I am not thinking of.  Big hugs to you!

    Thanks, I appreciate the advice.  Just wanted to be sure I wasn't missing something.  

    Me: Endometriosis, PCOS, Insulin Resistance, Estrogen Dominance, Irregular Cycles
    DH:  100% Abnormal Sperm Morphology
     BFP #1 (Surprise!)  "Monkey"- 09/16/2006. DS born 06/01/2007.   
    BFP #2  "Quinn" EDD 06/21/13- MMC @ 8 weeks - Disc. 12/12/12 @ 13w0d 
    BFP #3  "Luna" EDD 03/31/14- MC 07/29/13 @ 5 w0d 
    BFP #4  "Star" EDD 07/06/14- MC 11/28/13 @ 8 weeks
    BFP #5 "Baby J"- 02/07/14. DS born 10/29/2014 My Rainbow!
    ~Everyone Welcome~

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    ***Lurking

    It's just so hard to say. What DPO are you? I honestly think they should do a draw now anyway, b/c you ARE technically pregnant even if it ends in a m/c. Your progesterone should be high enough to support a pregnancy, so I think it would be beneficial. That is just my two cents. I have a known progesterone issue and it has been discovered through all of my pregnancies (I have never had testing not pregnant).

    Baby Birthday Ticker Ticker
    Baby Birthday Ticker Ticker
    BFP # 1 - 12/19/09 EDD 08/27/10 - D&C 1/26/10 @ 9w5d

    BFP # 2 - 06/05/10 EDD 02/17/11, DS1 born on 2/14/11

    BFP # 3 - 04/10/13 EDD 12/21/13 - D&C 05/15/13 @ 8w4d

    BFP # 4 - 07/27/13 EDD 04/08/14 - CP 07/29/13

     

    BFP # 5 - 09/14/13 EDD 05/28/14, DS2 born on 5/22/14 

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    *HUGS* so sorry things aren't going well :(
    BFP#1 9/28/2012 - EDD 6/3/2013 - MMC discovered 11/21/2012 @ 12w2d - D&C 11/24/2012
    BFP#2 4/4/2013 - Born at 37w3d on 11/26/13 via emergency c-section
    Loving our beautiful rainbow baby boy Archer!
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    ~*All AL Welcome*~
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    I'm so sorry you are having to go through this. I think you should wait for the next pregnancy. Someone said that you might have a chicken/egg scenario going if you have them test now and that would probably be the case. ((hugs))
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    I'm very sorry you're going through this.  Honestly I am not sure they could gain anything from testing your progesterone now.  When I got pregnant last year, it was my first pregnancy with my RE and they tested my progesterone then along with my first beta draw.  It was ok, but she put me on progesterone supplements anyway because of my loss history.

    So with your RE and the next time you get pregnant, they'll likely either test you when you first become pregnant, and/or just go ahead and put your on progesterone anyway due to your history.  But maybe someone else knows something I am not thinking of.  Big hugs to you!

    OP, I am so very sorry!

    My experience with this pregnancy (my 3rd) is similar to what PP said. My progesterone pre-pregnancy during a monitored natural cycle tested OK, but the RE put me on supplements this pregnancy as a precaution. 

    When I had my progesterone tested during both losses (something the OB did as a matter of course when doing a quantitative HCG test), it was super-low in both cases. However, he described it as a chicken-egg thing: Was the progesterone low because I was losing the pregnancies, or was I losing the pregnancies because they were low? Who knows.

    I hope you can get some answers. ((hugs))
    Good point.  Thanks Bookshelves!  Didn't realize this is how the process works, and that it's a chicken/egg cycle.  I'll just be sure to mention this concern for next time.  Thanks.

    To all you ladies-  Thanks for the hugs and support!



    Me: Endometriosis, PCOS, Insulin Resistance, Estrogen Dominance, Irregular Cycles
    DH:  100% Abnormal Sperm Morphology
     BFP #1 (Surprise!)  "Monkey"- 09/16/2006. DS born 06/01/2007.   
    BFP #2  "Quinn" EDD 06/21/13- MMC @ 8 weeks - Disc. 12/12/12 @ 13w0d 
    BFP #3  "Luna" EDD 03/31/14- MC 07/29/13 @ 5 w0d 
    BFP #4  "Star" EDD 07/06/14- MC 11/28/13 @ 8 weeks
    BFP #5 "Baby J"- 02/07/14. DS born 10/29/2014 My Rainbow!
    ~Everyone Welcome~

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    katharine25katharine25 member
    edited July 2013
    Books hit the nail on the head - It's impossible to make any future understandings of progesterone if you're currently pg and unfortunately undergoing a miscarriage. The only way to get a decent understanding of progesterone levels is to test them at 7dpo during a NON pregnant cycle.

    That said, I would get my progesterone tested anyways, and ask to be put on supplements until betas start to DECREASE. Also, just as an aside, a history of a missed miscarriage further along in first tri isn't really indicative of what's going to happen this time. Every pregnancy is different.  At the end of the day, the very best we can do whatever we can, and pray that it works.

    There is a bumpie who has REALLY low progesterone AND non-doubling betas. They put her on progesterone anyways. Her daughter is about 7 months old now... Granted, this is a very rare case, and in most situation bad betas, especially combined with low progesterone, is indicative of a miscarriage, but it's ALWAYS worth a shot.


    Married My Love on 6/18/2006
    BFP#1 10/1/2011. Our perfect little girl, Her heart stopped @ 12w1d. D&E 11/23/11
    BFP#2 3/13/12 Weird CP/Possible EP @ 6w0d
    BFP#3 5/28/12 CP @ 5w0d
    BFP/WTF#4 10/26/12 CP
    BFP#5 12/10/12 EDD 8/23/2013
    <3 Baby Boy Born 8/22/13 <3
     photo ellie.gifPhotobucket
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