I get my labs from the doc online. I took the trigger last night and my progesterone rose from 1.1 yesterday to 8.5 today.
I'm freaking out and have a call into the RE. I'm worried that I already ovulated given the high progesterone. In the interim, wondering if you know whether a big jump in progesterone after trigger (but before ER) is something that is normal (or does it indicate premature ovualtion)?
TIA!
Re: progesterone levels after trigger, before ER?
https://www.inciid.org/faq.php?cat=infertility101&id=1#13
Progesterone will be less than 1.5 Ng/ml until the LH surge. It peaks about seven days after ovulation, when it reaches 15 Ng/ml or more. But note, if you are above 10 in the luteal phase, your progesterone level is probably fine. When it drops between 2-4, menstruation begins. (This is why use of progesterone supplements can delay the start of your period). Additionally, you may get very high progesterone levels after IVF because so many follicles were created. (Progesterone is made by the corpus luteum, which is the site on the ovary from which the egg is released. The more eggs are produced, the more progesterone is produced.) Most doctors use a high level of progesterone supplementation in the luteal phase, which can also result in very high progesterone levels. There is no progesterone level that indicates pregnancy, only an hCG level over 5 determines that. It is also worth nothing that progesterone pulses, so the level varies throughout the day. Some doctors suggest testing first thing in the morning after fasting for the most accurate result. A high progesterone level gives more information than a low reading in that a "good" level indicates sufficient progesterone to carry a pregnancy; a lower level (in the 5-15 range) does not spell doom.
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Thanks!
Just got a call from RE that my levels are fine. The LH from the trigger causes P2 to rise even though ovulation hasn't happened yet. So relieved. I can stop crying and open my office door again