Secondary IF

Progesterone....is it necessary??

This is my first medicated cycle...Femara, Dexamethasone, Trigger shot, Metformin and Progesterone.....we're doing TI.

My RE prescribed Progesterone suppositories for me to start at 4DPO.  My insurance company called a little bit ago and said they couldn't approve the prescription (I didn't understand the reason), and they would call the RE tomorrow to discuss the issue.  They informed me that the medication wouldn't reach me by the time I needed to start it, so I'm hoping I don't really need it.

My question is this....how does my dr. even know that I need this medication??  I'm scheduled for 7DPO bloodwork next week, (which measures progesterone levels, right??). 

From what I've read short luteal phases and spotting before AF are signs of low progesterone.  I consistently have 16 day LP and NEVER EVER spot before AF comes. 

Do your girls' RE's prescribe Progesterone regardless of your levels? 

TIA

image

Me-33 DH-33

 DD #1 BFP 6-1-06 after 8 months of TTC

TTC #2 since July 2011

1st RE Appt 11/28/12 DX with PCOS, HSG and SA=Normal

Feb 2013-June 2013, 3 TI cycles and 2 IUI cyles with Letrozole, Ovidrel, and Dexamethasone=BFN!!!

July 2013-August 2013....taking a break and praying for a miracle

Fall 2013...will attempt IUI #3 and then seek 2nd opinion if it's a bust too

Re: Progesterone....is it necessary??

  • Yes, my RE has had me on them with each medicated cycle. It has been proven that low prog can allow your lining to release even if you get pg.  Therefor it is used each cycle just in case. My nurse said that you can't really get too much progesterone. I take one in the mornings and after my transfer I was told to do 2 more that day.  I think they can't test your prog in time if it is too low. Also, my RE has mentioned that once you start taking all the different hormones that your body can change so the drs are controlling each aspect.  GL!!

    hope you can get it, if not you should see if your RE can give you some.  

    TTC#1: 14 months on our own (did HSG, b/w, SA);
    BFP on Cycle 14--TWINS! Identical twin boys stillborn at 19wks(1/9/10)
    3 break cycles; took clomid 50mg, BFP #2 Beta #1 35, Beta #2 338!!! Owen was born 2/11/11! 
    TTC#2: 4 cycles on clomid: BFNs
    BFP #3: Cycle #5 100mg clomid; beta #1 21; beta #2 6=CP 
    Cycle #6 break cycle TTC no meds=BFN
    Cycle #7: 150 clomid+ovidril+IUI=BFN (switched to RE)
    Cycle #8: follistem+ovidril+TI=BFN
    Cycle #9 Forced break due to cyst
    Cycle #10 follistem+ovidril+TI=BFN
    Cycle #11 follistem+ovidril+TI=BFN
    Cycle#12 Forced break due to cyst, went on BCP; did repeat HSG, Saline U/S
    Cycle #13 IVF: Follistim/Menapur ER 11-30 11 eggs, 5 mature, 4 fertilized and 3dt on 12-3; BFN
    Cycle #14: IVF#2 lupron/follistim/menopur ER 1-22, 19 eggs, 14 fertilized, 5dt on 1-27, BFP!! beta 1: 63, beta 2: 119; EDD 10-15-13; 1 frozen embie
    Miracle Surprise BFP, EDD 10-1-15; saw HB great Betas, 11weeks lost baby MC at home
    Moved forward with FET transfered solo frostie on 6-4-15, beta 1: 315, beta 2: 738, u/s showed one baby on track EDD 2-21-16
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  • If you are low during the first 7 dpo, and they find out on day 7, the horse is kind of out of the barn...

     I never thought I had a luteal phase issue, either, but my RE did some monitoring and determined that I did need supplementation.   

    TTC #1 12/2009
    BFP #1 1/2010, M/C 6 weeks
    BFP #2 6/2010, DD lost to
    congenital heart diseasewe are heartbroken.

    TTC #2 4/2011, diagnosed MTHFR, FVL
    Four natural cycles BFN; Clomid IUI BFN; Follistim IUI BFN;
    1/2012 IVF #1 BFN
    4/2012 FET BFP #3
    5/2012 7w1d u/s: anembryonic demise; M/C @ 8w.
    6/2012 found Stage II/III endo on laparoscopy, removed w/ laser.
    8/2012 IVF #2 epic fail: no viable embryos.

    Vacation, break, second opinions, on to new RE.
    1/2013 Surprise chemical pregnancy BFP #4 (break cycle), IVF #3 postponed.
    2/2013 TI w/ hormonal support, prednisone, aspirin, Lovenox, acupuncture gave us a miracle BFP #5!
    Heartbeat on U/S at 6w1d!
    Baby,please stay!!
    Our miracle baby boy arrived 10/2013!  We are so in love!!

    10/2014 Surprise BFP #6
    Our second daughter arrived in May 2015!  We are so grateful!  

    Lilypie Angel and Memorial tickers


    Baby Birthday Ticker Ticker



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  • imageDahliaFlower:

    If you are low during the first 7 dpo, and they find out on day 7, the horse is kind of out of the barn...

     

    yes, you said it better than I did!!   

    TTC#1: 14 months on our own (did HSG, b/w, SA);
    BFP on Cycle 14--TWINS! Identical twin boys stillborn at 19wks(1/9/10)
    3 break cycles; took clomid 50mg, BFP #2 Beta #1 35, Beta #2 338!!! Owen was born 2/11/11! 
    TTC#2: 4 cycles on clomid: BFNs
    BFP #3: Cycle #5 100mg clomid; beta #1 21; beta #2 6=CP 
    Cycle #6 break cycle TTC no meds=BFN
    Cycle #7: 150 clomid+ovidril+IUI=BFN (switched to RE)
    Cycle #8: follistem+ovidril+TI=BFN
    Cycle #9 Forced break due to cyst
    Cycle #10 follistem+ovidril+TI=BFN
    Cycle #11 follistem+ovidril+TI=BFN
    Cycle#12 Forced break due to cyst, went on BCP; did repeat HSG, Saline U/S
    Cycle #13 IVF: Follistim/Menapur ER 11-30 11 eggs, 5 mature, 4 fertilized and 3dt on 12-3; BFN
    Cycle #14: IVF#2 lupron/follistim/menopur ER 1-22, 19 eggs, 14 fertilized, 5dt on 1-27, BFP!! beta 1: 63, beta 2: 119; EDD 10-15-13; 1 frozen embie
    Miracle Surprise BFP, EDD 10-1-15; saw HB great Betas, 11weeks lost baby MC at home
    Moved forward with FET transfered solo frostie on 6-4-15, beta 1: 315, beta 2: 738, u/s showed one baby on track EDD 2-21-16
  • My RE prescribed it 2x a day starting at 4dpo after our first IUI. I agree completely with what the other ladies have said. It can only help and be a good thing, so you might as well take it!

    image
     
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    Me:24 DH:27
    TTC #2 since August 2011

    DX: Low AMH 1.79 Mildly elevated FSH 9.9

    1 month of Letrozole, 3 IUI's with Letrozole, All BFN. 1 canceled IVF cycle, BFN.


    May 2013 IVF w/ICSI #1.5: Start BCP 5/8 2 pills a day. Suppression Ultrasound 5/29. Begin Dexamethasone & Lupron Microdose 5/31. Started Gonal F and Menopur 6/2.


    ER 6/12 13R,9M,8F.


    5DT CANCELLED due to moderate OHSS


    5DT UNcancelled due to embryos not being capable of cryopreservation


    Transfered 2 "poor quality" embryo's on 6/17

    No frozen embryos.


    Beta #1 6/25 6. Chemical Pregnancy confirmed. Beta #2 6/28 -1
    Done trying

  • Thanks ladies....I will try my darndest to get my hands on the Progesterone!!

    image

    Me-33 DH-33

     DD #1 BFP 6-1-06 after 8 months of TTC

    TTC #2 since July 2011

    1st RE Appt 11/28/12 DX with PCOS, HSG and SA=Normal

    Feb 2013-June 2013, 3 TI cycles and 2 IUI cyles with Letrozole, Ovidrel, and Dexamethasone=BFN!!!

    July 2013-August 2013....taking a break and praying for a miracle

    Fall 2013...will attempt IUI #3 and then seek 2nd opinion if it's a bust too

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