TTC After a Loss 6 Months+

question for those who took progesterone

Hey girls. I just found out yesterday that my hcg levels were back down to 2 as of Monday. We are officially TTA until September now. However, during this last m/c I started taking Prometrium because my progesterone was low. However, I didn't start taking it until like 5 days after I got my BFP (so like 19 dpo). In my head, I have conjured up that the reason I miscarried is because I began taking the progesterone so late. I have read that the only way for it to be effective is if you start taking it immediately after ovulation.

So, when the nurse called me yesterday, I asked her about when we start TTC again, if I should start taking the Prometrium right after I ovulate. She said "no I think most girls just start taking it after they get a positive pregnancy test". Sooo what do you girls think? Should I push the issue and ask again? Just follow what they said and don't start taking the Prometrium until after a BFP? Or just eff what they say and start taking it after I ovulate anyway since it won't hurt anything??

TIA. Sorry this was so long!

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Re: question for those who took progesterone

  • I start taking Crinone 3 days after my IUI.  I also did that on one of my break cycles.  I haven't been tested for low progesterone and I don't think I have any of the symptoms, but I do plan to take again if I get a BFP.   I would probably ask your doctor when you get closer to TTC rather than the nurse.  Since it won't hurt anything, I would want to start it earlier probably.
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  • My previous 2 doctors had me start it after the BFP with my 3rd, 4th and 5th pregnancies.  I had asked if I could take it earlier and my RE said no.....that it wouldn't make a difference.  I don't believe everything he says, since he also told us to quit trying.  My new RE has me start it 3 days after my LH surge.

    I've learned that you need to push for what you think you need.  GL.

    7 mm/c
    APS, hetero factor v leiden & MTHFR
    bfp #1 - 12.11.07, edd 8.14.08, mm/c 1.21.08 (10w4d)
    bfp #2 - 4.4.08, edd 12.3.08, mm/c 5.14.08 (11w)
    bfp #3 - 8.3.08, edd 4.15.09, mm/c 9.17.08 (10w)
    bfp #4 - 1.15.09, edd 9.26.09, mm/c 2.16.09 (8w2d)
    bfp #5 - 6.16.09, edd 2.25.10, mm/c 7.23.09 (9w)
    bfp #6 - 8.12.10, edd 4.27.11, mm/c 9.16.10 (8w1d)
    one more try -> bfp #7 - 2.11, our miracle baby boy arrived 10.11
    ttc again -> bfp #8 - 5.3.13, edd 1.13.14, mm/c 5.30.13 (7w3d)
    bfp #9 - 9.23.13, our miracle baby girl arrived 5.29.14

  • I was told to start taking it right after O.  If you think about it, that makes the most sense since you want the lining nice and juicy (as my OB called it) by the time of implantation.  
    ---------------------------------------------------------------
    4 early losses 2009, 2010, 2015.  Baby #1 born 2/13/11.  
  • i have been worrying/thinking about this a lot too. i'm kind of afraid that this could've been a reason for my m/c. i did 3 cycles of prometrium. i was having 90+ day cycles with no ovulation. so i did 10 days to induce AF the first time. the second cycle they said to take it cd 14 (no matter what) i foundout from girls on here that you cannot take it before you O, or it will stop you from Oing. so since i had taken it at CD 14 and not Od yet, i still didn't O that cycle. 3rd cycle i decided to ignore the nurses who continually told me it wouldn't stop O and wait until 3 dpo when FF gave me my CHs. except I never Od...again. so i did the last round of it to induce AF. This cycle I was on clomid for days 3-7 and I Od on CD 15. They did not have me start any progesterone. they did run b/w at 8 dpo and i'm hoping that if my pro was low they would've had me take some again but they said all was well and i got my BFP 3 days later. so i'm hoping that i'm ok not taking pro this cycle. i don't know if this helped at all...but that's my experience with progesterone! GL!
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  • With IVF you start taking it the day after your retrieval...which makes complete sense.  Waiting until after your BFP seems like it would be to late.
  • I start taking prometrium ight after my IUIs.......I assume I will be on it again this round.  I would talk to your RE rather than the nurse just to be sure.
  • I start taking prometrium right after my IUIs.......I assume I will be on it again this round.  I would talk to your RE rather than the nurse just to be sure.
  • imageBBHME:
    I was told to start taking it right after O.  If you think about it, that makes the most sense since you want the lining nice and juicy (as my OB called it) by the time of implantation.  

    This makes sense to me!

    Of course I have no experience, since no doctor here will test my progesterone. I did take progesterone while pregnant, after I had been bleeding for a week and had a good u/s at 6 weeks. I lasted until 10 weeks and had a natural m/c. They never tested my progesterone (or any other hormones during pregnancy), just started me on it "just in case." Doctors here are incompetent (and my FIL is an OBGYN).

    Good luck and let us know what you find out from the Dr.

     

  • If you won't be going on bcp during your TTA phase (and therefore still ovulating), you can ask to have your progesterone tested right after ovulation to see what your natural levels are.  My clinic says most people start it after the BFP, but if there's a reason to begin after ovulation, they will prescribe it to start then.  If you've ever had your progesterone tested in your pregnancy, that can help too - ask your doctor about any prior tests taken, point in the cycle, etc to see if you need to start it right away.

    But, don't beat yourself up about losing the pg b/c of the prog.  My RE has told me many times that a pregnancy cannot be "saved" b/c of early prog use; it will either succeed or it won't.

    I'm sorry you're going through this.   

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