Infertility

progesterone suppositories vs PIO

What is the difference?  They are both progesterone?  

Re: progesterone suppositories vs PIO

  • i know the pio is a shot, but I'm just curious why the drs choose one over the other?
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  • Yes. 

    PIO goes IM - big needle, ugly shot, bruised rear end.

    Progesterone Suppository - easier application, messy.

    Big difference - Progesterone levels can be measured through bloodwork with PIO.  You can't get an accurate measure with the suppositories.

    Having done both, I tend to prefer PIO because my RE can measure my progesterone levels and I am that obsessive.

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  • My nurse said that studies show the injections and suppositories are equally effective.  They do PIO from ER to ET, then suppositories after that. 
    IVF #3 = Feb 2012
    beta#1 3/21 (14dp3dt)=413, beta#2 3/23 (16dp3dt)=785, u/s 4/11
    EDD 11/25/12
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  • ah, okay.  good to know.  I have a bunch of the suppositories and recall my dr talking about the PIO so that's why I was wondering.  Thanks for the heads up!  I didn't know about the bw part.

     

     

  • My doc gives the option.  I chose the PIO shots bc the suppositories were 3x/day vs 1x/day for the shot.  The fewer meds I have to worry about, the better.
  • My doc prescribes both for IVF cycles.  PIO at night, supp in the morning.  I think I would prefer to do the shots all the time, but this is how they do it and it isn't that bad.
    TTC since 8/2004
    Me - DX Hashimoto's Disease, Hypothyroid, Rheumatoid Arthritis
    DH - DX Azoospermia - Sertoli Cell Syndrome
    DS-IUI #1-4 BFN IVF #1 - BFP! It's a boy!!!
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  • both of the clinics i've been at (cor.nell and sirm) prefer PIO injections.  sirm actually does a PIO shot and supp combo.

    GL

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    Worrying does not empty tomorrow of its troubles, It empties today of its strength. ~Corrie ten Boom
    Courage doesn't always roar. Sometimes courage is the little voice at the end of the day that says I'll try again tomorrow. ~Mary Anne Radmacher (thank you beadinglady)

    It's been a long journey. TTC since 9/06. multiple IUI's and IVF's and 4 m/c's. IVF#3 = BFP, twins, induced at 34w6d due to baby b passing away (no explanation). Delivered on 35w1d, Baby A - baby girl, and Baby B - baby boy, our little angel.
    MTHFR A1298C & C677T, Immune Issues and Factor II
  • I am so glad you asked this. Just talked to my RE office today about starting everything up and she mentioned that I have the choice between the shot and the supps. Thanks for everyone's input!

    SAIF/PAIF Always Welcome!
    TTC #1 May 2008
    6 Rounds Clomid, 1 Round Femera-BFN
    4 IUIs (1 Clomid, 1 Femara, 2 injectables)-BFN
    February 2010-Laparoscopy
    4 months of Lupron
    August 2010-IUI #5-BFN
    October 2010-IUI #6-BFN
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    IVF #2 March 2011-BFN
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