TTC After a Loss

More progesterone questions (sorry to beat a dead horse)

Thanks to those who responded to my post about 7dpo bloodwork. (https://community.thebump.com/cs/ks/forums/thread/66183874.aspx) I'm still at a loss as to what to do. I think I'm going to call the doctor back and speak with her directly. I want to get her take on my levels as well (since I had spoken to the midwife at the practice and not the doc who ordered the bloodwork).

A couple more questions:

1. Did you fast before your progesterone test? I did not. I didn't realize I was supposed to, and my doctor didn't mention anything about it. In fact, I ate breakfast about 20 minutes before having my blood drawn. I read that eating can lower progesterone levels, so do you think I should have my levels tested again after fasting?

2. My doctor didn't mention anything about vaginal suppositories, but said I could pick up some over the counter progesterone cream. Has anyone used this? Is it as effective as the suppositories? I'm wondering why she didn't mention the suppositories as an option.

I'm just so frustrated. TTCAL aside, I want someone to tell me why I am bleeding for 7+ days before AF. And I don't think it's LPD because my temps remain elevated for 12ish days every cycle. UGH!!!

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Re: More progesterone questions (sorry to beat a dead horse)

  • imageKittyKatMom:

    Thanks to those who responded to my post about 7dpo bloodwork. (https://community.thebump.com/cs/ks/forums/thread/66183874.aspx) I'm still at a loss as to what to do. I think I'm going to call the doctor back and speak with her directly. I want to get her take on my levels as well (since I had spoken to the midwife at the practice and not the doc who ordered the bloodwork).

    A couple more questions:

    1. Did you fast before your progesterone test? I did not. I didn't realize I was supposed to, and my doctor didn't mention anything about it. In fact, I ate breakfast about 20 minutes before having my blood drawn. I read that eating can lower progesterone levels, so do you think I should have my levels tested again after fasting?

    2. My doctor didn't mention anything about vaginal suppositories, but said I could pick up some over the counter progesterone cream. Has anyone used this? Is it as effective as the suppositories? I'm wondering why she didn't mention the suppositories as an option.

    I'm just so frustrated. TTCAL aside, I want someone to tell me why I am bleeding for 7+ days before AF. And I don't think it's LPD because my temps remain elevated for 12ish days every cycle. UGH!!!

    Fasting shouldn't matter at all. I always ate breakfast and then went to get my bloodwork done right before I went to work. 

    I don't know anything about the OTC cream but I'd personally ask for suppositories.

    I personally think if you're spotting for 7 days before AF then it is a LPD, regardless of temps. You shouldn't have low progesterone and spotting.

    Is there a specialist you can see? Or another doctor who might take your concerns seriously? 


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  • Thanks for your responses. She was my second opinion doc (the OB I've been going to for years refused to even test my progesterone), so I am feeling incredibly discouraged right now. I wouldn't even know which doctor to go to next . . .
    "My friends, love is better than anger. Hope is better than fear. Optimism is better than despair. So let us be loving, hopeful and optimistic. And we'll change the world." - Jack Layton

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    BFP #3 8/10/12 ~ EDD 4/23/13 ~ MMC discovered on 9/13/12 @ 8w2d (measured 6w6d)
  • tdmd09tdmd09 member

    1. No, I never have, and no one has ever told me to.

    2. I agree with PPs, you should get prescription (whether pills or suppositories). Using OTC cream isn't going to be as accurate of a dose, and I can't believe she suggested that.

    3. I totally understand your frustration. I had/have spotting for 7-10 days before AF ever since my first miscarriage, and no one has figured out why. I ended up going on BCP for two months to try and reset my hormones, because my OB felt like maybe they were wacky from my losses and they could find no physical reason for my spotting. I have met a few other girls on the getting pregnant board on the nest who were also "professional spotters" with no explanation. I hope you get some answers. :-/ 

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  • imageKittyKatMom:

    Thanks to those who responded to my post about 7dpo bloodwork. (https://community.thebump.com/cs/ks/forums/thread/66183874.aspx) I'm still at a loss as to what to do. I think I'm going to call the doctor back and speak with her directly. I want to get her take on my levels as well (since I had spoken to the midwife at the practice and not the doc who ordered the bloodwork).

    A couple more questions:

    1. Did you fast before your progesterone test? I did not. I didn't realize I was supposed to, and my doctor didn't mention anything about it. In fact, I ate breakfast about 20 minutes before having my blood drawn. I read that eating can lower progesterone levels, so do you think I should have my levels tested again after fasting?

    2. My doctor didn't mention anything about vaginal suppositories, but said I could pick up some over the counter progesterone cream. Has anyone used this? Is it as effective as the suppositories? I'm wondering why she didn't mention the suppositories as an option.

    I'm just so frustrated. TTCAL aside, I want someone to tell me why I am bleeding for 7+ days before AF. And I don't think it's LPD because my temps remain elevated for 12ish days every cycle. UGH!!!

    I've never fasted for progesterone.  It shouldn't affect the results.  I would look at changing doctors if I were you.  I am not a doctor, but I have an LPD.  Without treatment, I would spot for 5-7days before AF.  My temps would not drop until the day before AF.  I would be leery of any doctor that suggests an OTC cream.  I would see if you could get into a Reproductive Endocrinologist (RE) for progesterone testing and treatment if you aren't having any luck with your OB.  Good luck!

     


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  • I like beating all sorts of things so I will hop on in!! I missed the first convo but if you have ANY doubts or questions at all - push and persist until you get answers. You are the only one advocating for you. I wish I would have been more pushy and then maybe I would have my babies here now. I took PIO injections 2 x now and have had different side effects with each time. Also it was different coming off them too. 
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    I never heard of fasting and I didn't the 5 or so times I got my P4 tested.

    The OTC cream is usually not even real P4--it is made from yams or something.  I have never met anyone that has had success from OTC cream for TTC reasons. 

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  • LSzwayaLSzwaya member

    imageKittyKatMom:
    Thanks for your responses. She was my second opinion doc (the OB I've been going to for years refused to even test my progesterone), so I am feeling incredibly discouraged right now. I wouldn't even know which doctor to go to next . . .

    Can you find a whole new practice hospital etc? 

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    CP: 1/28/2012 
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