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Progesterone dropping. RE won't do anything.

TheFutureMrs.OTheFutureMrs.O member
in Pregnant after a Loss

I am beyond pissed. So my progesterone is consistantly falling. It has gone from 30 to 29 to 26 to today's level of 20. My HCG is progressing perfectly and actually tripling. 

Anyways, the RE doesn't want to do anything about it dropping. I am already on 200mg of Prometrium 1x a day vaginally. I am the type of person that would rather be safe than sorry so I want to do something about it and supplement more. I am so afraid that it is going to just keep dropping and I going to miscarry this baby as well. At what point does my RE actually get concerned when I am bleeding!!! I am so pissed. I don't know what to do. 

The nurse is going to talk to her and tell her my concerns and call me back. I highly doubt she'll do anything though as she has already looked at my levels and decided everything was fine.

I want to cry. I am stressed out and not happy about this. I feel like she is not being proactive at all.  

 

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Re: Progesterone dropping. RE won't do anything.

  • bananersbananers member

    I'm sorry. Did she give you an explanation as to why? And could you seek out a second opinion? I'm a firm believer in being your own health advocate, but at the end of the day, you have to trust your doctor's expertise. If you can't, then maybe it's time to find a new doctor.

    ((hugs)). I'm so sorry you're dealing with this - it sounds incredibly stressful.

    BFP #1 10/6/11 | EDD 6/15/12 | MMC 11/7/11 @ 8w3d | D&C 11/14/11

    BFP #2 8/22/12 | EDD 5/5/13 | DS1 born 5/9/13

    BFP #3 4/25/15 | EDD 1/7/16 | MMC 7/2/15 @ 13w1d | D&E 7/8/15

    BFP #4 12/9/15 | EDD 8/22/16 | DS2 born 5/18/16 at 26w2d

    Just keep swimming.
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  • 4legsRbest4legsRbest member
    I am so sorry you are frustrated. Your dr may just not be communicating well with you. My P4 was all over the board - from 16 to 50 depending on the day I tested(was also on 200mg/day) but until it gets below the double digit level, it isn't really what is considered "low". Maybe that is why your dr isn't reacting to your concerns. There is no need for it to be in the 30+ range, even though it may make you feel better. I hope they call you back and talk this through with you!
    Me: 37 DH: 40 TTC since 9/09
    #1 BFP 1/10/11; missed m/c discovered 7w5d
    IF Dx: Endo, hetero MTHFR mutation, poor morphology
    #1 IUI: 1/18/12 = BFN
    #1 IVF/ICSI 4/2/12 = 2 x 7-cell and 1 x 5-cell transferred (3dt) = BFP!!
    H was born at 41w2d on 12/29/12 - be still my heart!
    #2 IVF/ICSI 1/19/14 = 2 x 8 cells transferred (3dt) = BFP!! EDD 10/09/14
    M&W born at 37 weeks on 9/18/14 - I am the momma of 3 boys!!!

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  • GregermisGregermis member
    I'm sorry this is worrying you.  With suppositories, you don't necessarily see evidence of them in your P4.... only with PIO.  If you have any spotting I would fuss, but if you hcg continues to look good, you could definitely be okay.
    TTC #1 Since 4/2010, Cycle 30
    Positive for HLA-B27, I'm a mutant :p
    Testing - Me ok, gluten issue? DH - borderline count, low motility
    4/28/11 IUI#1 = BFP!(5/25), EDD 2/2/12 - m/c 5w3d
    7/3, 7/31, 9/25 - IUI#2-4=BFN
    IVF#1 - 1 blast = BFP!! (12/30), EDD 9/9/12, confirmed c/p 4w2d
    FET#1 3/2/12 - 2 blasts =BFP!! EDD 11/18/12, us#1 = twins! Confirmed m/c 5w6d
    4/20-surprise BFP and another c/p 4w2d
    FET#2 7/16/12 - 2 blasts = BFN
    FET#3 8/20/12 - 1 blast - BFP!! Beta #1-2=177, 354
    1st u/s 5w6d, one beautiful little HB :), 2nd u/s 146bpm
    baby girl born 5/10/13

    TTC#2 since 12/17/2014, Cycle 8
    Repeat Testing...FSH=12, AMH=3.8, AFC=28. 
    IUI#5 5/10/15- c/p?
    IVF#2 8/19/15 - cancelled due to cysts
    IVF#2 take two 10/2015 - 5 blasts frozen
    FET#4 12/11/2015 - BFN - 4 blasts remaining
    FET#5 2/18/16 - BFP!!!  Beta1-3, 126, 250, 745!!

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  • EveanynEveanyn member
    Your RE needs to discuss this with you and give you a valid reason for "not worrying" about it, otherwise you need to find a new RE.
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  • pb&fluffpb&fluff member
    My RE didn't check my progesterone level with betas.  She said progesterone is a pulsatory hormone and can vary a lot.  Even though the 20 is lower than the others, you could have been coming up or going down on a hormone "wave," I guess.  Like PP's said, if you start to spot or it continues to drop, I would probably be more concerned.
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    You've heard what I've done, not what I've been through.
    If you were in my shoes, you'd fall the first step." <3<3


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