1st Trimester

Is level of 12 low (I stopped now but concerned)?

Hello,

My progesterone was 12 at the start of pregnancy & fertility specialist prescribed me Prometrium to take twice daily. I went in for 8 wks ultrasound & my OB/GYN doctor told me there is no embryo. She also told me that I should come back in 5 days for another ultrasound to confirm blighted ovum. She also told me to stop taking progesterone as 12 is not a low level. I am planning to wait and go for 2nd ultrasound after 10 days only(its already 7 days since my first one), as I have seen few people not able to see embryo till late 9th wk.

1. Is my progesterone level of 12 ok or should I actually take more ?
2. I have totally stopped taking progesterone last 7 days. I am concerned what if on 2nd ultrasound things are ok & then in that case will stopping progesterone going to effect pregnancy negative


Thanks
Kim

Re: Is level of 12 low (I stopped now but concerned)?

  • At my dr office if you have a progesterone level of less than 20 then they put you on progesterone until 12 weeks. With my first pregnancy my progesterone was 11. The dr put me on supplements and warned me that a low progesterone can indicate a problem with the pregnancy. It ended up being a blighted ovum but I continued taking the supplements until we were certain after multiple ultrasounds and blood draws that it was not a viable pregnancy. All this being said... My SILs progesterone was 4. She was put on supplements and her DD is 3 yrs old.

    Sorry you're going through this! I would definitely make sure you are sure that its not a viable pregnancy before taking any drastic measures.
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  • 1. Is my progesterone level of 12 ok or should I actually take more ?
    Please call your doctor and ask him this question. 

    2. I have totally stopped taking progesterone last 7 days. I am concerned what if on 2nd ultrasound things are ok & then in that case will stopping progesterone going to effect pregnancy negative.. 
    Did you get instructions on when to stop your supplements from the medical professional overseeing your care? I wouldn't stop or start anything without their imput and definitely not from internet strangers that have no idea of your history. 


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  • I know different places have different scales.  When my midwife told me the level she had to check to scale that the hospital used to make sure she was correct.  She said they wanted it at 20.
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  • As of 12 being low at the start of pregnancy I do not know. I do know it starts off low and rises during the pregnancy. At 8 weeks I had a level of 12 which is low for my OB who wants 20 or more. It was already confirmed that I had a baby with a good heartbeat so he put me on supplements are a precaution. Also the way your uterus is shaped matters as well. I have a retroverted uterus so things are much harder to see.
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  • imageot2013:

    Hello,

    My progesterone was 12 at the start of pregnancy & fertility specialist prescribed me Prometrium to take twice daily. I went in for 8 wks ultrasound & my OB/GYN doctor told me there is no embryo. She also told me that I should come back in 5 days for another ultrasound to confirm blighted ovum. She also told me to stop taking progesterone as 12 is not a low level. I am planning to wait and go for 2nd ultrasound after 10 days only(its already 7 days since my first one), as I have seen few people not able to see embryo till late 9th wk.

    1. Is my progesterone level of 12 ok or should I actually take more ?
    2. I have totally stopped taking progesterone last 7 days. I am concerned what if on 2nd ultrasound things are ok & then in that case will stopping progesterone going to effect pregnancy negative


    Thanks
    Kim

    It's my understanding that once you start taking progesterone, even if your levels are fine later, you do not stop, until you reach 11-12 weeks.  Even missing a dose can be a very bad thing.  Your body will notice the drop and you can lose the pregnancy.  

    I was on these myself and my own doctor said "you're probably fine but stay on it.  You can't risk coming off because the level drop can cause a miscarriage."   

    It's possible that she may be saying to stop because she's under the impression that there is no pregnancy at this point, due to a blighted ovum.  You should definitely see something by 8 weeks, including a heart beat around 6.  I have never heard of anyone not seeing an embryo until 9-weeks, as you mention. In fact, by 10 weeks, many women are having their NT scan.  

     

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