Progesterone Level

Steph1673 · July 2014

I had my progesterone checked today, 7DPIUI / CD20.

The doctor left a message saying that it looked good and that it is ovulatory at 7.4.

BUT... Dr. Google tells me that this seems pretty low. Do you think I should call and question this? Or trust that she said it was good and relax?

sailorgal · July 2014

I'd call for clarification, that is low. You may have ovulated but I that would would be weak.

iheartsippycups2 · July 2014

My RE says over 15 for ovulation. I would call to double check.

sailorgal · July 2014

I think 15 is for medicated cycles?

Steph1673 · July 2014

I was medicated, cd 3-7 on letrozole, no trigger. :-(

Is usual protocol to consider it a bust, or should I question the need for extra progesterone?

I wonder why she was so cheery and saying it was fine...

pettycrocker · July 2014

That does seem low, but I don't think you should consider it a bust yet, you're only 7dpo, if implantation occurs, it will go up to support the pregnancy. Do you typically have a short LP? You can bring up your concerns that it's on the low side and see what they say, but typically if your LP is 11-14 days your progesterone should be fine.

Steph1673 · July 2014

Thanks for the encouragement. I will give them a call tomorrow. There have been cycles where my LP is on the short side, but most has been fine or borderline, two cycles ago it was 10dpo but last cycle it was 14.

Steph1673 · July 2014

I spoke to my RE's office. She said that while they like to see something around 10 on a cycle like mine, they have seen pregnancy at my level (7.4) and they have seen BFNs at 30-40+. I did O, as she said textbook is over 3. I also found out my RE is not one to give progesterone supplements in my case, when I asked about that. He doesn't like to "support" a "bad pregnancy" that my body would not otherwise support and that my progesterone will naturally rise to support it if it's supposed to stick.

So we wait :-) And if this cycle doesn't work her guess is that he will want to increase my letrozole next cycle for a stronger O.

Thanks for all of your input, I'm glad I called to get more informed.

sailorgal · July 2014

Thanks for the update, glad you got some answers.

Interesting theory on the progesterone supplements.

iheartsippycups2 · July 2014

I am confused about the progesterone part. From what I understand, progesterone is needed to support a pregnancy. If you don't produce it on your own (enough), they give you supplements. My levels were always low, so that is why I was put on capsules.

Am I wrong on this?!

pettycrocker · July 2014

iheartsippycups2 said:

I am confused about the progesterone part. From what I understand, progesterone is needed to support a pregnancy. If you don't produce it on your own (enough), they give you supplements. My levels were always low, so that is why I was put on capsules.

Am I wrong on this?!

Well hers was just on the low side at 7dpo which is before implantation would even occur, theoretically if your LP is over 10 days, your body should produce enough to support a pregnancy, because it's holding your lining long enough for implantation to occur- Once implantation occurs, the progesterone goes up naturally.

Steph1673 · July 2014

From what I understand that she was telling me, is that I don't think my reading alone proves I didn't/won't produce enough progesterone. In my initial RE bloodwork my progesterone was normal. She said the 7.4 was not high but it's not terribly low. It went up showing I ovulated, so my RE does not supplement prog, at least not "just in case" I guess, because he's confident mine would raise accordingly to support a solid pregnancy and at 7 DPIUI I could still be implanting/raising, right? If it saves me what would likely end in early miscarriage and CP's I'm all for it; however, I obviously want to make sure I produce enough.

I like that he doesn't jump the gun on hormones, but if this sounds fishy to the board I will press. Again, this is my first rodeo with treatment and I think we are seeing what works.

Steph1673 · July 2014

Mrs Castillo said ;-)

pettycrocker · July 2014

Steph1673 said:

Mrs Castillo said ;-)

Mrs C for the winning knowledge!!

Steph1673 · July 2014

Mrs Castillo said:

Steph1673 said:

Mrs Castillo said ;-)

Mrs C for the winning knowledge!!

Thanks for the edjamacation!

pettycrocker · July 2014

Now I'm doing this

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