One more question re: estrogen supplementation (pg ment)

One more question re: estrogen supplementation (pg ment)

Jennifer
Jennifer

May 20th, 2011, 5:18 am #1

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
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Joined: July 3rd, 2004, 10:12 pm

May 20th, 2011, 7:08 am #2

another doctor to monitor you in this pregnancy. Your doctor sounds dangerously ignorant of the DE ivf process and you could lose your pregnancy if you stop now.

Basically, all that is supporting your pregnancy in the early weeks is your supplemental hormones (Estrogen and progesterone). Normal procedure in a donor egg pregnancy is to wean off these supplements from approx. 12 weeks (and even then, I would get a p4 and E2 check before weaning).

Have you had any bloodwork to test your E2 and progesterone levels are ok in this pregnancy? I would ask for this now if I were you for extra peace of mind.

Please do NOT come off estrogen or progesterone until 12 weeks. Please ask for another doctor.

I repeat - You can LOSE your pregnancy if you stop now.

Daisy
xxx
Last edited by loochieuk on May 20th, 2011, 9:33 am, edited 1 time in total.
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thesameboat
thesameboat

May 20th, 2011, 10:53 am #3

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
I'm really curious as to WHY your RE is so different from other REs. It's very odd to me that he would take what we all think are risks. I think a second opinion is definitely in order. I mean, we all have our own 'expertise' here but he has the title of Dr. What does he say? Does he say he always does this? Or your levels extremely high? It seems so strange.
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Joined: December 8th, 2006, 11:41 pm

May 20th, 2011, 1:47 pm #4

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
these meds until at least 12 weeks if I get a positive from this cycle. So, I think what the ladies are saying above (and below re your questin on progesterone too), is that your RE seems to be way out of step with other protocols. I would tell him you are not comfortable and want to stay on these meds until 12 weeks, at which time you will agree to be weaned off them thereafter.
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Anonymous
Anonymous

May 20th, 2011, 4:06 pm #5

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
you would get taken off ANY support this early if you were already on that support at the time of the BFP. So it's unimaginable that he's daring to risk this with a DE pregnancy.

There is ZERO, NONE, NADA, ZILCH, harm by you staying on this support for a few more weeks at the very list. On the flip side, there is a very high risk of having harm if you stop now.

It doesn't matter what the RE says, tell him you're staying on the support. He can't make you do anything.
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Kacee
Kacee

May 20th, 2011, 7:07 pm #6

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
basing this decision? Had he been monitoring your blood work and think that your estrogen is too high? If not, I would want medical reasoning behind this, with the documented studies to prove it.
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Jennifer
Jennifer

May 20th, 2011, 7:58 pm #7

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
Apparently my RE and Dr Scholcraft (in CO, who is good friends with my RE) both begin to taper progesterone and estrogen supplementation around 7 weeks. He re assured me I WILL NOT be stopping supplementation completely until the 10th week, so that makes me feel better. Currently I am on 2 forms of progesterone and estrogen, and they want me to only be on one. He said the body does not need all the progesterone once the placenta is up and running, that's it's many times overkill prescribed to placate the patient.

He was VERY re assuring/understanding....and for this week I will continue with both forms.

He actually said he believes most people are on way too much progesterone, and that women get fixated on their blood test results-----a number that isn't even 100% accurate considering Crinone and Endometrin are absorbed directly into the uterine wall and don't show up in bloodwork. Even more interesting that this is that he is considering NOT testing progesterone levels at all in his patients, as he believes it's a source of stress for many women.

Right now I am happy and confident---although I'm still on all my supplementation so I have no reason to be upset!

I am still going to call my miscarriage specialist and my OB and get 2 more opinions.

BTW--my numbers are not high at all---in fact, they are a little on the low side if you ask me.
Thank you guys SO MUCH for all your support and alerting me to what could be a very serious situation (BTW he did say that he would never stop me cold turkey from either estrogen or progesterone and that I will be one one form until 10 weeks). I am in your debt for making me so concerned, which is why I demanded to speak to my dr today.


Oh--one more thing---i requested that my numbers continued to be monitored for the next few weeks, even though that is out of the norm for them. He said that's fine.

Again, thank you, thank you.

xoxo-
jennifer


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anon
anon

May 20th, 2011, 8:31 pm #8

hello again!
I am 6 weeks 4 days and my RE is wanting to pull me off one of my estrogen supplements (I am taking Estrace vaginally and Vivelle Dot patches). Is this normal/safe?
thanks!
jennifer
SIRM operates as Q&A board where you can ask the doctors questions. They are pretty good about responding quickly. Try posing the question there.

Good luck.
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Piper
Piper

May 20th, 2011, 8:57 pm #9

Apparently my RE and Dr Scholcraft (in CO, who is good friends with my RE) both begin to taper progesterone and estrogen supplementation around 7 weeks. He re assured me I WILL NOT be stopping supplementation completely until the 10th week, so that makes me feel better. Currently I am on 2 forms of progesterone and estrogen, and they want me to only be on one. He said the body does not need all the progesterone once the placenta is up and running, that's it's many times overkill prescribed to placate the patient.

He was VERY re assuring/understanding....and for this week I will continue with both forms.

He actually said he believes most people are on way too much progesterone, and that women get fixated on their blood test results-----a number that isn't even 100% accurate considering Crinone and Endometrin are absorbed directly into the uterine wall and don't show up in bloodwork. Even more interesting that this is that he is considering NOT testing progesterone levels at all in his patients, as he believes it's a source of stress for many women.

Right now I am happy and confident---although I'm still on all my supplementation so I have no reason to be upset!

I am still going to call my miscarriage specialist and my OB and get 2 more opinions.

BTW--my numbers are not high at all---in fact, they are a little on the low side if you ask me.
Thank you guys SO MUCH for all your support and alerting me to what could be a very serious situation (BTW he did say that he would never stop me cold turkey from either estrogen or progesterone and that I will be one one form until 10 weeks). I am in your debt for making me so concerned, which is why I demanded to speak to my dr today.


Oh--one more thing---i requested that my numbers continued to be monitored for the next few weeks, even though that is out of the norm for them. He said that's fine.

Again, thank you, thank you.

xoxo-
jennifer

He begins to taper early and by eight weeks, MOST people should be able to be completely off supplements. At eight weeks, the placenta should be working just fine to do the job.

Because I was so incredibly paranoid about losing the pregnancy, he let me stay on a very low dose of crinone until ten weeks-
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Anonymous
Anonymous

May 21st, 2011, 1:21 am #10

"At eight weeks, the placenta should be working just fine to do the job"

the problem with this is that unless you are testing blood levels, you don't know. you can't assume that a placenta knows how to behave.

Sadly, when a m/c happens that is not chromosomally abnormal, it's just chalked up to nature when it very well could have been avoided if bloods were monitored and supplementation continued.
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