Back with a progesterone question

Back with a progesterone question

Gym girl
Gym girl

August 7th, 2012, 3:30 pm #1

Hi everyone,
I'm now 9w4d according to my LMP (though I got an OPK surge on CD18, so I know I ovulated late). Although this is a natural pg, my RE monitored me by doing an u/s at 6 weeks and 8 weeks and all looks good. I have an OB appt on Monday.

My progesterone was only tested with my first beta and it was an 8. I went on Crinone twice a day for a few weeks and then reduced to 1 a day a few weeks ago. RE last week said if I continue it, it's just to make myself feel better (sounds rude, but he didn't mean it with that tone) and he felt that at this stage, it was no longer necessary, especially with a natural pregnancy.

So I used Crinone till it ran out yesterday... and now I'm nervous. Of course.

Those of you who had natural pregnancies: how long did you use progesterone? Does now seem like a reasonable time to stop? When I was pregnant with DD (IVF), I used PIO till 10 weeks, so very similar. P4 was only tested with first beta then, too.

Thanks!
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Joined: January 23rd, 2009, 5:02 pm

August 7th, 2012, 8:21 pm #2

If you start getting loose stools suddenly, it could be a sign of progesterone withdrawal, that was my first symptom when I tried to stop my progesterone at 13w pg...so I begged my RE to test my level and it came back at 4.7!!!! That scared me and my Dr a little, so he had no problem letting me stay on progesterone after that.

Mine was not an IVF cycle, it was a gonal f with trigger and timed intercourse.

It's a good sign that you were able to stop progesterone with your first pregnancy...but for me, I was 30w pg before my body started making enough progesterone.



TTC: Since Nov. 2006
Diagnosis: Ovarian Dysfunction & PCOS
28 Years Old
cd3 FSH 16.8
cd10 FSH 13.6
7 Unmonitored Cycles of Clomid
3 Unmonitored Cycles of Letrozole
Positive CCCT
TAB for cysts
1st Cycle of 150iu of Menopur with Timed BDing - 5 mature follies - BFN
TAB for cysts
2nd Cycle of 150iu of Menopur with Timed Intercourse - 4 mature follies in play - BFN
3rd Cycle of 150 iu of Menopur with Timed Intercourse - 2 follies - BFN
1st Cycle of Gonal F - 1 follie & cyst on right - BFN
TAB for a cycle
2nd Cycle of Gonal F = BFP!!!!!
11dpo Beta=27.9
14dpo Beta=120
16dpo Beta=210
18dpo Beta=429
21dpo Beta=1064
5w6d - baby measuring 3mm, h/b 101
6w6d - baby measuring 6mm, h/b 126
7w6d - baby 18mm, h/b 171, measuring ahead at 8w2d! RE noticed enlarged yolk sac so keeping a close eye on that
8w6d - baby 2.52cm with h/b of 174
9w5d - baby 3.22cm with h/b of 180 measuring 10w1d
10w6d - baby 4.34cmcm with h/b of 174 measuring 11w1d
12w u/s showed baby at 11.2cm with h/b of 162 - unfortunately, that evening I suffered a horrible m/c of a chromosomally NORMAL girl.... RIP my angel girl...you were loved....

Gonal F with Timed Intercourse-2WW
First cycle of Gonal F with Timed Intercourse since m/c - BFN
2nd Cycle of Gonal F with Timed Intercourse - BFN
TAB for a month on bcp's
3rd Cycle of Gonal F - BFP
-11dpo beta=14.9
-14dpo beta=45.7
-16dpo beta=140
-18dpo beta=366
u/s at 6w1d showed heart-rate of 114!!!!
u/s at 7w1d showed heart-rate of 141!!!!
u/s at 8w showed heart-rate of 179
u/s at 9w showed 2 SCH's, h/r of 197
u/s at 10w showed h/r of 175
u/s at 11w showed h/r of 180
u/s at 12 w showed h/r of 188
12w2d...m/c'd baby at home, lost too much blood, had to have emergency D&C...severely anemic....baby was a chromosomally normal boy
-developed a blood clot in leg 1 1/2 wks post D&C...saw a hematologist and had testing done and everything came back normal, will still treat me with Lovenex on next pregnancy

-First cycle since m/c....Gonal F, triggered with 8 mature follies, T/I - BFP!
-13dpo beta 106, progesterone 21.4
-15dpo beta 260, progesterone 12.2
-16dpo beta 411, progesterone 16
-20dpo beta 845, progesterone 19 (went in for u/s to rule out ectopic, couldn't see anything yet, but lining was thick)
-22dpo beta 1158, progesterone 18
-24dpo beta 1655, progesterone 20
-5w?? u/s showed 2 sacs...one measuring 4w0d, the other measuring 5w1d....possibly vanishing twin???
-6w u/s showed TWINS! 2 h/r's....121, 119. both measuring 6w1d! SCH 1cm
-At 7w pg, tested positive for lupus anticoagulant, on lovenox to treat it, TSH was 2.55
-7w2d u/s showed 2 babies measuring 7w4d & 7w3d, h/r's 158 & 153! SCH 2cm
-8w1d u/s showed 2 babies measuring 8w3d & 8w2d, h/r's 185 & 179! SCH 3cm
-10w2d u/s showed we lost baby A measuring 9w1d and had no h/r...baby B measured 10w1d with a h/r of 180...praying for Baby B to hang on, SCH gone, started thyroid med
-11w1d u/s showed Baby B measuring right on track, h/r of 174
-12w1d had a red bleeding episode & u/s showed Baby B measuring 1 day ahead and a h/r of 168, bleeding likely caused by Baby A's passing
-13w1d had some red spotting & u/s showed Baby B measuring 2 days behind and h/r of 157
-14w...baby measured 14w3d...and I suffered a horrible, very sudden miscarriage...another angel baby...that makes 4.
Saw Dr Mary Stephenson at U of Chicago for recurrent pregnancy loss....dx with Lupus Anticoagluant and Incompetent Cervix, will be treated with lovenox
5-25-11 - Had a Transabdominal Cerclage placed by Dr Haney at U of Chicago

Gonal F with Timed Intercourse (self medicated/unmonitored) BFN
Gonal F with Timed Intercourse: 7 follies in play - BFP at 10dpo!!!
12dpo hcg level 80.5, progesterone 16.8
14dpo hcg level 295, progesterone 18
6w3d u/s showed 1 baby with a h/r of 120, measuring 6w4d
7w3d u/s showed baby with h/r of 160, measuring 7w3d
7w5d u/s showed a possibility of TWINS! Baby A (the original) measured 8w, h/r 167...Baby B, hiding in the upper uterus measured 6w6d, h/r 176...time will tell if Baby B will make it
8w4d u/s showed Baby A doing well measuring 8w4d and h/r of 185....Baby B measured 7w3d and no h/r detected My 5 angels better help me out through the rest of all this
9w5d u/s showed Baby A measring 9w5d, h/r 188
10w5d u/s showed Baby A measuring good, h/r 175
11w3d u/s shoed Baby A measuring 11w4d, h/r 169
12w6d u/s showed Baby A measuring 13w2d, h/r of 167
13w5d u/s showed Baby A measuring 13w6d, h/r of 156
15w5d u/s showed Baby Girl measuring about a week ahead! h/r 164
17w4d u/s showed Baby Girl with a h/r of 156, cervix measuring 5cm+
19w4d, u/s showed Baby Girl with a h/r of 151, cervix measuring 5cm
23w4d, u/s showed Baby Girl with h/r of 149, cervix measuring 5cm. Baby weighed 1lb 14oz and is in the 80th percentile...her belly in the 97th....talked a little big about GD
27w4d, u/s showed Baby Girl with h/r of 151, cervix measuring 5cm...baby weighed 3lb 4oz, 87th percentile, pass GD test!
29w4d u/s showed Baby Girl with h/r of 148, cervix 5cm
31w4d u/s showed Baby Girl with h/r of 129, cervix 5cm and weight is 5lb 5oz! BIG GIRL!!!
35+ weeks and counting!
Started contracting at 36w, had c-section at 36w2d, Welcome to the world Baby Lorelei, 6lb 11oz and perfectly healthy!!!!
TTC: Since Nov. 2006
Diagnosis: Ovarian Dysfunction & PCOS
26 Years Old
cd3 FSH 16.8
cd10 FSH 13.6
7 Unmonitored Cycles of Clomid
3 Unmonitored Cycles of Letrozole
Positive CCCT
TAB for cysts
1st Cycle of 150iu of Menopur with Timed BDing - 5 mature follies - BFN
TAB for cysts
2nd Cycle of 150iu of Menopur with Timed Intercourse - 4 mature follies in play - BFN
3rd Cycle of 150 iu of Menopur with Timed Intercourse - 2 follies - BFN
1st Cycle of Gonal F - 1 follie & cyst on right - BFN
TAB for a cycle
2nd Cycle of Gonal F = BFP!!!!!
11dpo Beta=27.9
14dpo Beta=120
16dpo Beta=210
18dpo Beta=429
21dpo Beta=1064
5w6d - baby measuring 3mm, h/b 101
6w6d - baby measuring 6mm, h/b 126
7w6d - baby 18mm, h/b 171, measuring ahead at 8w2d! RE noticed enlarged yolk sac so keeping a close eye on that
8w6d - baby 2.52cm with h/b of 174
9w5d - baby 3.22cm with h/b of 180 measuring 10w1d
10w6d - baby 4.34cmcm with h/b of 174 measuring 11w1d
12w u/s showed baby at 11.2cm with h/b of 162 - unfortunately, that evening I suffered a horrible m/c of a chromosomally NORMAL girl.... RIP my angel girl...you were loved....

First cycle of Gonal F with Timed Intercourse since m/c - BFN
2nd Cycle of Gonal F with Timed Intercourse - BFN
TAB for a month on bcp's
3rd Cycle of Gonal F - BFP
-11dpo beta=14.9
-14dpo beta=45.7
-16dpo beta=140
-18dpo beta=366
u/s at 6w1d showed heart-rate of 114!!!!
u/s at 7w1d showed heart-rate of 141!!!!
u/s at 8w showed heart-rate of 179
u/s at 9w showed 2 SCH's, h/r of 197
u/s at 10w showed h/r of 175
u/s at 11w showed h/r of 180
u/s at 12 w showed h/r of 188
12w2d...m/c'd baby at home, lost too much blood, had to have emergency D&C...severely anemic....baby was a chromosomally normal boy
-developed a blood clot in leg 1 1/2 wks post D&C...saw a hematologist and had testing done and everything came back normal, will still treat me with Lovenex on next pregnancy
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mel
mel

August 7th, 2012, 8:59 pm #3

Hi everyone,
I'm now 9w4d according to my LMP (though I got an OPK surge on CD18, so I know I ovulated late). Although this is a natural pg, my RE monitored me by doing an u/s at 6 weeks and 8 weeks and all looks good. I have an OB appt on Monday.

My progesterone was only tested with my first beta and it was an 8. I went on Crinone twice a day for a few weeks and then reduced to 1 a day a few weeks ago. RE last week said if I continue it, it's just to make myself feel better (sounds rude, but he didn't mean it with that tone) and he felt that at this stage, it was no longer necessary, especially with a natural pregnancy.

So I used Crinone till it ran out yesterday... and now I'm nervous. Of course.

Those of you who had natural pregnancies: how long did you use progesterone? Does now seem like a reasonable time to stop? When I was pregnant with DD (IVF), I used PIO till 10 weeks, so very similar. P4 was only tested with first beta then, too.

Thanks!
This is also a natural pregnancy for me and my RE also said I could stop the progesterone (I was on Endometrin -100 mg 2x a day) around 9 weeks. My P4 was last tested around week 8 or so and it was 17. My RE said it was actually a lot higher since Endometrin didn't show up in b/w and would be safe to stop.

I just wasn't comfortable stopping at that point and I still had a few weeks of Endometrin left, so I finished what I had left. I tapered down to 1x a day around week 10-11 and took my last dose when I reached 12 weeks. Even though my RE and my OB said it was okay to stop, I personally wasn't comfortable stopping until the 12 week point. Even then, I was nervous, but didn't have any P4 left, so had to trust that all was ok.

Maybe you can ask your OB to test your P4 levels?

Good luck!
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Gym girl
Gym girl

August 7th, 2012, 9:18 pm #4

Hi,
Thank you both!

I ended up refilling my Crinone for 2 more weeks. I don't know if I'll use it for 2 more weeks, but at least one. I have my OB appt on Monday, so I'll see if he's willing to test it... can't see why note.

Thank you!
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Joined: May 8th, 2012, 12:55 am

August 8th, 2012, 1:47 am #5

Hi everyone,
I'm now 9w4d according to my LMP (though I got an OPK surge on CD18, so I know I ovulated late). Although this is a natural pg, my RE monitored me by doing an u/s at 6 weeks and 8 weeks and all looks good. I have an OB appt on Monday.

My progesterone was only tested with my first beta and it was an 8. I went on Crinone twice a day for a few weeks and then reduced to 1 a day a few weeks ago. RE last week said if I continue it, it's just to make myself feel better (sounds rude, but he didn't mean it with that tone) and he felt that at this stage, it was no longer necessary, especially with a natural pregnancy.

So I used Crinone till it ran out yesterday... and now I'm nervous. Of course.

Those of you who had natural pregnancies: how long did you use progesterone? Does now seem like a reasonable time to stop? When I was pregnant with DD (IVF), I used PIO till 10 weeks, so very similar. P4 was only tested with first beta then, too.

Thanks!
Hi Gym girl,
I feel like I am a cautionary tale for pushing progesterone testing. Extra data can never hurt and the peace of mind will be worth it later. I send you my best thoughts that all goes well
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Gym girl
Gym girl

August 8th, 2012, 3:36 am #6

Thank you so much,Marti!
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Gym girl
Gym girl

August 8th, 2012, 3:36 am #7

I apologize for hitting submit so quickly. I have been following your thread below and I'm wishing you only positive news going forward.
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Joined: May 8th, 2012, 12:55 am

August 8th, 2012, 10:46 am #8

Hi Gym girl,
Thanks for your well wishes. I wish you the best on your journey
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