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Forum: Secondary Fertility Issues

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  #1  
September 10th, 2009, 01:13 AM
Mega Super Mommy
Join Date: Dec 2008
Location: United Kingdom
Posts: 1,342
I found this article which kind of says what my doctor was thinking. I was going to edit/add it onto my other post but as that would make it even longer figured a seperate place better!

Quote:
When we talk about a hormone problem, you have likely miscarried in less than 10 weeks. After that, the placenta has taken over hormone production and any normal deficiency you have is not a factor. Low progesterone, the most common problem, is not as easy to treat as you might hope. Progesterone suppositories, while frequently prescribed, are not proven to be helpful and often actually cause a nonviable pregnancy to last longer than it should.
The only situation where progesterone is a sure solution is with a luteal phase defect, where the corpus luteum, which is formed along with egg at ovulation, does not produce the hormones needed to sustain a pregnancy. For most women, however, this is usually not an every-month problem. Usually the situation rights itself with the next egg and the next corpus luteum. This problem, if it is a permanent one, can be diagnosed through two separate endometrial biopsies. Progesterone must be started 48 hours after ovulation to work. By the time you have missed a period, it is too late to save a pregnancy with a luteal phase defect.5
Its a little conflicting because it says progesterone doesn't treat low progesterone () which is what my doc was saying. But it does say that it IS a sure solution for a luteal phase defect.......but hang on, isn't low progesterone a sign of a LPD? *shakes head*
So, I guess we are both right depending on if I have Low P or a LPD? lol
And I believe I have LPD because its been like it every cycle since Feb2008 and not a 'one off' low progesterone which might be caused by a 'one off' dodgy egg!

Right. Thanks for baring with my research!
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Seperated June 2010 from my husband. One daughter DOB 26/07/2006. BFP 06/01/2011, due september but 'high risk' for premature birth.

Hi. Im Jolene. 31 years old. I suffered three years of a short luteal phase and didnt think I could get pregnant again without medical assistance but fell pregnant by accident and naturally. I am really happy and excited to be having a baby although knowing Im going it alone this time is a bit daunting and scary!
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  #2  
September 10th, 2009, 03:52 AM
Platinum Supermommy
Join Date: Mar 2008
Location: Maryland
Posts: 20,242
I agree yours sounds like a LPD. It sounds, to me and my tired mind, like the low progesterone can cause a problem with the egg itself if you don't start it soon enough which results in a nonviable pregnancy that is then prolonged by starting it too late. You already have yours though so you should be fine.
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  #3  
September 10th, 2009, 05:07 AM
Mega Super Mommy
Join Date: Dec 2008
Location: United Kingdom
Posts: 1,342
Thanks again!
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Jo xxx






Seperated June 2010 from my husband. One daughter DOB 26/07/2006. BFP 06/01/2011, due september but 'high risk' for premature birth.

Hi. Im Jolene. 31 years old. I suffered three years of a short luteal phase and didnt think I could get pregnant again without medical assistance but fell pregnant by accident and naturally. I am really happy and excited to be having a baby although knowing Im going it alone this time is a bit daunting and scary!
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  #4  
September 10th, 2009, 04:16 PM
~InHisHands~'s Avatar Platinum Supermommy
Join Date: Sep 2007
Location: US - Alabama
Posts: 12,682
I can't really tell you anything... I'm confused! All this just hurts my head!

I'm just wondering if that has something to do with me... I know I have a progesterone defect which Clomid corrects & I did have a m/c somewhere between 8 & 11 wks so should I be pressing my dr about checking my progesterone? Not sure if he's doing that but I do trust this dr & he helped a friend of mine who had several m/c's finally carry a baby to term... she had to take progesterone suppositories throughout her pg. I know my dr checked my progesterone early when I first got my BFP which of course was fine but not sure if he checked it again at my 8 wk appt.
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  #5  
September 13th, 2009, 11:26 AM
Mega Super Mommy
Join Date: Dec 2008
Location: United Kingdom
Posts: 1,342
It is something I would definitely ask for next time. They do it in 200mg or 400mg (mine are 400mg) but maybe a lower dose would be beneficial. Although maybe they don't like to do that with the risk of 'extending a nonviable pregnancy'...at the very least just request regular progesterone checks eh.
__________________
Jo xxx






Seperated June 2010 from my husband. One daughter DOB 26/07/2006. BFP 06/01/2011, due september but 'high risk' for premature birth.

Hi. Im Jolene. 31 years old. I suffered three years of a short luteal phase and didnt think I could get pregnant again without medical assistance but fell pregnant by accident and naturally. I am really happy and excited to be having a baby although knowing Im going it alone this time is a bit daunting and scary!
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