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Last Updated:
Sep 10th, 2007 - 18:59:21
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Question
I am 31, have 2 children and had no complications with either pregnancy. I have a 2nd degree pelvic prolapse. (I was actually 4 days from a hysterectomy when we found out we were pregnant.) I am currently 11 weeks 3 days pregnant today. At 8w3d my progesterone level was 7 and a sonogram showed what my OB said was a blood clot. I was told to expect some light bleeding and possible cramping. Thankfully, I've had neither. After 1 week of Prometrium twice a day for a week my progesterone level was 16.
Am I in danger of having a miscarrige? Are there medical reasons why I have a low progesterone level with this pregnancy?
Thank you for any help you can provide.
Peggy
Answer
Dear Peggy,
I am assuming that, on the sonogram, your baby had a heart beat. You are at risk of miscarriage with a low progesterone level, bleeding and cramping. A progesterone level of 16 is better than 8, but still low. With the available information, I can not give you a reason for your low progesterone.
Since the progesterone level is still low, instead of the oral Prometrium, I would recommend that you receive progesterone in oil (not medroxyprogesterone) 200 mg intramuscular injections two times per week. In 2 weeks check a blood progesterone level 3-4 days after a progesterone shot. At that point you might be able to decrease the dosage based on the NaProTechnology protocols of the Pope Paul VI Institute.
George Delgado, MD
George Delgado, M.D., F.A.A.F.P. is a Fertility Care Medical Consultant, a physician with Pregnancy and Family Care Centers of San Diego and
Escondido, and a Voluntary Associate Clinical Professor, Department of Family and Preventative Medicine, School of Medicine, University of California, San Diego.
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