From CANFP
At Risk for a Miscarriage
By Dr. Delgado
Feb 28, 2007, 15:23
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
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