Monitoring Progesterone Levels In Pregnancy

Question

Hello:
I had a miscarriage in January on week 11 (that was my second pregnancy). They just discovered on a routine ultrasound that there was no heart beat, and possibly the problem had happened like ten days or two weeks before without I could notice anything. Never was any blood spot or any pain or trauma or any problem with the blood tests.

I have a long history of low progesterone after my first pregnancy, that’s why I spent like three years to conceive (I have a four years old daughter).

Now I’m pregnant again on my eighth week, my progesterone level were checked twice and they looked normal (same thing happened before). Should the doctor keep counting my HCG and progesterone levels? Is there any critical time around week ten with the progesterone?

Thanks for everything.

Answer

Last Updated: December 13, 2014
With your history of miscarriage, I would want to see a progesterone level at eight weeks of 30 or greater. Even if it were greater than 30, because of your history, I would still treat you with progesterone during the first trimester and then check levels and taper according to the NaProTechnology protocols of Thomas Hilgers, M.D.

I use progesterone and not other progestins such as medroxyprogesterone. Progesterone is chemically identical to the hormone your own body makes to support the pregnancy.

Dr. George Delgado

Answered By:

George Delgado, M.D., F.A.A.F.P.
President and Founder of Steno Institute and Medical Director of Culture of Life Family Services (COLFS), San Diego, is a Professional Member / Supporter of CANFP. Board certified in both family medicine and hospice and palliative medicine, Dr. Delgado received his medical degree from the University of California, Davis, and completed his residency at Santa Monica Hospital/UCLA. Dr. Delgado is a Natural Family Planning Medical Consultant, trained in NaProTechnology.

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