Poor Cervical Mucus and Now Miscarried

Question

I am 37 years old, with two children ages six and three and a half. I have been trying to conceive for one year using the fertility awareness method. I had a miscarriage (at six wks) in December. Since spring, my cycles have been a regular 28 days, and according to ovulation predictors and my temps, I am ovulating, however, I have very little cervical mucus, with no eggwhite at all.
I have tried using pre-seed, Robittusin, etc. and that did not work for me. Besides the CM problem, I also have extremely sore breasts three weeks of the month – usually after ovulation through to day four or five of my new cycle. I’ve been reading on the internet (e.g. dr. John Lee’s site) and think I might have some kind of hormonal imbalance.

I am also hypothyroid, and suffer from symptoms like dry skin, fatigue, low sex drive, and premature aging.

My question – could I be progesterone deficient? If I am, will natural progesterone supplementation help me get pregnant, e.g. help increase cervical mucus?

Any information would be so appreciated.

Thank you so much!

Katherine

Answer

Dear Katherine,

You ask if progesterone supplementation could help cervical mucus production. Progesterone can help in an indirect way, since progesterone supplementation helps the latter part of the cycle, after ovulation. The critical part of the cycle influencing mucus buildup is in the first half of the cycle. Supplementing progesterone in the latter half of the cycle will feed back on the pituitary gland, and MIGHT influence the next cycle’s production of estrogen and mucus. Your breast soreness may indicate a progesterone deficiency.

But there are more direct ways to affect cervical mucus. First if all, making sure there is not a chronic vaginal or cervical infection of yeast or bacteria is important, as this can affect mucus. Second, evaluation of estrogen levels in the pre and postovulatory phases of the cycle is important, as well as checking progesterone levels after ovulation. If estrogen levels are low, supplementation with estrogen patches or pills can be helpful. Supplementation with B vitamins, particularly Vitamin B6 can help increase mucus in some instances. In addition to improving estrogen, progesterone, and nutrition, one of the most helpful therapies for improving mucus has been low dose Naltrexone therapy, which raises endorphin levels.

Since you have had a recent miscarriage, it would good to make sure you have ruled out treatable causes of pregnancy loss. A cervical culture for ureaplasma/mycoplasma is helpful. Even though you have 28 day cycles, the hormonal stimulation may not be adequate. Checking the thickness of your uterine lining after ovulation can give you a good idea about effect of progesterone and estrogen, in addition to checking levels of these hormones. The pregnancy hormone HCG can be injected to help estrogen and progesterone levels after ovulation, and does not have adverse side effects. Although post-ovulation therapy improving estrogen and progesteorne does not directly affect mucus, like progesterone supplementation, it can have a beneficial effect on the next cycle through a feedback mechanism.

Finally, your general health is important for mucus production. Adequate thyroid replacement, sometimes replacing T3 in addition to T4, may be needed.Two very important health considerations are adequate omega 3 fatty acids (found in fish oil) and good blood sugar control. Fatigue and low sex drive can indicate an adrenal problem. The best laboratory test to diagnose adrenal fatigue is by obtaining four saliva cortisol levels throughout the day. If you have adrenal “burnout” with low cortisol levels, you may have “cortisol steal”, which will lowers your sex steroid hormones in order to prop up your body’s production of cortisol. Evaluation for intestinal yeast and food allergies such as gluten can be helpful in dealing with fatigue and adrenal fatigue. A workup of cortisol levels, yeast, and food allergy may require using laboratories specialized in these areas.

Mary L. Davenport, M.D

Answered By:

Mary Davenport, MD, MS
Mary Davenport, MD, FACOG, an obstetrician/gynecologist from the Oakland Region of California, offers telehealth services over MyCatholicDoctor.com She graduated from Tufts University School of Medicine and completed her residency at UC San Diego. Dr. Davenport is a Fellow of the American College of Obstetrics and Gynecology, and serves on the Advisory Board of the California Association of Natural Family Planning.

Read more related questions

Panic About Fertility

I’m having a complete panic about my fertility. I’m 30 years old and stopped taking the pill a few months ago after being on it…

Trying to Conceive for First Time

I am a 38 year old woman, trying to conceive for the first time. I am using the Clearblue Fertility Monitor and it showed high…

Could Polyp Be Causing Miscarriage?

Could you please help me as I don’t know who I can ask? I am 43 years old (have had no children before) and within…

Breastfeeding and Miscarriage

I am a 38 year old woman with three children who has also had five miscarriages. I am currently four weeks pregnant (six weeks after…

Conflicting Advice on Progesterone and Infertility

I am 27 years old and my husband and I have been trying for our first child for five months. I have been charting since…

Low Estradiol on Day Three of Cycle

I am 26. I have had four miscarriages. Recently I had cycle day three labs done. The results are as follows: FSH 5.5 TSH 1.33…

Is My Premenstrual Spotting Related to My Miscarriages

I am 40 years old, with an almost-three-year-old daughter. My husband and I have been married for eight and a half years. We went through…

New Normal After Stillbirth?

My first child (a beautiful baby girl) was stillborn in February of this year (40 weeks gestation with no known cause). My husband and I…

Poor Cervical Mucus and Now Miscarried

I am 37 years old, with two children ages six and three and a half. I have been trying to conceive for one year using…

Still Think Something is Just Not Right

I am 26 years old and my husband and I have been practicing NFP since we married two years ago. Right after getting married, I…

What is Normal TSH?

I was having a difficult time becoming pregnant. I finally got pregnant, but then miscarried. This was unusual for me because I quickly became pregnant…

How Long Should I Wait to Conceive After Weaning

I had a miscarriage a few weeks ago, and I believe that it is very possible it was due to low hormone levels. I had…

Create An Account

This is not a membership, this is an account for our CANFP website. If you decide you would like to sign up for one of our memberships later, you can do so with or without this account.

First Name *
Last Name *
E-mail *
Username *
Password *
Confirm Password *
Edit Profile
Information
Subscriptions
Payments
Order History
Downloads
Shipping and Billing
Donations
Settings
Login Information
Notification Settings
Notification Subscriptions
Profile

CANFP conducts varied outreach programs to the community at large, in addition to serving our members (NFP users, teachers, and advocates).

CANFP provides education programs tailored to the audience, not only on Natural Family Planning, but on the wide variety of topics related to it.

Programs can be continuing education for NFP Professionals, introductory information for a lay audience of youth or adults new to the topic, or specifically tailored to the interests of a professional audience, such as educators, physicians, or clergy. Content is faith based or secular, whichever is suitable for situation.

CANFP offers a variety of resources for those just discovering Natural Family Planning, as well as to meet the varied needs of our CANFP Members. Most resources are available to any visitors to our site. Some resources do ask you to register as a site user in order to access them, others are available only to CANFP Members.

CANFP statewide conferences, regional events offered in collaboration with local partners, events featuring CANFP speakers, or exhbit, as well as other events throughout the state of interest to our NFP community.  Come meet one of our experts at one of these events or book a speaker for your own upcoming event.

CANFP depends on the gifts, talents, and generosity of our members and supporters. The success of our mission depends on the collaboration of our members. Please consider contributing your time treasure and talent through CANFP to share the good news of NFP with the world! Both volunteer and contracted positions available.

Stay informed by joining our email list

* indicates required
Which role(s) best describes you?