Guest guest Posted December 2, 1999 Report Share Posted December 2, 1999 In regards to what Elizbeth followed up on I believe your HCG is your pregnancy hormone. So even though the book said hormone level I believe its the same as HCG. Until your HCG is zero there is still tissue from the pg there. I think the book basically said the same as me. As soon as the level hits a certain point (below 5) menstration should kick in. Pam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 1999 Report Share Posted December 2, 1999 , According to your book, what does your progestrone have to be to start AF? I had my ep in June and a miscarriage in Oct. The doctor said my progestrone was really low and that may be what caused the miscarriage. So, if my progestrone was already really low, why haven't I still received AF? Tommorrow it will be 6 weeks since my miscarriage. Any thoughts? Does your book say anything about cysts and AF? Thanks for sharing. Dawn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 1999 Report Share Posted December 2, 1999 Dawn - I am going to mention my pg, so S c r o l l P l e a s e My medical book does not give any specific progesterone levels unfortunately. My doctor says that a " normal " level for pregnancy is over 11.2. Mine was 9.5 at first draw though, and I was not having any spotting or sign of threatened m/c, so it would have to be lower than that to cause m/c - I lost my first pg to a possible progesterone deficiency, which was undetected because I had terrible care/insurance at that point in time. I have been told now that my progesterone is continuing to climb, but still not at a satisfactory level, so I am now taking oral progesterone. The medical text also makes no connection between cysts or growths (regular, dermoid, malignant) and AF, except the normal corpus luteum cyst that manufactures progesterone. In other words, I believe that if a cyst could suppress AF or cause irregularities of that nature, this doctor would have mentioned it. Since he makes no connection in this area, I am assuming that a cyst would have no effect on AF. However, to know for sure, I would have to do some more research. Someone else that has more knowledge may be able to discuss this better at this point in time. My question is, if you had a m/c, was there bleeding at that time? I am assuming that there was. So now you are waiting for a subsequent cycle? If you had a period at the time of the m/c, that was AF due to the progesterone deficiency. At this time, your body may be trying to re-regulate itself, and any number of things may be taking place. You possibly have had a cycle where you did not ovulate. This is very often the case after something such as a m/c or ep in which you are physically affected as well as stressed, etc. If this is indeed what has happened, this cycle would be " off " as far as hormone levels are concerned, so when you get AF, the bleeding would actually not be a true AF, but anovulatory bleeding, caused by a drop in estrogen and not progesterone. To support this idea, I will cite Taking Charge of Your Fertility, by Toni Weschler, MPH. This is from page 163 and a discussion of anovulatory bleeding: " ...you would have a long cycle followed by anovulatory bleeding, which is the result of a drop in estrogen (as opposed to progesterone). Remember that in an ovulatory cycle, the corpus luteum dies, and the sudden drop in progesterone causes the uterine lining to shed (menstruation). But with anovulatory cycles, it is the drop in estrogen that causes the bleeding. " This also concurs with the medical text I have that states progesterone levels trigger AF. I just found this while looking for info to answer your question. Ms. Weschler states that there can be any number of causes for anovulatory cycles, including illness, travel, exercise, stress, and weight gain or loss. All these things can suppress estrogen production, causing no egg to develop, and therefore, no subsequent progesterone production. She states (different from what I claimed my doctor said earlier) that the reason female athletes and extremely thin women often do not have periods is because they not only produce no progesterone, but their estrogen production is so low that they do not produce eggs nor pass the threshold level for even anovulatory bleeding. ANYWAY, the stress on your body physically and emotionally that resulted from the miscarriage may be what has caused this long cycle, and it simply has to have a chance to re-regulate. If you chart or observe any of your fertility signs, you will know if you ovulated or not. You also may have had a delayed ovulation...when it (O) happened later than usual...this can also happen as a result of illness or stress. In this case, you will get AF about 12-14 days after you ovulated. That would be a true AF, caused by the drop in progesterone. I hope this has answered your questions and has not given you too much more info than what you wanted to know. I tend to go overboard once I get started Feel free to ask if there is anything I did not deal with that you needed to know. Hang in there Dawn...you will be back on a normal schedule soon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 2, 1999 Report Share Posted December 2, 1999 , Thank you so much for all the info. I really appreciate it. I am so anxious to ttc again and have to wait two cycles and am getting upset because this first cycle is taking so long. I am also wondering if I could have gotten pg this cycle because we did not use anything to prevent. I do not take my temps, but I do observe CM and have been right on with all the prior months. I am pretty sure I O this month. Anyway, thanks again for the info. Dawn Re: re:af > Dawn - I am going to mention my pg, so > > S > c > r > o > l > l > > P > l > e > a > s > e > > My medical book does not give any specific progesterone levels > unfortunately. My doctor says that a " normal " level for pregnancy is over > 11.2. Mine was 9.5 at first draw though, and I was not having any spotting > or sign of threatened m/c, so it would have to be lower than that to cause > m/c - I lost my first pg to a possible progesterone deficiency, which was > undetected because I had terrible care/insurance at that point in time. I > have been told now that my progesterone is continuing to climb, but still > not at a satisfactory level, so I am now taking oral progesterone. > > The medical text also makes no connection between cysts or growths (regular, > dermoid, malignant) and AF, except the normal corpus luteum cyst that > manufactures progesterone. In other words, I believe that if a cyst could > suppress AF or cause irregularities of that nature, this doctor would have > mentioned it. Since he makes no connection in this area, I am assuming that > a cyst would have no effect on AF. However, to know for sure, I would have > to do some more research. Someone else that has more knowledge may be able > to discuss this better at this point in time. > > My question is, if you had a m/c, was there bleeding at that time? I am > assuming that there was. So now you are waiting for a subsequent cycle? > If you had a period at the time of the m/c, that was AF due to the > progesterone deficiency. At this time, your body may be trying to > re-regulate itself, and any number of things may be taking place. You > possibly have had a cycle where you did not ovulate. This is very often the > case after something such as a m/c or ep in which you are physically > affected as well as stressed, etc. If this is indeed what has happened, > this cycle would be " off " as far as hormone levels are concerned, so when > you get AF, the bleeding would actually not be a true AF, but anovulatory > bleeding, caused by a drop in estrogen and not progesterone. > > To support this idea, I will cite Taking Charge of Your Fertility, by Toni > Weschler, MPH. This is from page 163 and a discussion of anovulatory > bleeding: > " ...you would have a long cycle followed by anovulatory bleeding, which is > the result of a drop in estrogen (as opposed to progesterone). Remember > that in an ovulatory cycle, the corpus luteum dies, and the sudden drop in > progesterone causes the uterine lining to shed (menstruation). But with > anovulatory cycles, it is the drop in estrogen that causes the bleeding. " > > This also concurs with the medical text I have that states progesterone > levels trigger AF. I just found this while looking for info to answer your > question. > > Ms. Weschler states that there can be any number of causes for anovulatory > cycles, including illness, travel, exercise, stress, and weight gain or > loss. All these things can suppress estrogen production, causing no egg to > develop, and therefore, no subsequent progesterone production. She states > (different from what I claimed my doctor said earlier) that the reason > female athletes and extremely thin women often do not have periods is > because they not only produce no progesterone, but their estrogen production > is so low that they do not produce eggs nor pass the threshold level for > even anovulatory bleeding. > > ANYWAY, the stress on your body physically and emotionally that resulted > from the miscarriage may be what has caused this long cycle, and it simply > has to have a chance to re-regulate. If you chart or observe any of your > fertility signs, you will know if you ovulated or not. > > You also may have had a delayed ovulation...when it (O) happened later than > usual...this can also happen as a result of illness or stress. In this > case, you will get AF about 12-14 days after you ovulated. That would be a > true AF, caused by the drop in progesterone. > > I hope this has answered your questions and has not given you too much more > info than what you wanted to know. I tend to go overboard once I get > started Feel free to ask if there is anything I did not deal with that > you needed to know. > > Hang in there Dawn...you will be back on a normal schedule soon > > > > > > > > > ------------------------------------------------------------------------ > -- Create a poll/survey for your group! > -- /vote?listname=ectopicpregnancy & m=1 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 1999 Report Share Posted December 3, 1999 Dawn: How many days ago do you think you O'ed? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 1999 Report Share Posted December 3, 1999 , I think it was 18 days ago, but like I said I'm not positive. I am taking a test tommorrow if AF still has not arrived just to check. Dawn Re: re:af > Dawn: > > How many days ago do you think you O'ed? > > > > > ------------------------------------------------------------------------ > eGroups.com Home: /group/ectopicpregnancy/ > - Simplifying group communications > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 1999 Report Share Posted December 3, 1999 Dawn: That sounds reasonable to me...I was 18dpo when I tested too. Let us know the results. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2000 Report Share Posted January 7, 2000 Dawn, That sounds great! Sorry for being so forgetfull, but when was AF due? I can't keep track of everything, my mind feels like jello at the moment. let me know, and good luck! sonja -----Original Message-----From: Dawn Hoke Sent: Thursday, January 06, 2000 4:57 PMTo: ectopicpregnancyegroupsSubject: Re:AF Hello Ladies, AF has not shown yet. My temp was still high this morning (98.3). I really did not think I was pg this month, so I am trying not to get my hopes up. I'll keep you posted. Tara, If my doctor does not call me by tomorrow about the results of the cyst, I will call him. I am anxious to hear from him, but I am so glad it did not grow and it is still pretty small. Dawn eGroups.com Home: /group/ectopicpregnancywww. - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
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