Re: Prog/Doctor's theory...(pg ment)

[Guest guest]

Ladies-

Uggggg....I am just about to have a fit, so forgive me if this all comes

out in a jumble...

I just spoke to my OB for the first time since I tested positive...I was

not impressed. A little background...this is the same doc who has little to

no experience with MA's and has been telling me for years that she wants to

put me on steroids at 22 weeks and bed rest at 28 weeks and hope to carry

til 32 weeks. Ha!

Well, anyway, she called to tell me that while my HCG is fine (2900 at

21dpo), my progesterone is low: 12.5 Now, understand that she would not

even have tested my progesterone, except that my RE asked me why it hadn't

been tested with my first hcg at 15 dpo....uggggh. And, listen to

this....she is concerned that because of my UD, when it takes over, the

placenta won't produce enough prog to support the pregnancy. I don'e

remember ever seeing that? I am beginning to think that not only does she

not know anything about MA's, but she is just making up stuff as she goes

along. Oh, I asked when I would need to see a peri, since I wanted to get

a baseline cervical length at 11 weeks, she told me there was no reason

to. She said even prophylactic cerclages aren't done until 11

weeks. WRONG. She said I don't need to see a peri until 20

weeks. WRONG. I asked her who she would send me to, she told me and when

I asked what kind of experience she had with MA's....her answer was " I

don't know "

So, not only am I scared to death about my prog. level, but I also have

zero confidence in my doc right now. Remember, I am the one who lives in

the middle of nowhere and she and her partner are the only OB/GYNs in a

hundred mile radius.

I need opinions please, not only on the progesterone level, but the info

she gave me as well. What do you ladies think?

[Guest guest]

Hi ,

yucko. She sounds like she stinks.

Here's my opinions:

1) progesterone. Yes, yours is a *little* on the low side,

although not unheard of. You want some supplementation, i

think, though, to be safe. I would suggest the Crinone 8% gel

once a day at bedtime. Although oral progesterone can work for

some, it seems that vaginal progesterone is absorbed better to

the uterus. I used it for 12 weeks; Beth used it, too. It's a special

order item for pharmacies--they'll take 2-3 days to get it in. You

should try to get an Rx called in asap. Your doc may say supps

do nothing, only prolong a miscarriage. Well, tell her you've tried

so long, you'll take a chance on a prolonged m/c. My chemical

pregnancy problem mysteriously dissapeared with crinone gel.

Push. Tell her anything, but do get the gel. You can never be too

sure, and if a m/c is postponed by a few weeks, well.....you'd

rather take a chance on giving a perfect baby a chance, right?

2) placenta--HUH? what is she smoking? No. If that were true,

UU ladies would all have the same problem. The placenta is big

enough to support the *baby*, so why isn't it big enough to make

progesterone??? I mean, your corpus luteum cyst on your ovary

is usually enough to make progest. in the 1'st trimester, and it's

a LOT smaller than a placenta.

3) cerclage. No, she's wrong again, as you say. Prophylactic

cerclages can be placed as early as 12 weeks. Beth's was in at

14 weeks. They aren't even placed AFTER 24 weeks, even when

the cervix is shortening! My peri said she'd place one if my u/s

between 15 and 24 weeks showed funneling or shortening of

the cervix. Not after 24 weeks--after that, they put you on bed rest

and on anti-contration drugs. Besides, if you have a long cervix

by 24 weeks, you're chances of PTL and IC go way way way

down.

4) Peri--She's wrong again. You want to see one AT THE

LATEST, beginning at 12 weeks. Incompetent cervix risk time

begins at 15 weeks. You need your cervix monitored by u/s every

few weeks starting at 15 weeks NO LATER. This is what my OB

and my peri told me. You'd want a baseline check well before

15 weeks.

This stinks that you have to work with her, but just beg, plead,

whatever, to get her to get you the gel and send you to a peri, and

to get them to check your cervix starting at 12 weeks and then by

15 weeks, they should check by u/s every 2 weeks. Transvaginal

u/s, mind you, not just abdominal! T/v u/s is much more

accurate for the cervix!

BIG HUGS to you!!!!!!!! I'm happy your hcg sounds sooooo good!

Jill

SU resected

22w6d

> Ladies-

> Uggggg....I am just about to have a fit, so forgive me if this all

comes

> out in a jumble...

>

> I just spoke to my OB for the first time since I tested positive...I

was

> not impressed. A little background...this is the same doc who

has little to

> no experience with MA's and has been telling me for years that

she wants to

> put me on steroids at 22 weeks and bed rest at 28 weeks and

hope to carry

> til 32 weeks. Ha!

>

> Well, anyway, she called to tell me that while my HCG is fine

(2900 at

> 21dpo), my progesterone is low: 12.5 Now, understand that

she would not

> even have tested my progesterone, except that my RE asked

me why it hadn't

> been tested with my first hcg at 15 dpo....uggggh. And, listen to

> this....she is concerned that because of my UD, when it takes

over, the

> placenta won't produce enough prog to support the pregnancy.

I don'e

> remember ever seeing that? I am beginning to think that not

only does she

> not know anything about MA's, but she is just making up stuff

as she goes

> along. Oh, I asked when I would need to see a peri, since I

wanted to get

> a baseline cervical length at 11 weeks, she told me there was

no reason

> to. She said even prophylactic cerclages aren't done until 11

> weeks. WRONG. She said I don't need to see a peri until 20

> weeks. WRONG. I asked her who she would send me to, she

told me and when

> I asked what kind of experience she had with MA's....her

answer was " I

> don't know "

>

> So, not only am I scared to death about my prog. level, but I

also have

> zero confidence in my doc right now. Remember, I am the one

who lives in

> the middle of nowhere and she and her partner are the only

OB/GYNs in a

> hundred mile radius.

>

> I need opinions please, not only on the progesterone level, but

the info

> she gave me as well. What do you ladies think?

[Guest guest]

Jill-

Thank you! I knew I wasn't crazy.....well... I am going to pick up prog.

suppositories in a minute...I called my RE and they told me what to

do. Also, my OB's office called back and the nurse told me that my doc

doesn't want to see me until the 24th, of February! .UGGGH., so I called

my RE and he said he would " really like to get a handle on where that kid

is hanging out " and said I could come tomorrow if I wanted, but after

talking to him, we settled on next Wed...I will be 6w5d and he thinks we

might see where it is implanted and get a hb at the same time. (its a 3.5

hour drive, so I would rather kill as many birds as I can with one stone)

I also made a " consultation " appt for this Thurs with my GP....his is a

fairly new doc and has some UD experience, AND he is my OB's partner's best

bud...they went to college and med school together. I am going to sit down

with him and be really honest about what my OB has said and how it

contradicts everything I have learned....I know him personnally, and I feel

like I can trust him to be honest and keep things confidential. So, maybe

I will feel better after Thursday.

D

UD, slowly losing my mind

At 10:22 PM 1/28/2003 +0000, you wrote:

>Hi ,

>

>yucko. She sounds like she stinks.

>

>Here's my opinions:

>

>1) progesterone. Yes, yours is a *little* on the low side,

>although not unheard of. You want some supplementation, i

>think, though, to be safe. I would suggest the Crinone 8% gel

>once a day at bedtime. Although oral progesterone can work for

>some, it seems that vaginal progesterone is absorbed better to

>the uterus. I used it for 12 weeks; Beth used it, too. It's a special

>order item for pharmacies--they'll take 2-3 days to get it in. You

>should try to get an Rx called in asap. Your doc may say supps

>do nothing, only prolong a miscarriage. Well, tell her you've tried

>so long, you'll take a chance on a prolonged m/c. My chemical

>pregnancy problem mysteriously dissapeared with crinone gel.

>Push. Tell her anything, but do get the gel. You can never be too

>sure, and if a m/c is postponed by a few weeks, well.....you'd

>rather take a chance on giving a perfect baby a chance, right?

>

>2) placenta--HUH? what is she smoking? No. If that were true,

>UU ladies would all have the same problem. The placenta is big

>enough to support the *baby*, so why isn't it big enough to make

>progesterone??? I mean, your corpus luteum cyst on your ovary

>is usually enough to make progest. in the 1'st trimester, and it's

>a LOT smaller than a placenta.

>

>3) cerclage. No, she's wrong again, as you say. Prophylactic

>cerclages can be placed as early as 12 weeks. Beth's was in at

>14 weeks. They aren't even placed AFTER 24 weeks, even when

>the cervix is shortening! My peri said she'd place one if my u/s

>between 15 and 24 weeks showed funneling or shortening of

>the cervix. Not after 24 weeks--after that, they put you on bed rest

>and on anti-contration drugs. Besides, if you have a long cervix

>by 24 weeks, you're chances of PTL and IC go way way way

>down.

>

>4) Peri--She's wrong again. You want to see one AT THE

>LATEST, beginning at 12 weeks. Incompetent cervix risk time

>begins at 15 weeks. You need your cervix monitored by u/s every

>few weeks starting at 15 weeks NO LATER. This is what my OB

>and my peri told me. You'd want a baseline check well before

>15 weeks.

>

>This stinks that you have to work with her, but just beg, plead,

>whatever, to get her to get you the gel and send you to a peri, and

>to get them to check your cervix starting at 12 weeks and then by

>15 weeks, they should check by u/s every 2 weeks. Transvaginal

>u/s, mind you, not just abdominal! T/v u/s is much more

>accurate for the cervix!

>

>BIG HUGS to you!!!!!!!! I'm happy your hcg sounds sooooo good!

>

>

>

>Jill

>SU resected

>22w6d

>

>

> > Ladies-

> > Uggggg....I am just about to have a fit, so forgive me if this all

>comes

> > out in a jumble...

> >

> > I just spoke to my OB for the first time since I tested positive...I

>was

> > not impressed. A little background...this is the same doc who

>has little to

> > no experience with MA's and has been telling me for years that

>she wants to

> > put me on steroids at 22 weeks and bed rest at 28 weeks and

>hope to carry

> > til 32 weeks. Ha!

> >

> > Well, anyway, she called to tell me that while my HCG is fine

>(2900 at

> > 21dpo), my progesterone is low: 12.5 Now, understand that

>she would not

> > even have tested my progesterone, except that my RE asked

>me why it hadn't

> > been tested with my first hcg at 15 dpo....uggggh. And, listen to

> > this....she is concerned that because of my UD, when it takes

>over, the

> > placenta won't produce enough prog to support the pregnancy.

>I don'e

> > remember ever seeing that? I am beginning to think that not

>only does she

> > not know anything about MA's, but she is just making up stuff

>as she goes

> > along. Oh, I asked when I would need to see a peri, since I

>wanted to get

> > a baseline cervical length at 11 weeks, she told me there was

>no reason

> > to. She said even prophylactic cerclages aren't done until 11

> > weeks. WRONG. She said I don't need to see a peri until 20

> > weeks. WRONG. I asked her who she would send me to, she

>told me and when

> > I asked what kind of experience she had with MA's....her

>answer was " I

> > don't know "

> >

> > So, not only am I scared to death about my prog. level, but I

>also have

> > zero confidence in my doc right now. Remember, I am the one

>who lives in

> > the middle of nowhere and she and her partner are the only

>OB/GYNs in a

> > hundred mile radius.

> >

> > I need opinions please, not only on the progesterone level, but

>the info

> > she gave me as well. What do you ladies think?

>

>

>

[Guest guest]

My OB also scared me about my progesterone level, which was actually very

good. She put me on suppositories " just in case " - 200 mg prometrium,

inserted vaginally, every night until 14 weeks. Your levels are not too

bad, but I think you should push for the suppositories or the gel as Jill

mentioned. Maybe try & check out some web sites for normal progesterone

levels in pregnancy.

At any rate, your doctor sounds like Dr. GLOOM and that is the last thing

you need right now. You need to be supported and cared for by someone who

knows what they are talking about, not someone who sounds as if she is

winging it! That comment about UD affecting the placenta's ability to

produce adequate progesterone - huh? I would ask her for her reference on

that one... I would get to that peri ASAP, even if it means crying, begging,

or threatening your OB for a referral - even if the appointment is only for

your own peace of mind. And I would let your OB know that you are

emotionally strung out due to the fact that she is scaring you

(unnecessarily!). (((((hugs)))))) - this first trimester will be a good

test of your strength - but you will be able to relax once you get that

first US. And rememebr, if a good heartbeat is seen at 6 weeks, things will

be very positive from then on.

Lots of well wishes and hugs,

SU resected, bicollis

_________________________________________________________________

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[Guest guest]

> I also made a " consultation " appt for this Thurs with my GP....his

is a

> fairly new doc and has some UD experience, AND he is my OB's

partner's best

> bud...they went to college and med school together. I am going to

sit down

> with him and be really honest about what my OB has said and how it

> contradicts everything I have learned....I know him personnally,

and I feel

> like I can trust him to be honest and keep things confidential.

So, maybe

> I will feel better after Thursday.

>

> D

> UD, slowly losing my mind

,

I've been following your posts today and can't honestly add any info

to that provided by Jill and (...those gurus ). But I did

want to tell you that you are in my thoughts as you move forward in

this pregnancy. I can imagine the frustration level with your OB is

the last thing you need - but thank God for the education available

to us on this Board and the encouragement others give to take an

active and aggressive role in the care we receive, regardless of what

the doc thinks. You go!!!!

Hang in there lady...and take it one day at a time. Great idea to

meet with your GP - maybe he'll be able to find some reassurance for

you.

You are in my thoughts,

Kristi

31, 1 m/c

maybe *small* SU but won't know for sure

ttc #1

[Guest guest]

--- ..........UGH!!!!!!!!!!!!!!!!!!

I can't even imagine how frustrating this must be for you.. and scary

too!!!!!!!!!! Maybe your RE can call your OB and tell her what to

do.. kind of like a middle man??? and have the RE ask her to fax him

the results.. so you don't have to travel but get the appropriate

care?? This could work the same way with a peri.. Where the OB would

do the tests but the Peri would be making the decisions?? I know I am

reaching and stepping on a lot of doctors toes but in the end you and

your baby are the most important thing here!! Just a thought..

Wally

[Guest guest]

> You mention that your ob has a partner? Would the

> partner be any better? Any way to switch to the other

> OB? Just another thought. I'm feeling really bad for

> you. I feel lucky to have good OBs in a similar

> situation....

I am hoping my GP will give me a feeling as to whether the partner

would take me....I am afraid it might cause friction between the two

partners, but right now, I am at the point where I don't care about

inter-office relations, I just want a doctor who will listen to me...I

mean, I don't expect an everyday OB to be super-well versed on MA's,

but really, I have been her patient for 6 years, you would think she

could have at least taken the time to become conversational regarding

MA's....especially since she knew I was ttc!! Or, if all else fails,

I will see if my GP will take over, and co-monitor with a peri. He

could almost qualify as an OB...his family practice (of 6 docs) is the

only other baby-delivery game in town outside of the 2 OB/GYN's...he

has delivered many of my friend's children and done a great job...and

a few of them have had some scares that he handled very well. I am

just pretty sure I can't stay where I am...that placenta theory really

blew me out of the water!

Going to go try to figure out these bullet-looking Prometrium

suppositories.....

D

UD

[Guest guest]

((((()))))))

Hang in there! I think you have a good plan to talk to your GP. I

hope that he can confidentially give you some advice on how to

proceed. It must be very difficult to not have many options for your

prenatal care and worry about offending the dr.

I'm very glad that you spoke to your RE about the progesterone. I

think that he can help you even if you have to fax lab results to

him, etc. At least he can call a script in for you. I was told that

progesterone should be above 10 for an unmedicated cycle and above 15

for a medicated cycle. Mine was at 17, but my RE gave me the oral

Prometrium (200 mg). I'm now using it vaginally, instead, since

receiving advice from some of the ladies here. They checked my

progesterone with my first hcg test and will check it again 2 weeks

later. The nurse said that if it was ok, he would probably

discontinue the Prometrium (I don't know how I feel about that yet -

I guess I will see what my level is first).

Glad that you have an appt next week with the RE. I'm sure it will

give you great comfort to see where your little baby is implanted and

see that little heart flickering away! I hope that you are able to

use the RE as your life-preserver when the local drs are not giving

you the support you need. Is there any way that your RE would ask

the local drs to keep him informed? I suppose that would be

difficult since most REs back out of your care by 8 wks.

I agree with you about your current ob/gyne. Her opinions on the

progesterone coming from a UD and when to place a cerclage would make

me nervous too! Let us know what the GP says.

Hugs,

Sara

SU resected

[Guest guest]

Hi ,

nah, you're not crazy.

Glad to hear the RE is on the ball w/ the progesterone. Sorry

about the bullet supp's. My doc told me those were " gross to

use " , which is why I got the gel. But, hey, both do the job. It's just

aesthetics. You'll be on those supps for the first 12 weeks,

right?

As for the GP, that sounds like a good plan. I thought of

something too. For me, my OB didn't think I needed a peri. But I

have insurance that doesn't need referals--you just go to anyone

in the network you want to, any kind of doctor. So I just went to a

peri that I liked for a consult. She wrote a letter to my OB,

summarizing my history and my visit and giving her opinions

about what I'd need (ie, u/s cervix checks from 15 to 24 weeks,

etc.). She gave me a copy of the letter and mailed a copy to my

OB. Once my OB got the letter, she was like " oh, hum, yeah,

we'd best check your cervix at 15 weeks and thereafter. Dr. so

and so suggested it. " It was a bit " easier " to take advice from the

peri rather than from me. Once my OB agreed to do all the stuff

the peri was going to do, I stuck with my OB, who is very caring

and nice (just a little clueless with MAs). Now, my ins. paid for

this consult, but if you could afford it, and you are getting really

really frustrated, you might just self-pay for one consult with a

peri (guess you'd have to drive pretty far away, too), get a letter,

get a copy, and then give that letter to any doc you have to put up

with. Could work!

Good luck!

Jill

SU resected

23 weeks

> > > Ladies-

> > > Uggggg....I am just about to have a fit, so forgive me if this

all

> >comes

> > > out in a jumble...

> > >

> > > I just spoke to my OB for the first time since I tested

positive...I

> >was

> > > not impressed. A little background...this is the same doc

who

> >has little to

> > > no experience with MA's and has been telling me for years

that

> >she wants to

> > > put me on steroids at 22 weeks and bed rest at 28 weeks

and

> >hope to carry

> > > til 32 weeks. Ha!

> > >

> > > Well, anyway, she called to tell me that while my HCG is

fine

> >(2900 at

> > > 21dpo), my progesterone is low: 12.5 Now, understand

that

> >she would not

> > > even have tested my progesterone, except that my RE

asked

> >me why it hadn't

> > > been tested with my first hcg at 15 dpo....uggggh. And,

listen to

> > > this....she is concerned that because of my UD, when it

takes

> >over, the

> > > placenta won't produce enough prog to support the

pregnancy.

> >I don'e

> > > remember ever seeing that? I am beginning to think that

not

> >only does she

> > > not know anything about MA's, but she is just making up

stuff

> >as she goes

> > > along. Oh, I asked when I would need to see a peri, since

I

> >wanted to get

> > > a baseline cervical length at 11 weeks, she told me there

was

> >no reason

> > > to. She said even prophylactic cerclages aren't done until

11

> > > weeks. WRONG. She said I don't need to see a peri until

20

> > > weeks. WRONG. I asked her who she would send me to,

she

> >told me and when

> > > I asked what kind of experience she had with MA's....her

> >answer was " I

> > > don't know "

> > >

> > > So, not only am I scared to death about my prog. level, but I

> >also have

> > > zero confidence in my doc right now. Remember, I am the

one

> >who lives in

> > > the middle of nowhere and she and her partner are the only

> >OB/GYNs in a

> > > hundred mile radius.

> > >

> > > I need opinions please, not only on the progesterone level,

but

> >the info

> > > she gave me as well. What do you ladies think?

> >

> >

> >

[Guest guest]

Jill-

Good idea with the self-referral....my insurance doesn't require a

referral, and my RE is more than happy to send me to a peri....so I will

definitely be seeing a peri in the coming weeks! I still think I am going

to at least 'feel out' the partner. I have just had my fill of my

OB. Yesterday's mess was just the straw that broke the camel's

back. Remember, she is also the one who laughed at me when I said that I

was determined to have a perfectly normal pregnancy. Mind you, it wasn't a

malicious laugh, it was more of a " whatever you think, you silly little

girl " kind of laugh. That was over two years ago, when I told her I was

going off b/c. The relationship just hasn't hit many high points since

then. :-(

BTW...great big yuck on the prog. supps...but if they do the job, I can't

complain. Just wondering if I have started them too late... yesterday was

22 dpo and most of the articles I have read state that supplementation is

usually started as soon as pg is confirmed, or before. ??

D

UD

At 05:49 PM 1/29/2003 +0000, you wrote:

>Hi ,

>

>nah, you're not crazy.

>

>Glad to hear the RE is on the ball w/ the progesterone. Sorry

>about the bullet supp's. My doc told me those were " gross to

>use " , which is why I got the gel. But, hey, both do the job. It's just

>aesthetics. You'll be on those supps for the first 12 weeks,

>right?

>

>As for the GP, that sounds like a good plan. I thought of

>something too. For me, my OB didn't think I needed a peri. But I

>have insurance that doesn't need referals--you just go to anyone

>in the network you want to, any kind of doctor. So I just went to a

>peri that I liked for a consult. She wrote a letter to my OB,

>summarizing my history and my visit and giving her opinions

>about what I'd need (ie, u/s cervix checks from 15 to 24 weeks,

>etc.). She gave me a copy of the letter and mailed a copy to my

>OB. Once my OB got the letter, she was like " oh, hum, yeah,

>we'd best check your cervix at 15 weeks and thereafter. Dr. so

>and so suggested it. " It was a bit " easier " to take advice from the

>peri rather than from me. Once my OB agreed to do all the stuff

>the peri was going to do, I stuck with my OB, who is very caring

>and nice (just a little clueless with MAs). Now, my ins. paid for

>this consult, but if you could afford it, and you are getting really

>really frustrated, you might just self-pay for one consult with a

>peri (guess you'd have to drive pretty far away, too), get a letter,

>get a copy, and then give that letter to any doc you have to put up

>with. Could work!

>

>Good luck!

>

>Jill

>SU resected

>23 weeks

>

>

>

> > > > Ladies-

> > > > Uggggg....I am just about to have a fit, so forgive me if this

>all

> > >comes

> > > > out in a jumble...

> > > >

> > > > I just spoke to my OB for the first time since I tested

>positive...I

> > >was

> > > > not impressed. A little background...this is the same doc

>who

> > >has little to

> > > > no experience with MA's and has been telling me for years

>that

> > >she wants to

> > > > put me on steroids at 22 weeks and bed rest at 28 weeks

>and

> > >hope to carry

> > > > til 32 weeks. Ha!

> > > >

> > > > Well, anyway, she called to tell me that while my HCG is

>fine

> > >(2900 at

> > > > 21dpo), my progesterone is low: 12.5 Now, understand

>that

> > >she would not

> > > > even have tested my progesterone, except that my RE

>asked

> > >me why it hadn't

> > > > been tested with my first hcg at 15 dpo....uggggh. And,

>listen to

> > > > this....she is concerned that because of my UD, when it

>takes

> > >over, the

> > > > placenta won't produce enough prog to support the

>pregnancy.

> > >I don'e

> > > > remember ever seeing that? I am beginning to think that

>not

> > >only does she

> > > > not know anything about MA's, but she is just making up

>stuff

> > >as she goes

> > > > along. Oh, I asked when I would need to see a peri, since

>I

> > >wanted to get

> > > > a baseline cervical length at 11 weeks, she told me there

>was

> > >no reason

> > > > to. She said even prophylactic cerclages aren't done until

>11

> > > > weeks. WRONG. She said I don't need to see a peri until

>20

> > > > weeks. WRONG. I asked her who she would send me to,

>she

> > >told me and when

> > > > I asked what kind of experience she had with MA's....her

> > >answer was " I

> > > > don't know "

> > > >

> > > > So, not only am I scared to death about my prog. level, but I

> > >also have

> > > > zero confidence in my doc right now. Remember, I am the

>one

> > >who lives in

> > > > the middle of nowhere and she and her partner are the only

> > >OB/GYNs in a

> > > > hundred mile radius.

> > > >

> > > > I need opinions please, not only on the progesterone level,

>but

> > >the info

> > > > she gave me as well. What do you ladies think?

> > >

> > >

> > >

[Guest guest]

it was more of a " whatever you think, you silly little

> girl " kind of laugh.

gag. I agree with --idiotburger!

>

> BTW...great big yuck on the prog. supps...but if they do the job, I

can't

> complain. Just wondering if I have started them too late...

yesterday was

> 22 dpo and most of the articles I have read state that

supplementation is

> usually started as soon as pg is confirmed, or before. ??

>

Well, yeah, earlier is better. I actually started mine right after

ovulation. BUT, I don't really think it's " too late " . Because the

supps will increase your uterine progesterone environment

within 24 hours of the first dose. So, if the prog was falling,

which would maybe trigger shedding of the lining (m/c), now it

shouldn't be falling anymore. You just may never achieve a

higher level...you might stay at that borderline level. You should

continue them for 12-14 weeks, even if your prog. numbers go

up or go down. BTW, the supps won't really increase your blood

prog. very much, but they WILL increase the prog in the uterine

environment, so blood tests are pretty useless once you start

using them. Anyway, the only thing they hurt is that they could

prolong a natural m/c. If you see a hb and a viable baby next

week, then you'll feel even better about continuing with them, I

think.

Ew, though, I heard they're gross. The gel was nice, cuz it just

stayed up in my vagina and didn't leak out. It was like little white

rubbery globs up there. I swept it out before the new dose each

night. Very easy and non-messy. Maybe you could angle for the

gel at your RE appt. next week. :)

Continued good luck!

Jill

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