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Progesterone and Miscarriage


I miscarried a little over a week ago. Prior to conception my chiropractor/alternative physician had me do a 30 day saliva test to determine my hormone levels. They came back showing that I was quite low in progesterone.
I approached my OB/GYN with this before conception and he said he wasn't concerned. I was on top of the world when I found out I was pregnant, but miscarried at 6.5 weeks. Now my alternative doctor wants me to begin taking progesterone to aid in maintaining my next pregnancy. Any suggestions? Have you used it? Are there risks that I don't know about?

Most importantly, I am sorry for your loss. There are many medical doctors who don't recognize the importance of complementary medicine (incorporating allopathic/traditional "medicine' with alternative treatment). Progesterone is the primary hormone responsible for sustaining a viable environment for a developing embryo/fetus. I urge you to consult your OB/GYN prior to beginning any hormonal therapy. Blood tests drawn at different times of the month will give a clearer picture as to your levels of various hormones. Since you need to wait several months before trying to conceive, use this time to educate yourself on the risks and benefits, as well as the diagnostic tools to check your levels. As with any medication, there are always risks associated. Progesterone will maintain the lining of your uterus; however, menses can be irregular (generally late) and of longer duration. In the scheme of ovulation, progesterone increase is triggered by fertilized egg (thereby stopping further egg development/ovulation) and it inhibits estrogen production. You need certain levels of estrogen to reach the "operative" stage of ovulation to get pregnant. Once pregnant, it is not uncommon for those with low levels to take progesterone suppositories during the early stages of pregnancy. Both educating yourself and discussing the possibility of progesteron therapy once pregnant with both doctors will give you more of a proactive role as a patient. Reproductive endocrinology is a tricky science and should only be practiced by those with training in this specialty. Good luck!

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