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What does a high level of progesterone actually mean? - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:I have been told I have a progesterone level of 98 but the home pregnancy test is negative. I am on day 27 of my cycle. I took the 5th day of Clomid on 13 February. What does a high level of progesterone actually mean? That I am ovulating or pregnant (but undetectable)?
Doctor:Hi
User:Hello
Doctor:Hello
User:Are you able to see my query?
Doctor:It can mean pregnancy or over stimulation
Doctor:yes
User:What do,you mean by over stimulation?
Doctor:Sometimes ovary may be over-stimulated by clomiphene
Doctor:it may result in production more than one eggs
User:A bleed of more than one egg?
Doctor:Yes sometimes it may happen
User:So at the moment it is unclear? I may be pregnant or I may just be about to bleed?
Doctor:So we need to wait a few days and see what happens
Doctor:Yes
Doctor:it is early to comment
User:Ok, can you explain a bit more about the progesterone levels please?
User:What is the scale that is is measured on and what does 98 mean?
User:If I was to have sex is it unlikely I would get pregnant?
Doctor:Youare on 27 day of cycle
Doctor:So naturally at this time progesterone is higher
User:(I.e. Does the high level mean I am not at the stage in cycle where pregnancy can be increased? )
Doctor:Progesterone levels are usually within 20 units
Doctor:Your progesterone is higher than that
Doctor:You are supposed to have sexual intercourse around 14th day
User:I'm not sure what you mean by 20 units vs 98?
Doctor:Well your levels are quite high
User:How high can these levels go up to?
Doctor:ok
Doctor:I will explain in detail
Doctor:Progesterone is produced by corpus luteum
Doctor:Corpus luteum is produced when the egg is discharged and corpus luteum remains out of follicle
Doctor:More the number of corpus luteum, more is the progesterone produced
Doctor:So your ovary seems to be producing many eggs because of clomiphene
Doctor:It is possible that you may have gotten pregnant
Doctor:Progesterone levels here do not seem to be indicating pregnancy
Doctor:These seem to indicating the presence of many corpus luteum
Doctor:I hope you are understanding till here
User:Yes, thank you, this is helpful
Doctor:Actually higher the number of eggs being produced
Doctor:more is the chance of getting pregnant
Doctor:multiple pregnancy is also possible
Doctor:ultrasound may be helpful in seeing the number of follicles maturing
User:But the negative pregnancy test doesn't look too goo does it?
Doctor:Do you have any question here?
Doctor:It is early to do pregnancy test
User:*good
Doctor:The earlied time to do it is atleast 1 week after missed periods
Doctor:earliest*
User:I see, so is there anything I can do in the meantime?
Doctor:You cannot do much
Doctor:In fact you can talk to your doctor about high progesterone levels
User:Yes I do have a call scheduled tomorrow, I missed her call today, she left me a message
User:To tell me about the high levels
Doctor:ok
Doctor:Good
User:What is corpus luteum by the way?
Doctor:It is produced when egg is released from the follicle
Doctor:so it is a remnant of follicle and produces hormones
User:Ok
User:Is very complicated!
Doctor:Yes
Doctor:But once understood it is never forgotten
User:Is there anything else I need to know do you think?
Doctor:I think you should be well informed about the physiology of menstrual cycle and ovulation
Doctor:It will help you a lot
Doctor:Especially it will help in planning the time of sexual intercourse
Doctor:Mostly time of ovulation can be predicted by tests
Doctor:Follicular study is one such test
Doctor:you can ask the gynecologist if you can go for it
User:Yes I XXXXXXX have some tests, they weren't very good for me before using Clomid though because of pcos and irregular cycles
Doctor:ohk
User:Thank you for your help today
Doctor:ok
Doctor:Thanks for consulting me
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