Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

122 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Had ivf done. Noticed drop in progesterone level and increase in HCG value. Any suggestion?

Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3768 Questions

default
Posted on Tue, 8 Jan 2013 in Infertility Problem
Question: Hi there I have just had Ivf and my first bloods at 11dpo were Hcg61 and progesterone was 11.7, exactly 48 hrs later hcg was 96 and progesterone has dropped to 7.9. I had donor egg so my ovaries are not supporting any progesterone. I am on 3 pessaries a day 200mg and prolutin injection every 4 days, does this sound enough to you. I did a clear blue digi today and it's changed to 2-3 wks which indicates that since my last HCG which was 24 hrs ago my HCG would now be 200 to get that reading so I think the pregnancy is ongoing, is there any advice you can give me? Sorry I didn't give my email it's YYYY@YYYY . One more question can I inject prolutin in my thigh? I have been doing my bum well hubby has but he isn't going to be around all the time as he works away and I wanted to be able to reach and do this myself.
Sorry I missed the estrofam tablets I am on 6 of these a day to maintain my lining of my womb as well .

doctor
Answered by Dr. Mahesh Koregol 3 hours later
Hi,

Thanks for your query. I read your query and understand your concerns. Following is my reply:

1) Your hCG values are increasing. It is a good sign of positive pregnancy.

2) There will be slight variations in values which is the reason for drop in progesterone. Hence donot worry about them.

3) You are taking the correct treatment and you dont need any additional treatment. Go ahead with present medications.

4) You cannot inject proluton depot in thigh as it needs large muscle to absorb. Hence better continue taking as it is from a health care provider near your home.

5) Missing tablets for a day or two wont harm you hence dont worry about missed tablet.

6) If you get pregnant, go for cervical encirclage procedure which prevents miscarriage from second trimester onwards.

I hope I answered your query. I wish you a successful pregnancy and a healthy baby.

Regards,
Dr.Mahesh Koregol
IVF & Infertility Specialist
Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
default
Follow up: Dr. Mahesh Koregol 6 hours later
Hi, what is the encirclage procedures. Is that where you have your Curvix stitched ?

Do you think the rash I get after taking the prolutin is anything to worry about?

I thought that progesterone had to be above 20 for the pregnancy to continue is that the case then as my clinic are concerned about them dropping to 7.9.

One last question do you agree with the frequency of the prolutin being every 4th day or should I do everym3rd day to try and keep my levels up?

Many thanks XXXXXXX
doctor
Answered by Dr. Mahesh Koregol 9 hours later
Hi,

Glad to see your reply.

1) You are right about encirclage. Cervix is stitched after becoming pregnant.

2) Rash after proluton if not prominent, ignore. If prominent, stop proluton as you are already on other progesterones.

3) You are taking all forms of progesterone. There is no reason for it to drop. Previous or present Laboratory values could be wrong.

4) Proluton is a long acting drug. It’s ok even if you take once in a week also is enough.

Remember that progesterones are just supplements. They are not miracle drugs and no need to take excess.

Regards,
Dr.Mahesh Koregol.
IVF & Infertility Specialist

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Medical Procedures
Medical Topics

Recent questions on  Progestagens

doctor1 MD

Hi slow rising hcg from 8/27/12 4740 8/30/12 5150 9/4/12 6150 9/6/2012 6735 progesterone 8/27 4.6 started progesterone supp progesterone level 16.0 as of 8/30/2012 6wks 3dys IUP with FHR of 120bpm on sono on 9/6/2012. Whty is my hcg rising so slowly.

doctor1 MD

Hi.. I was on my period 2 weeks ago and and I had sex last week monday and a few hours later I took levonelle 1500
the thing is that my parents are not aware that ive taken the medicine and are suspicious so they want me to do a blood test next monday... I just want to know that how long does the medicine stay in the body and if they will be able to find out if I took the contraceptive medicine or not through a blood test?

doctor1 MD

Hi Doctor....I took LEVONELLE in Portsmouth,UK on 21 oct 2013.then I got brown discharge and I got menstrual periods on 3 Nov 2013....then again I took LEVONELLE pill on 11 Nov 2013 and again got periods but got midcycle bleeding in month of 17dec 2013 ....I gained 10 kgs weight and felt dizziness....so is it because of side effects of LEVONELLE pill...please confirm...thanks.Later again I took Levonelle on 10 Feb 2014 and 2 march 2014

doctor1 MD

Hi me and my wife had unprotected sex yesterday, She had her period on 18th and was over on 22nd June We tried to look up for emergency pills here in UAE and couldnt find any. Most of the contraceptive pills here are based on drospirenone and ethinyloestradiol Would taking multiple tablets of those give the same effect. as emergency pills?

doctor1 MD

Hi Doctor, what is the treatment for polycystic ovarian bilateral.

doctor1 MD

Would like to have solution for PCOD , irregular menses problem

doctor1 MD

Doctor recommended Naturogest 200 after IUI.Is taking the medicine orally okay?