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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should A Low Progesterone Level In Pregnancy Be Of Concern?

My wife is 6 weeks 5 days pregnant. She had a miscarriage before. Her progesterone level a week ago was 43 nmol/L. And yesterday it was 31 nmol/L. Currently the doctor we are going hasn t put her on any progesterone supplements, and says it is ok as ovaries produce the progesterone. I am very concerned thinking should I change the doc. This doc is an old female lady GP who has some certificates in gynaecology as well. What should I do. we want this baby, and very concerned with this. My wife doesn t have crazy cramps or did not see any spotting yet. But very few times she get minor cramps for a second of two. Doc said its due to her sitting position. Her hcG levels a week ago were about 17,000. Should I change to a doctor/gyn at this point? please help and let us know what exactly should I do. I thought she should be on supplements! I forgot to mention that her progesterone level was very low i.e. 10 nmol/L on 21st day after her last period, and doctor said she was surprised to see her getting pregnant as she shouldn t be able to ovulate on the first place. So now I am really scared that she has a progesterone problem? then why don t my doc puts her on supplements to be on safe side. My wife s last period was May 25th 2014.
posted on Mon, 21 Jul 2014
Twitter Sun, 24 Aug 2014 Answered on
Twitter Mon, 25 Aug 2014 Last reviewed on
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OBGYN 's  Response
dont worry .i think u r right.this is a very precious baby for u.ur wife should take a daily supplement of progesterone.otherwise her progesterone level will be lowered and if there is no support then mishappening may occur.so u can add tab susten 200 mg twice a day,folvite 5 mg twice a day and i will suggest inj chorion 5000 iu biweekly for 2 weeks from 5th or 6th week as ur wife had prior abortion.if pain then give her tab anaforton whenever needed.but if pain persists or bleeding occurs immediately go to doc,
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Should A Low Progesterone Level In Pregnancy Be Of Concern?

dont worry .i think u r right.this is a very precious baby for u.ur wife should take a daily supplement of progesterone.otherwise her progesterone level will be lowered and if there is no support then mishappening may occur.so u can add tab susten 200 mg twice a day,folvite 5 mg twice a day and i will suggest inj chorion 5000 iu biweekly for 2 weeks from 5th or 6th week as ur wife had prior abortion.if pain then give her tab anaforton whenever needed.but if pain persists or bleeding occurs immediately go to doc,