Progesterone is called the pregnancy hormone because it plays a significant role in the growth and development of the fetal egg and pregnancy. Does this mean that during the time it is necessary to take additional progesterone?
Why donate blood for progesterone
Before planning a child, be examined by a gynecologist and pass all the necessary tests, including for. This will help to avoid various negative factors during pregnancy. In addition, knowing your progesterone level, the doctor will be able to help you avoid "futile attempts" to conceive.
A doctor may prescribe an analysis for progesterone in such cases:
- at ;
- with infertility, if ovulation is preserved;
- with induced ovulation.
How to donate blood for progesterone
Blood for analysis to determine the level of progesterone is taken on a certain day of the cycle. So, if you have a normal cycle duration (28 days), then a blood test for progesterone will be prescribed for you on the 22-23rd day of the cycle. With an irregular cycle, several tests may be scheduled on different days.
Donating blood is best in the morning, on an empty stomach. Please note that at least eight hours must pass after the last meal.
Deviation from the norm: what to do
If the test results show deviations from the norm, the doctor will prescribe you drug treatment to correct progesterone levels. The course of treatment is selected individually, based on the indicators of the tests and the general condition of your body, while, as a rule, hormonal therapy is prescribed. Be sure to ask your doctor about all the positive and negative aspects of hormone therapy.
Do I need to take progesterone when planning a pregnancy? Yaroslava Nesterenko, a gynecologist at the Oxford Medical clinic, will answer this question.
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Progesterone is responsible for the formation of a woman's figure, and during pregnancy for the formation of the placenta and attachment of the fetus to it. During pregnancy, a lack of this hormone can lead to miscarriage.
Usually, a number of symptoms indicate the threat of a miscarriage: pulling pains in the lower abdomen, back pain and bleeding. The last symptom is especially dangerous. To maintain the pregnancy, hormonal preparations with progesterone may be prescribed.
Since there can be many reasons for infertility and miscarriage, it is important to make a correct diagnosis before prescribing hormone therapy. Progesterone may be prescribed if pregnancy does not occur and there is laboratory confirmation that the reason is the low level of progesterone.
Progesterone belongs to the group of steroid hormones that are actively involved in the formation and functioning of the reproductive system. In women, the ovaries and adrenal glands are responsible for the generation of this element.
With a low concentration of progesterone, problems with pregnancy can be observed, weight is rapidly gaining, other symptoms appear.
- Low progesterone is the cause of the development of pathologies, lack of pregnancy.
- The analysis, which is done on the 22-23rd day of the cycle, will help to identify the concentration of the hormone.
- You can increase the low rate thanks to medicines, folk recipes. After that, doctors are allowed to plan a pregnancy.
The role of progesterone in conception and pregnancy
Progesterone takes an active part in the process of pregnancy:
- Prepares the endometrium, adapts it to the implantation of the embryo.
- It suppresses the immunity of the future mother in the first days, so that the body does not perceive the fetus as a foreign agent.
- Promotes fixation of a fertilized egg in the uterine cavity.
- Stops menstrual cycle during pregnancy.
- Promotes the growth of the uterus.
- Helps ligaments and tendons to become more elastic before childbirth.
Attention! In many cases, insufficient generation of the hormone leads to spontaneous abortion or to the complete impossibility of conception.
Reasons for the low level
Low levels of the hormone can provoke such factors:
- bad heredity;
- malnutrition;
- lack of physical activity;
- passion for diets;
- transferred stress;
- psycho-emotional overload;
- infections in genitourinary system;
- excessive physical activity;
- long-term use of hormone-containing drugs, oral contraceptives;
- cysts;
- underdevelopment of the placenta, corpus luteum;
- diseases of the ovaries, adrenal glands, thyroid gland.
Symptoms of a lack of progesterone in women
You can suspect a low concentration of progesterone by the characteristic symptoms:
- violation of the menstrual cycle;
- short, scanty periods;
- severe pain accompanying menstruation;
- vaginal bleeding;
- increased vegetation on the body;
- copious discharge;
- irritability;
- fatigue;
- rapid weight gain;
- drying of the mucous membranes in the vagina;
- frequent mood swings;
- hair loss;
- problems with controlling emotions;
- headache;
- violation of the digestive tract;
- swelling and soreness of the mammary glands.
Normalization of progesterone levels
Low levels of the hormone that interferes with pregnancy can be raised in this way:
- taking hormone-containing drugs;
- change in diet and diet;
- physical activity;
- normalization of sleep;
- exclusion of stress;
- use of folk recipes.
Attention! In severe cases, with a greatly underestimated concentration of progesterone, provoked by pathologies in the genitourinary system, surgical treatment is performed. After rehabilitation, the patient will be able to plan a natural or artificial pregnancy.
Analysis
You can find out what progesterone level is observed in the blood, low, normal or high, thanks to laboratory tests.
A special analysis is done on a certain day of the menstrual cycle. A woman should come to the hospital prepared, following all the recommendations of the doctor:
- The sampling of biological material (blood) is carried out in the morning, on an empty stomach.
- The analysis is done on the 22-23rd day of the menstrual cycle.
- Before visiting the laboratory, you should not drink alcohol-containing drinks, be nervous, smoke, eat harmful foods.
Treatment
A low progesterone level can be raised to normal with hormone-containing medicines:
- "Duphaston";
- "Crion";
- "Utrozhestan";
- "Injesta";
- "Endometrin".
Attention! Any hormone-containing drugs are selected for the patient on an individual basis. When developing a treatment regimen, a gynecologist-endocrinologist takes into account the age group of a woman, her desire for pregnancy, and the presence of concomitant pathologies.
Folk ways to increase
If the patient has a low concentration of progesterone, and she is planning a pregnancy, she should use folk recipes in parallel with drug therapy:
- The diet should contain a large number of foods containing vitamins of groups E, B.
- Every day it is necessary to give the body physical activity, after which the central nervous system works better, anxiety disappears, stress is easier to endure.
- On the 15th day of the menstrual cycle, you can drink herbal decoctions prepared from psyllium seed, wild yam, raspberry leaves.
Forecast
With a timely response of the patient to the problem, it will be possible to raise the low level of the hormone to normal levels. After stabilization hormonal background you can plan a pregnancy, which should proceed under the supervision of specialists.
2 vote, average rating: 3.50 out of 5
How to get pregnant with low progesterone and is it possible at all, as well as ways to eliminate this problem, is a hot topic for modern women. In order not to panic in vain, this issue should be well understood and the right solutions should be found.
The role of progesterone in conception and pregnancy
What is progesterone?
The steroid hormone progesterone, produced in both men and women, is associated mainly with the activity of the genital organs. IN female body this hormone maintains the normal course of the second half of the menstrual cycle, it is secreted by the corpus luteum in the ovaries (after the release of the egg from the follicle, the follicle bursts and the corpus luteum appears). The hormone is also produced by the adrenal glands.
progesterone and pregnancy
For pregnant women, progesterone is the main hormone, it is he who makes the bearing of the fetus possible:
- prepares and adapts the endometrium before and during pregnancy;
- contributes to the fact that the fertilized egg "gets along" in the uterus;
- does not allow the menstrual cycle to continue in pregnant women;
- prevents contractions of the uterine muscles;
- allows the uterus to grow;
- suppresses the woman's immunity (which is important after the first days of conception, when the fetus is perceived female body as an object to be destroyed);
- in the last two trimesters of pregnancy, it helps tendons and ligaments to become more elastic and softer (then pelvic bones easier to disperse during childbirth).
In general, without progesterone, the body future mother he would not be able to adapt to the new conditions that arise after the birth of a small life in him. In addition, it directly affects menstruation and the production of other hormones (corticosteroids, testosterone, estrogen).
In addition, progesterone takes part in the processes of bone formation, strengthening of blood vessels and immunity, suppression of various kinds of allergies, protects the endometrium and mammary glands from cancerous tumors.
What happens when there is a lack of progesterone?
The exact opposite situation occurs with a lack of a hormone. Insufficient progesterone levels provoke abortion, especially on early dates. This is explained by the fact that the uterus in such cases will be in good shape and simply “throw out” the fetus.
Causes of Low Progesterone
Main reasons
Among the reasons why healthy woman progesterone may decrease, a hereditary predisposition and an unhealthy lifestyle are distinguished: prolonged hunger strikes for weight loss, constant stress and strong feelings.
Although, professional athletes also have low levels of progesterone due to exorbitant physical activity(ballerinas, light and heavy athletes).
It happens that in order to identify the reason why hormones are not produced in the right amount, the organs that are responsible for them are also examined. Sometimes the cause is in a disease of the ovaries or adrenal glands, and the thyroid gland is also checked.
What else could be the reason?
Among other reasons, there may be infectious diseases of the genitals and inflammation of the genitourinary organs, uncontrolled use of hormonal and contraceptives, improper functioning of the endocrine system, cyst or underdevelopment of the corpus luteum, placenta, etc.
Sometimes a test for hormone levels is given in wrong time, i.e. day of the menstrual cycle, and then the result is also incorrect. This happens with an irregular cycle, it is especially important to correctly determine the right day for analysis. It is from the cause of the hormonal failure that the treatment will completely depend.
Symptoms of a lack of progesterone in women
It is important to know the symptoms of low progesterone so that you can start correcting the problem as soon as possible. Most often, the alarm is sounded when there are:
- serious violations in the cycle of menstruation, their short duration;
- small discharge before the onset of menstruation;
- severe pain during menstruation;
- profuse discharge, vaginal bleeding.
When the hormone is not enough, a woman is constantly tired, extremely irritable, gaining weight a lot, PMS (premenstrual syndrome) is very difficult.
There are also sudden changes in mood, inability to control emotions, pain in the head, hair loss or excessive growth in unwanted places, dryness in the vagina, swelling of the mammary glands. Abdominal bloating, malfunctions of the gastrointestinal tract also indicate possible problems with hormones.
Normalization of progesterone levels
Naturally, everything in the body should be normal. So are hormones: if progesterone is elevated, there is nothing good about it, the uterus simply will not contract, and with a low level, the uterus spasms, which leads to menstruation.
First of all, it should be noted that the answer to the question "Can I get pregnant with low progesterone?" has an ambiguous answer. Conception is possible, but it is unlikely that it will be possible to bear and give birth to a child with an indicator below the norm, so it is better to bring the hormone back to normal in advance, when planning a baby.
Progesterone test
Without analysis data, it is not reasonable to try to increase your progesterone, hormones are no joke, the intervention of a doctor is necessary here.
Blood must be taken on an empty stomach, usually in the morning, when 7-8 hours have passed from the last meal, on the 22nd or 23rd day of the menstrual cycle. Try to calm down before taking the test, avoid stress and quarrels.
Additionally, the doctor can observe the phases of maturation of the follicle, the state of the thyroid gland, the pituitary gland (its anterior lobes) for the presence of tumors and other abnormalities. Examine the villi of the endometrium, how they react to progesterone. It would not be superfluous to clarify how a woman lives: lifestyle, nutrition, leisure, etc. Comprehensive examination is the key to successful treatment.
Treatment
Various drugs with steroid components are prescribed, the duration of administration and doses are prescribed strictly individually. One of them is duphaston, it is a synthesized progesterone, it is used both before and during pregnancy, until the placenta can synthesize the hormone itself.
Utrozhestan is also a popular drug in the treatment of hormone deficiency. Available in capsules of 200 and 100 mg, the method of administration is vaginally or orally.
There is a special vaginal gel - Crinon. It is recommended for pregnant women to prevent miscarriages.
A vaginal tablet called Endometrin has also been developed. They are administered with a special applicator, used even by women in position.
progesterone during pregnancy
Progesterone during pregnancy The feasibility of hormone therapy
The girl cannot get pregnant. Is it infertility?
Dufaston when planning pregnancy
In hormonal treatment, injections are also practiced. For example, Injesta - the drug is administered intramuscularly. For the use of such an injection, patients are recommended to be on inpatient treatment, although an outpatient option is also possible.
Under the supervision of a physician, an oily solution of natural progesterone is administered intramuscularly or subcutaneously. It is necessary in the absence of menstruation, the threat of miscarriage, dysfunction of the corpus luteum.
All drugs have a number of limitations, which are reliably known to the attending physician, this is another reason to contact a medical institution, and not resort to self-medication
Folk ways to increase progesterone
Nutrition
For the creation of progesterone in the body, zinc in salt compounds is partly responsible, as well as vitamins B and E. To replenish the reserves of these elements, it is advised to lean on nuts, seeds, legumes, bran, beef liver (also chicken and rabbit), take multivitamin complexes. It would not be superfluous to include cereals, eggs, milk, cottage cheese, avocados, olives, turkey, tuna, salmon in the menu, you can take fish oil.
Sport
There are sports and physical activity, after which the nervous system works better, which means that stress and anxiety go away. This is facilitated by dancing, yoga, meditation, long leisurely walks on fresh air. It is recommended to master the gymnastics for intimate muscles according to the Kegel method and perform it daily.
In addition, you need to get enough sleep (8 hours a day) and monitor nutrition, it must be correct and regular.
decoctions of herbs
Herbal decoctions to increase progesterone begin to be taken on the 15th day of the menstrual cycle.
Mix one tablespoon of cuff with one teaspoon of psyllium seeds, pour a glass of boiling water, insist and drink a tablespoon three times a day.
Take dried raspberry leaves, wild yam. Pour a tablespoon of herbs with boiling water (200 g) and leave for a couple of hours. Drink a tablespoon three times a day.
You can only brew raspberry leaves. Two tablespoons are brewed in two glasses of boiling water, insisted for an hour and drunk a little all day.
Of course, without the results of tests on your hands, you do not need to independently take on an increase in progesterone, especially if it is not known for sure whether this is necessary.
The reasons for the failure of the desired pregnancy can be very different and very often they can be eliminated with the help of competent treatment and a responsible attitude to one's health.
Progesterone provides support for the second phase of the menstrual cycle. With its deficiency, various menstrual irregularities occur, and, as a result, ovulatory and anovulatory uterine bleeding. That is why, without the normal production of progesterone, pregnancy is almost impossible.
If pregnancy does occur, then a low progesterone content can have irreversible consequences: from miscarriages to underdevelopment of the embryo. You can get pregnant with low progesterone with the help of medications that contain this hormone and increase it in the blood. A completely different question is whether a woman can endure and give birth healthy child?
What to do if there is not enough progesterone in a woman's blood?
When the function of the corpus luteum is impaired, natural or synthetic progesterone must be administered every other day or daily for several weeks until conception occurs. Then the drug is administered up to 4 months of pregnancy, in case of miscarriage - up to 36 weeks of pregnancy. The treatment regimen, the specific drug and its dosage are prescribed by the doctor, who relies on the results of the hormone test. In no case should you independently carry out treatment, or arbitrarily change the dosage of prescribed medications!The level of progesterone in the blood is increased by medication, one drug or their complex. Usually these are capsules applied intravaginally or orally. In the first case - 100-200 mg every 12 hours, in the second - 200-400 mg at intervals of 6-8 hours (three times a day), for 12 weeks inclusive.
Duphaston (dydrogesterone) is prescribed in an amount of 10 mg with an interval of 8 hours, the course of treatment is individual, usually the drug is taken up to 14-20 weeks of gestation. An injectable 1% solution of injest should be administered every day or every other day, 0.5 or 2.5 ml, and a solution of progesterone (oily) - 10-25 mg, until the threat of miscarriage disappears.
How to maintain adequate progesterone levels?
When the progesterone content is lowered, but not so critical as to take medication, the hormone level can be increased by taking herbal tinctures or decoctions, after warning the doctor about such a desire. If the doctor recognizes such treatment as safe and useful, it will be possible to use such methods.There is also a special preventive diet that increases the level of progesterone in the blood. It involves eating dairy, soy, legumes, and meat products, as well as nuts, cheeses, and eggs.
The main thing is not to worry about the results of the analysis for hormones, but to consult a doctor and strictly follow all his recommendations. Then the probability of conception will increase significantly, and the pregnancy will proceed favorably and end with the birth of a healthy baby.
2014-05-05 01:55:15
Elvira asks:
Hello! my menstrual cycle was disturbed after childbirth, duphaston was prescribed because low progesterone drank 14 tablets, menstruation went stopped drinking on the advice of the doctor and there is no menstruation again, what should I do I still really want to give birth to a second baby, but I just can’t get pregnant, the birth was in December 2011!
2014-02-18 11:14:46
Bogdan asks:
Hello, please tell me how to be?
I am 21 years old, I have been bothered for several years in a row brown discharge in the middle of the cycle. On ultrasound everything is fine (many times they did it), when examined at the doctor's appointment, everything is also good. I had my hormones tested, including progesterone. All hormones are normal, but only I had low progesterone (I repeated the analysis 2 times), that is, there was no ovulation. I drank duphaston for 3 months, rested for a month from the drugs and did a progesterone test again, the result was good. After 2 months, my husband and I began to live sexually openly. We want children. It's been a year now and I'm not pregnant. 2 months ago I passed an analysis for estradiol (the result is good), and the analysis for progesterone is bad (it is again low). I drank Yarina for 2 months, and after that, during the next menstruation, on the first day of the cycle, I started drinking the drug CLOMID (5 days), I live abroad, I don’t know if there is such a drug in the CIS countries. The local doctor explained that this drug will increase the eggs during ovulation. Today is the 8th day of the cycle. I did an ultrasound today (since the doctor will go on vacation tomorrow), and the eggs are small again, one of the most big size 11mm.
The local doctor advised me to give an injection (in order to increase the eggs). I said that I would think about it, and maybe next month we will try this injection. The doctor also said that the drug is not dangerous. It is an analogue of Clomid, but simply stronger.
I do not know what to do. I have been drinking Clomid (to increase the eggs) several times this year, and she gave me duphaston for one month (this month I did not get pregnant. My husband’s spermogram is fine, the results are very good. How should I be? What do you advise do? We want kids. Thanks in advance for your reply.
Responsible Palyga Igor Evgenievich:
Firstly, stimulation with clomiphene (Clomid or Clostilbegit) can be performed no more than 3 times.
Have you had a folliculometry while taking Clomid? How many eggs were there? Did they ovulate? In the blind, no one conducts stimulation. In addition, the situation with the level of progesterone is not completely clear to me. It is necessary to take a progesterone preparation and plan a pregnancy immediately, and not wait 2 months. Ideally, it is desirable to donate blood for antibodies (!) To progesterone.
It is difficult to speak virtually, but if you do not get pregnant naturally, then you need to analyze and, possibly, carry out mini IVF. If possible, I invite you to visit us in Lviv, in the clinic “Alternative”
2013-03-12 18:58:34
Elena asks:
Good afternoon I am 38 years old, my husband is 36. This is my second marriage, my husband first, in the first I have 2 children in marriage, the youngest is 6 years old, I have never experienced problems with conception and bearing. With my second husband, pregnancy occurred in the first month of planning (October 2009), but unfortunately, I had to terminate it with an abortion, since my husband was not quite ready for children, I took it 7 months after the abortion. again -On the second months of planning, and on the 9th week I had a miscarriage - the first in my life due to low progesterone (Aug 2010), since then I could not get pregnant until October 2012, during this time I completely examined myself, there was even a laparoscopy + hysteroscopy, monitoring of hormones and ovulation - everything was in order, but after examining my husband, it turned out that he had a bad spermogram and low testosterone levels, the doctor's conclusion was - only IVF + ICSI, in November 2012 we did the IVF + ICSI procedure in Israel, 15 eggs were taken, 9 embryos turned out, 2 embryos were implanted in me, one took root, the pregnancy developed perfectly, we even managed to do a screening of the first trimester, everything was fine, but after a few days the fetus froze - for unknown reasons, my husband and I we passed all the necessary tests, karyotype, immunogram, histocompatibility, we got two test results - karyotype - everything is normal, genetics - my husband is normal, me too, except for the moment that I have a bad digestion folic acid, I asked if it was an acquired problem or congenital? - To which they answered that it was congenital, I then thought, since this is a congenital problem, how could I give birth to two children without taking this acid at all? Now we are waiting for an analysis for histocompatibility, but it will be ready in a month, please explain what kind of analysis it is, and how does its result affect gestation? does it make sense (isn't it dangerous) to use the remaining embryos after a fresh protocol in which pregnancy occurred and froze?
and how good their quality is, and, accordingly, the ability to take root, here are the embryos left, what can you say about their quality: 2s A, 2s A, 2s A \ B, 3s B \ C, 8s A \ B, 6s A \ B , 7s V. , two identical ones put me on - 9s A
And yet, the endometrium worries me, I know from my own bitter experience that it is not easy to restore it,
the second day after scraping, I started taking Yarina again - probably for three months, but what else can you tell me
advise for its restoration? I’m very worried, because age is running out, we need to recover as soon as possible in order to
not to waste time, hands down, always been healthy, and now there is no strength for all these experiments
A\B, 7c B. , I got two identical ones - 9c A, Thank you very much!
Responsible Silina Natalya Konstantinovna:
2010-12-21 17:18:47
Marina asks:
Hello, I have primary polycystic ovaries. I didn’t have menstruation without hormones, I got pregnant immediately after laparoscopy, gave birth without problems, after giving birth, menstruation goes on, but every month three days later if in the first and second months it was the 7th then the third month of the 10th then 13th and 16th. I got scared and started taking Diana 35 so that the situation would not worsen. Because I want a second child. I want to get pregnant on the cancellation of Diana, once I succeeded, but I was frozen at the 5th week, due to hormones. High testosterone and low progesterone, I would like to know if I get pregnant on Diana's withdrawal, I know that I can take dufaston, I won’t risk it, but what about androgenism, because testosterone is high with polycystic disease and while taking Diana, androgens are low and when I get pregnant they rise. I know that they take dexamethasone during pregnancy in this case, but this medicine helps if polycystic adrenal genesis. Well, if, like mine, it is primary, that is, of ovarian origin. What do they do then? I read that in this case, dexamethasone does not help reduce androgens, well, maybe slightly, but during pregnancy it is dangerous, I'm afraid of a repeated missed pregnancy. I would like to know what pregnant women with polycystic diseases do in this case? Or maybe I'm wrong and dexamethasone is all does it help even in this case? Thanks and sorry for the long text.
Responsible Sergienko Alena Nikolaevna:
Marina, firstly, they undergo a hormonal study for pregnant women in the 1st trimester (TSH, progesterone, testosterone, estradiol, hCG), and then everything depends on the results received.
2014-11-06 17:40:05
Elvira asks:
Hello! I constantly have delays in the cycle, the diagnosis of opsomenorrhea! uzi did not reveal any abnormalities at all, sexual infections were not detected; I was tested for hormones fsh, lg, estradiol, progesterone is normal, low 1.1, thyroid hormone tests are normal, except for TSH, it is slightly elevated, but not much, I have it 3.57, I have a child, but I want a second I can't get pregnant for 2 years. Please help me with advice I really want another baby!! Yes, and I also have erosion of the cervix, they cauterized, but unsuccessfully, repeated cauterization is needed.
Responsible Palyga Igor Evgenievich:
Hello Elvira! Have you had a blood test for AMH? What is the FSH score? How many antral follicles per ultrasound? How old are you? Was there a history of inflammatory process of the pelvic organs? If it is determined that the ovarian reserve is sufficient, then it is necessary to check the patency fallopian tubes.
2014-04-03 16:54:14
Dana asks:
Hello. please tell me .. My husband can’t have children, we have been living openly for more than a year, but we can’t get pregnant. My husband's sperm count is fine. I took tests for hormones, progesterone is low, ovulation does not occur, the rest of the hormones are in order. I was stimulated twice with Clomid, without result. On the second stimulation on the 15th day of the cycle, one follicle was 17.4 mm. I had an hcg injection on the 16th day. No result. the doctor says that you need to continue stimulation, but already Clomid + injections ... but I insisted on examining the thyroid gland (thyroid hormones are normal), on examining for venereal / genital infections (they found ureoplasma). My husband and I drank pills. Somewhere from the fifth day of taking the pills, I started having cloudy white discharge without any smell and a slight itching in the labia. I finished the pill. I finished the pills and after three days the discharge ended.
And yet ... after I get rid of ureoplasma, I want to check the tubes for patency (hysterosalpingography
) and take an analysis for compatibility with her husband. I'm afraid to be stimulated..I'm only 21 years old. What tests and examinations are required in our situation? When do I need to re-test for ureoplasma after taking the pills? And is HSG dangerous? And whether the ureoplasma can be the reason that I am not pregnant?
Sorry for the many questions. And thanks..
Responsible Palyga Igor Evgenievich:
Hello Dana!
Let's go in order.
Ureaplasma is a conditionally pathogenic microflora, treatment is subject only to detection by PCR. The infection is not the cause of infertility. The main reason is the failure to ovulate. Your gynecologist correctly told you that it is necessary to use stimulating drugs. It is, of course, necessary to check the patency of the fallopian tubes before stimulation.
It is desirable to carry out metrosalpingography as the most informative method of examination. There will be no harm from the procedure, however, it is impossible to plan a pregnancy in the month of the examination. It is already possible to be stimulated by drugs at your age. A control analysis for ureaplasma can be carried out no earlier than after 1-1.5 months.
Health to you!
2014-01-19 19:16:10
Deela asks:
Hello, I have already contacted you for help. I am writing again, as I retaken the tests. I write more. please help me to decipher the test results. trying to get pregnant, but my doctor does not give hope. my results: Follicle Stimulating Hormone (FSH) 28.92 mIU/mL Luteinizing Hormone (LH) 42.29 mIU/mL Progesterone 0.40 ng/mL Prolactin 334.98 IU/mL
Estradiol 1009.0 pmol/l Anti-Müllerian hormone 0.10 ng/ml. Can estradiol be that high? what about low AMH? Is there any hope for pregnancy? if not soon, but at least ... I'm 28 years old. from the age of 21 she drank regulon, as there was a cyst on the ovary. The doctor prescribed Regulon until I became pregnant. menstruation was on November 10, 2013. (drank duphaston from November 25 to December 5, after which menstruation did not come and at the same time there was cystitis, drank besiptol and nitroxoline) in fact they are still going, but only bloodless. the process before menstruation is normal, the chest hurts, only this month it has not become larger as usual, but on the contrary has become smaller. after that it became normal again. maybe the body is recovering after such a long reception Ok? and also did an ultrasound, the doctor said that I have ovarian dysfunction.
Responsible Korchinskaya Ivanna Ivanovna:
Elevated FSH and low AMH are indicative of a depleted ovarian reserve. It is necessary to additionally estimate the number of antral follicles per ultrasound. Theoretically, there is little chance of getting pregnant naturally. I'm not scaring you, I'm just stating a fact. Even IVF on my own eggs, I think, will not bring results, although you can try stimulation.
2013-02-14 20:07:54
asks Alina, Kharkov, 32 years old.:
Good afternoon I have been trying to get pregnant for 3 years. Came to IVF. She did laparoscopy, installed nodular adenomyosis 21 * 17 mm, and also removed endometriosis from the left ovary. The tubes are clean, the ovaries are normal, ovulation occurs, hormones: progesterone is low, LH, FSH are reduced. My husband has normospermia. Husband is 36 years old. 9 months after the operation on ultrasound on the 22nd day of the cycle, the doctor sees an adenomyosis node 32 * 20 mm. Tell me, please, is there any point in doing IVF? What are our chances? The doctors don't say anything, I don't know how to figure it out. There is only money for one IVF attempt. We can save up for the next one in a year, not earlier. If adenomyosis starts to grow in case of no pregnancy, will I have to do a laparoscopy again? Thank you so much for your prompt reply, we really need some professional advice right now.
Responsible Palyga Igor Evgenievich:
It is difficult to speak virtually, since everything depends, first of all, on the location of the node. If it deforms the uterine cavity, then before the IVF program it is necessary to carry out a diagnostic hysteroscopy and, possibly, conservative treatment(agonists of gonadotropin-releasing hormone, for example) to reduce the size of the node. The sizes, as for adenomyosis, are large, perhaps this is a myomatous node. Ultrasound, by the way, is better to take place immediately after menstruation, on the 6-7th day of m.c. If the node does not deform the uterine cavity, then you can go to the program. When pregnancy occurs, it will be necessary to observe the ultrasound in dynamics, the node will increase somewhat more. You must clearly understand that after one IVF attempt, pregnancy occurs in 40% of cases on average, with endometriosis the chances are slightly reduced, it is not a fact that pregnancy will occur on the first attempt, although reproductologists are making every effort on their part. If you follow a long protocol, the size of the node after stimulation should not increase. If you wish, you can send an ultrasound report with a photo, I will appreciate it. To assess the ovarian reserve, it is rational to take AMH and estradiol on the 2nd-4th day of the cycle, they can be used to suggest the result of stimulation. If there are enough eggs, then even with the first unsuccessful attempt, some of the embryos can be frozen and then a cryoprotocol can be performed without ovarian stimulation. I wish you success!
