I am going to take a few minutes to talk about HOW important progesterone is in pregnancy. Not only is it important, it is VITAL to your baby. It won't help a baby that is destined not to be. That means a baby with a chromosomal issue. However, it means everything in the world to a baby that just needs a little ummph. I was on progesterone supplements about 6 months after Sara was born. I was first put on it because I was constantly bleeding. My ob never said I was low. In fact, I point blank asked him. He said that I just needed a little kick. The extra progesterone worked. After I lost Peyton and with tons of encouragement from my loss board and my research, I asked my ob to run a progesterone test. He never said no. In fact, he happily agreed to run it. In my research regarding low progesterone, I found out I had what was called a Luteal Phase Defect. Meaning my lp was too short. take progesterone and it extends it out. I supposed Peyton made it as long as he did because I got pregnant the first month off of it. So I asked for the test never expecting in a million years that I had this defect. I was SHOCKED it was so low. 6.8. Barely ovulating.
That was when I told the nurse I had to get on progesterone supplementation right away. My research indicated a viable pregnancy needed at least 10 unmedicated. Less than 7, you were most likely to miscarry. Well less than 5 was very dismal. She called me later that afternoon and told me my ob did not beleive in progesterone supplementation. I was devestated. I started crying on the phone saying this baby will NOT make it without supplementation. She said she was not going to argue it and hung up. I was so upset that I called my pcp and begged her to put me on it. She refused. She didn't want to step on my ob's toes. In her eyes, he was a hero. She would NEVER do anything to cross that. Thanks to D. D sat with me. She talked with me on the phone. It brings tears to my eyes for what she did and I thank her every day for it. She told me to she was very worried that because of how upset I was that I would miscarry. She told me to call his ass at home. If his nurse had taken care of the issue to begin with, there wouldn't be this situation. Yes, D is pretty blunt and that's why we love her. She said it sounded like the nurse never spoke to him. So that's what I did. I called him and had him paged at home. I felt terrible for bothering him. Not only did I bother him. I totally lit into him. I am pretty sure he has NEVER seen me that upset before. I was a hysterical whacko. I basically said how dare you not prescribe this. He said that 50% of obs believe it is garbage. I said you know what, I have read the same studies that you have. I believe it works. If I believe it works and it won't hurt and will only help, then my baby deserved to live. My baby deserved the progesterone. I also told him all the progesterone in the world won't help a baby that has a chromosome problem. It will for a baby whose mom has low progesterone. I had been on it for over 2 years before getting pregnant. I can't remember the whole conversation. I was pretty much a raving lunatic. I have been a patient for over 4 years. I know through thick and thin, he has never seen me that way. Whatever I said moved him. He promised to get it called in that night. He promised to increase the dosage if my levels didn't rise. He did. The pharmacy was waiting for me when I arrived. He found a pharmacy that would make it for me on a Friday night.
I celebrated when my HCG levels skyrocketed. It was amazing. I cried when we saw the heartbeat the first time and each time thereafter. This baby so far has thrived. When I first got through the first couple of USs where it showed that we had a baby with a heartbeat. Then the overwhelming fear of maybe I had only postponed the inevitable. Maybe there was something wrong with the baby. I was terrified of the US at my peri's office. That one proved good. Thank God for techs and drs that read your file. I feel certain that's why I was in a different room with a different tech. I feel certain that is why she gave me so many pictures. She told me emphatically here are LOTS of pictures for you. We never had a picture of our last baby. I feel certain thats why she told us right away that this one is a healthy active baby.
So a bit of advice for women with low progesterone (I am hoping one of you are doing a google search and hit my blog). Demand the progesterone test. Demand progesterone if it is low. My baby would NOT be here had I have not of done that. Your ob doesn't have to believe in it. All he has to do is prescribe it. He has to believe in you and your baby. Maybe it won't help. Maybe just maybe, it will make all the difference in the world. If you have low progesterone, run. Run from your dr if they won't prescribe it. I love my ob. I love that he is laid back and tries to do the worrying for you. I love that he doesn't put you through a bunch of unnecessary tests. I love how he takes care of you in pregnancy and labor and takes the time to answer your questions. However, if he had not of put me on the progesterone, I would have changed drs right away. I would have changed first thing that Monday morning. I would have been in another dr's office that day. That's how serious I was.
The funny part is how I have changed as a patient. I used to be that shy patient afraid to ask questions. Now I am a partner in my care. I have a responsibility to be as informed as I can be (can I say how much my peri's office LOVES this!!!). He's the doc too and you have to respect his years of practice and schooling. Although he is a doc and everything, I like that he asks what I want to do. This past appt my bp was on the rise. I had tried everything to get it down. Nothing was working. So he asked me what I wanted to do. I said both. I guess I want to be aggressive too.
Back to the progesterone. We have evolved from 50% of ob docs think it is garbage to you are staying on it till 14-16 weeks. Hmmm, looks like someone was doing some research too. Ladies, demand progesterone testing. Demand supplementation if it is low. The only thing you have to lose is your baby.