Low Progesterone Level - Do I Have to Go to a REI (Reproductive Endocrinologist)

Updated on May 06, 2011
J.L. asks from Sacramento, CA
6 answers

Hi, after 2 miscarriages within the last 6 months, I got tested (probably wouldn't have been allowed to get tested had I not had a 2nd m/c) and found out that all my blood work are normal except for VERY LOW PROGESTERONE levels (<0.2) normal is 0.2-30

My OB doesn't believe low progesterone levels cause miscarriages or at least she keeps saying that there hasn't been any conclusive evidence of such. So she's referred me to the Kaiser REI (Reproductive Endocrinologist/Infertility Specialist). My question is, I've read so many times of people who just see their regular OB even if they have low progesterone levels and then are given progesterone suppositories/oral and then they're fine. I have not had problems getting pregnant so far, it is keeping the pregnancy that is the problem. So I was wondering if maybe I should just find a new OB (I'm with Kaiser in Elk Grove)? Can anyone share with me if they've had the same problem what they did and whether their regular OB was able to help them through it? Thank you.

Newly Added:
Hi, I was trying to see how to respond and thank you guys for your quick responses. But looks like I can only post a question but not write back in response to your answers.

Amy and Sauci-one, I am not sure why I'm immediately being referred to a REI either, but that's what is happening. Thank you for your advice, Amy, I can what your OB is saying but I think my progesterone really is VERY low no matter how you look at it b/c it's below 0.2 and that's not much more than 0. From what I've read on all these forums, I see that during first few weeks of pregnancy, OB's want to see levels in the teens at least and I'm below 0.2, well, I'm not sure what level my progesterone was at back when I was pregnant the last 2 times.

Sauci-one, thank you for the advice on tracking my cycles and taking temps. I haven't done either so far, I'm still waiting to get my cycle back after this 2nd m/c. I think it's possible I have LPD, I have no idea how long/short my luteal phase is, but I have very regular periods (pre-pregnancy and m/c's) so I am hoping that I don't have LPD. I'll also look into the natural treatments you mentioned, but wouldn't I have to tell my OB if I do take things "on the side" that she didn't prescribe. She's very scientific and I don't think she'd be happy with me looking into homeopathic Tx and such.

Does low progesterone automatically = LPD? Thanks again.

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So What Happened?

Thank you all for your advice and help. I tested again and this time my progesterone level at cycle day 19 (post 1st period after miscarriage) was 7. Not high but my OB says it's "normal". Still not too sure what to do. Will look into Vitex and Royal Jelly. Thank you to all of you for taking time to help me.

More Answers

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S.B.

answers from Lincoln on

That's weird that you got referred to a REI right away. I did have low progesterone levels about a year ago and what I did was take Vitex supplements 2x/day and royal jelly a tsp in the am and pm, by the time I got checked for my progesterone levels and everything else, which was about 5 months later, I tested fine. I suggest you do your research in homeopathic alternatives to balance your hormones and go to a different OB this time to get checked. It'll take a while for your hormones to get where they need to be. A really great way to check your progress is to chart your cycle using the Fertility Awareness Method. This is how I knew my progesterone levels where not where they needed to be. Basically if your luteul phase is less than 10 days, then yeah your progesterone levels aren't enough to keep the fertilized egg and you'll miscarry. So suggest charting cycles (temp every morning and tracking your menses) and also take Vitex and royal jelly. If this doesn't work, go to a new OB and ask what method they use for women w/low progesterone levels. Suppositories or progesterone shots appear to be the norm. Good luck.

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A.B.

answers from Louisville on

Progesterone is given to treat what is referred to as a luteal phase defect. According to my ob (and several articles I've read on the subject), there is no real way to test for this condition, but it is something that many reproductive endocrinologists and ob's believe causes some types of miscarriages. The belief is that extra progesterone will improve your chances of carrying the pregnancy before the placenta takes over the job of nourishing the baby, at which point, it's no longer necessary to have extra progesterone. Again, according to my ob and several articles I've read on the subject, the question at hand is how to determine whether or not someone can be said to have low progesterone because there is not a common value across the board. In other words, for one woman, it may be necessary to have 0.2 (to use your numbers) to sustain a pregnancy. For another woman, it may need to be 15. So without knowing what your level needs to be, it would be hard to say what is or isn't low for you. If that makes sense.

This all came up following a recent miscarriage because I was concerned that maybe it was a progesterone issue. I was actually prescribed suppositories for my first two pregnancies after an initial miscarriage and wondered if I should have been on them this time. That's when he told me how inconclusive the whole subject was, that many doctors do it to give peace of mind (and in fact, he would be willing to try it if it made me feel better). So it's not that he's dismissing it; he respects the research, but he doesn't see any definite evidence that it helps. It may be worth it to see a reproductive endocrinologist just to get some additional input and peace of mind for yourself.

1 mom found this helpful
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H.C.

answers from Dallas on

Actually from what I've read, low progesterone does in fact cause miscarriages. Most OB's I know believe in supplemental progesterone, mine does, so maybe a new doc is in order. I agree too with Vitex, it helps alot (and its very inexpensive too) Good luck!

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V.F.

answers from Shreveport on

I had a miscarriage inbetwwen my 2 girls. With my 3rd pregnancy, the doctor tested me, bc I had such a hard ime conceiving. MY levels were low and that is what she believed to have caused my mc last time, so she gave me the supositories and it worked. Maybe a new doctor would be able to help? Good luck!

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M.G.

answers from Chicago on

Yes, low progesterone does cause miscarriage. That's very strange that your OB told you this. When I was pregnant the first time my doctor told me the only known cause of miscarriage that can be helped is low progesterone. Maybe find another OB or go see the specialist your doctor referred you to.

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R.M.

answers from Cumberland on

Take one baby aspirin everyday. God bless you.

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