Progesterone

[mascaraisamust]

Asked this on the infertility thread too but would appreciate if anyone has any advice on here.

In short: Pg level of 1 on day 21 bloods, told annovulatory cycle and abnormal result so referred to a 'fertility specialist'. That cycle I got a bfp , gp doesn't give me progesterone despite result and I miscarry at 8 weeks (although suspected before this). 'Fertility appointment' gets cancelled and rebooked for November!

Questions:

1. The 'fertility' appintment is a gynae appintment and nurse led? What does this mean?
2. Will they help me if I got a bfp and miscarried? Or will they fob me off with 'your obviously capable' and wait until i miscarry 3 times?
3. I'm convinced with progesterone things would have been different. I have a short LP and obviously the result was extremely low. How can I get progesterone? The gp said they couldn't prescribe.
4. If I have to go private whats the process? Anyone done this in the Midlands?

Anyone in a similar boat, been prescribed progesterone, got an tips?!

Thanks all x

Thanks Kleptronic, that's interesting to know. Hope all goes well for you.

Thanks I'm trying to decide whether to have another cycle, I am old and this would be my last shot.

He's a pragmatic clinician basically, for example doesn't do a battery of tests if there's no indication that he should - I was asking for anti-mullerian level test and he said, well you can have it, but with your FSH/LH levels where they are that tells me you have ovarian reserve, so if you have the test and it comes back low I'd still recommend you can have treatment, because the AM is not definitive, so do you want to spend the money, ultimately would it affect your decision? And the answer for me was no, it wouldn't, and so I saved myself £90.

I know that wouldn't suit everyone because many want as much information as possible, but for me, it's how to interpret it, I don't know how to weigh it up properly. I like his logic and pragmatism. He is very experienced and in the end I can google as much as I like but he's the expert.

He explains his decision making well which I don't think other clinicians can be doing, otherwise people wouldn't be so worried and in the dark about it all. It's hard! I hope we all get what we want

Kleptronic it's good to hear your have someone who's so empathetic and who's not trying to rip you off. There is money to be made in this TTC business!

Yes, Kleptronic I agree it's good that you have an honest consultant who doesnt let you do unnecessary testing. I didn't know that Progesterone is only given for that amount of time. Thanks for sharing.

Hi all, I am in a similar situation. I have a 9 day LP & had to go privately in order to get progesterone pessaries. You can't just go to a GP, it needs to be a gynaecologist or fertility specialist.

Doctors employed by the NHS, even fertility specialists won't prescribe them as they are not licensed for LP use in this country, only for PMT, and they are not allowed to prescribe medication for 'off licence' use.

They worked amazingly well for me & I had 14 day LPs for the first time ever. I am convinced that if I had been on them last year I wouldn't have had my early MC.

I have run out now. The Dr has left the practice, and we have moved to a different area, so am trying to find somewhere new to get them from. ??

I think it is ridiculous the way doctors try to fob us off & say low progesterone isn't an issue. We know our bodies!

Although I am far from an expert, I would be very wary of using pg cream. I looked into it before & found lots of people saying it had completely messed up their cycles & that they wish they had never gone near it.

I hope you all manage to get your BFPs soon. X

Me again!

I just wanted to say that I tried B6 for 3 or 4 months & it made no difference at all. It can also have dangerous side effects if you take it long term, so please be careful, ladies.

Update on private fertility consultation:

So I told them about my day 21 pg level being 1, spotting when I got my bfp, luteal phase was 8 days approx. and the nhs gp just telling me to relax and refusing to do any more bloods. I also argued my case for progesterone and the trials I'd looked at.

He wants me to wait one cycle due to mc and then he wants to start me on clomid and progesterone once I have ovualted.

He also said if I get my BFP this month he would happily prescribe progesterone

So relieved to have someone listen, finally.

So glad you got the progesterone privately! Or will do.

Thanks Rooibos