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Miscarriage/pregnancy loss

Find support and share your experiences on our Miscarriage forum. See also legal rights and support after baby loss.

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Original poster

Should I ask my GP for Cyclogest

9 replies

Catsycat · 18/09/2011 19:01

I'm hoping someone can give me some advice please! I am 38 and have 2 children. I had a mmc at 10.5 weeks at the end of June, then a CP last month, and now a BFP today.

I have seen my GP a couple of times as I was concerned I might have a Luteal Phase Defect (ov at day 14/15, usual cycle length 23 days). He had authorised day 3 tests (have not had them due to bfp), and we had had a brief theoretical discussion about whether cyclogest would be helpful if I got pg again. He said his main concern was for my wellbeing rather than for NHS budgets, whether it is "usual" to prescribe it etc, and that he was not of a fixed opinion on the use of the drug.

I wondered what anyone else felt about whether I should go back and ask him to consider prescribing it? I know the EPU nurse said there is no proof it works, and that it may prolong a non-viable pg (and I don't want to waste NHS funds). On the other hand, I want to give this pg the best chance of making it.

OP posts:

bugsylugs · 18/09/2011 20:33

I wanted to give my BFP the best possible chance too as was waiting for IVF they px it for me when they had my progesterone level 100.8 (UK cannot remember units), friend recurrent mc had to get 2 BHCG levels and was then px again by same private unit. Unfortunately in my case it does appear to have prolonged a 'non viable pregnancy', confirmed misssed mc on fri after a weeks wait though I knew something was wrong from 6+ weeks would now be 10. some fluid is now coming away naturally. Would I do it again probably.

Sounds like you have an empathic GP, it is never a waste to have an appointment to discuss your options, hopes and worries. Go book now but with the one you saw before.

Best of luck I hope it all works out

Original poster

Catsycat · 18/09/2011 20:35

Thanks bugsy for your help, and I'm so very sorry about your mmc. Take care.

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bugsylugs · 19/09/2011 11:53

Thanks catsycat. I also meant to say if they do prescribe it would probably be best if they also did and early scan or 2. For IVF they do a couple before the nuchal scan I wonder in part if that is to pick up any problmes that cyclogest maybe covering.

Hope you have got some answers and help

Original poster

Catsycat · 19/09/2011 12:54

Thanks for that. I spoke to the EPU after my mc, and they said they would do an 8 week scan - I need to phone them at 6 weeks to book. Hopefully they will be able to see if it is all OK by then (with my mc I went at 5, 7 and 9 weeks before they said they thought anything was wrong, even though the baby only ever got to 2-4mm).

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Original poster

Catsycat · 19/09/2011 20:57

Just to update, went to my GP and asked about Cyclogest. He consulted a colleague who has Obs background, and he phoned a consultant obs at the local hospital. It seems they don't recommend cyclogest here until you have had 3 second trimester mcs. I have had one first trimester mc and a cp. He did offer to make an urgent referral to see an obs specialist, but not sure there is any point if that is the local policy.

OP posts:

banana87 · 19/09/2011 21:19

Oh well that sucks. My GP prescribed it to me after 2 consecutive mc's. I don't think it is hugely expensive to buy privately, around £20 a box....maybe you can ask your GP for a private prescription?

Evidence based or not, I used it with this pregnancy (1st trimester) and have had a sticky bean so far...

Original poster

Catsycat · 19/09/2011 22:02

I'd be happy to pay, banana. I might give him a call and ask if he can do a private prescription / recommend someone who can do me one. Congrats on your pg - hope it all goes well for you this time. :)

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PieMistress · 26/09/2011 13:10

catsy this is an interesting post. I hope you get the prescription. I am also concerned about my low progesterone levels and think that if i'm lucky enough to get a bfp again after my mc then I would like to ask for progesterone pesseries. I've been having a few CD21 tests and they do indicate borderline progresterone but I fear my GP would fob me off.

Good Luck and here's to a healthy 9 months xx

Chudders2012 · 22/09/2015 20:27

I did a lot of research in to progesterone for early miscarriages after suffering two myself. I am such a believer in progesterone pessaries, and I too believe I have a luteal phase defect as I only ever seem to ovulate after day 23 (sometimes day 24 or day 25). There is an article outlining the research by the Cochrane collaboration here:

www.myinformedlife.co.uk/does-supplemental-progesterone-prevent-early-miscarriage/

I am currently 23 weeks pregnant with my first child after showing the research to my doctor and demanding he prescribe progesterone so I believe it works. He was reluctant to prescribe it as he felt it doesn't make any difference, yet the research I did at the time suggests that it does work for some women in some cases. When I showed him the research by the Cochrane collaboration he backed down and prescribed it. The Cochrane research is referenced at the bottom of the article that I have posted above.

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