How do you get prescribed progesterone during early pregnancy?

[Mothalina]

Hello, wondering if anyone can help. I want to know how to get prescribed progesterone during pregnancy. I've been pregnant twice this year but both pregnancies sadly ended in miscarriage (6 weeks and 10 weeks). I'm thankful to already have a daughter who was conceived naturally when I was 37 - but I'm 40 now and worry we are running out of time to give my daughter a much wanted sibling.

With the last miscarriage the doctor said it would be a good idea to take progesterone during future pregnancies, but my queries into this are going around in circles. My GP will do blood tests to check for fertility issues but said she could not prescribe me progesterone without a referral and advised we take the blood test results to a fertility clinic. However the fertility clinics I spoke to charge large fees for consultations/fertility tests and also were doubtful they could prescribe progesterone to someone who had conceived naturally/wasn't undergoing IVF treatment with them.

Is it the EPU that prescribe progesterone? And if so, can I just wait until I'm pregnant again and contact them?

Thank you for reading. The miscarriages have been such a sad and stressful time, I wish it wasn't such hard work getting answers on what to do differently next time.

Hugs OP. We had multiple m/c and were under the care of the fertility clinic when we got pregnant and stayed pregnant the second time, and the prescribed progesterone was as a result of that process.

When I was pregnant the with DS (my first pregnancy that "made it") they didn't prescribe but I was panicky so I used transdermal over the counter progesterone cream (I knew by that time I had low progesterone).

If you know your cycle well (and I bet you do) would it be worth getting a blood test just after ovulation to demonstrate your progesterone levels are low (if they even are?). Might give the evidence needed for GP to prescribe? Or, see another GP? (Maybe have a call with a private GP to see what they say? It's cheaper than a fertility consult.)

I got progesterone prescribed from a private clinic. I paid to see a consultant (not cheap but worth every penny) my baby was conceived naturally but I explained how anxious I was following miscarriage and he happily prescribed it for me. Obviously it's a private prescription and expensive but if you can afford it I would absolutely go for it

I was under the recurrent miscarriage clinic when I was prescribed it . Previously asked the GP for it but was told ‘ sorry I don’t know enough about it to prescribe it ‘

You can call EPU when pregnant - they will need to scan you to confirm the pregnancy (sac) is in the right place before they can prescribe it. Not sure if all EPUs provide the scan/prescribe after 2 miscarriages but mine does so it’s worth asking if your local one would do the same. It can be a wait until you get scanned from calling through so book it in as soon as you get a BFP. You’d have to be close to 6 weeks for them
to confirm the sac is in the right place as well.

I was prescribed progesterone by a fertility clinic too. I had had one late term loss and two chemical pregnancies so given my age (39) we went to a private clinic for advice on next steps. (It cost £250 for the consultation so pricey but worth imo) He said he would write to GP to prescribe progesterone as soon as I got a positive test. Coincidentally this happened only 2 weeks later!! I'd definitely recommend going to a private clinic just for the consultation (that's all I did) and hopefully they'll agree you need progesterone next time. Good luck!

After my second MC, when I then fell pregnant again a few months later I rang to GP to see if he could prescribe anything. He mentioned progesterone and baby aspirin and tried to refer me to gynae, but they pushed back and basically said they don’t prescribe progesterone unless there is bleeding in the current pregnancy, as NICE guidelines don’t suggest there is evidence to support it’s efficacy as a preventative measure otherwise. EPU said the same. Then, a few weeks later when I was chasing up my booking appointment my MW put through a prescription for baby aspirin and high strength folic acid before even seeing me 🤷‍♀️. I’m currently 16 weeks and doing well. (I’m 43, so think the folic acid and low strength aspirin prescription was age-related).

I'm 39, two previous miscarriages no children. I am on progesterone this time, I got it through my EPU. I called them and said my GP suggested it. They scanned me at 5 weeks but wouldn't prescribe until 7 weeks when they saw the heartbeat and it was deemed 'viable'. They weren't bothered about spotting /bleeding and seemed happy to prescribe.
I also started low-dose aspirin (75mg) at 5 weeks myself after doing my own research. Currently 16 weeks.

I'm on my third pregnancy in a year after having my daughter 5 years ago. The first two ended in miscarriage, after the first I was told to call the epu when I got pregnant. The first time they offered reassurance scans and after the second they offered progesterone too. I let them know when I got my positive test, I wasn't sure how pregnant I was as I hadn't had a period since my last miscarriage. They got me in for HCG monitoring to estimate how pregnant I was as they wanted to scan me to ensure the pregnancy was in the right place before prescribing the progesterone. My levels were very high so they scanned me the next day and I was over 8 weeks and I started on progesterone until 16 weeks and I'm now 33 weeks!

My EPU told me that if I got pregnant again then to ring them straight away and tell them that I’m bleeding (even if not true) and they will prescribe it. No idea if it’s the same where you are but this is what I was told.

Hello, I’m so sorry to hear about your miscarriages. I’m 40 and sadly had a miscarriage in Feb this year. I was told that if I was to get pregnant again to start taking progesterone. I’m TTC and spoke to the GP last week and they said they would prescribe it to me but I have to wait for a positive pregnancy test? X

I've just had my 2nd miscarriage (well, 3rd if I include a chemical pregnancy) and was told to ring EPU when I get my next positive, to start the progesterone.

Recurrent miscarriage referral for me

EPU wouldn’t prescribe for our health board, nor the midwives

You can buy it online with a bit of fudging but it is expensive

I was diagnosed with low progesterone when trying to conceive my 1st. Id had numerous blood tests and that is the only thing that came back as abnormal.
Id never suffered a miscarriage, just couldnt get pregnant and that was with 3 years of trying.

GP referred us to fertility to discuss options and we had all test results looked at.
I was told that until I had suffered 3 miscarriages, they wouldnt prescribe me progesterone as that is the policy in my trust.
I argued with them that i couldnt sustain a pregnancy without progesterone so they were basically asking for the impossible.
They didnt change their minds.
I was discharged from their care after that 1 appointment.

Somehow, I fell pregnant naturally and carried to term and have a wonderful daughter as a result.