Richard M. Levin, MD., PSC. | Phone: 502-584-7787 | Fax: 502-589-3842 |

tubal reversal video clips     Youtube     Small facebook icon Pregnancy with low progesterone

Pregnant with low progesterone levels: Progesterone is one of the female sex steroid hormones. It helps support the lining of the uterus during pregnancy and if the blood levels of progesterone are low during a pregnancy then the likelihood of miscarriage is increased. Once you are diagnosed as being pregnant then you should let Dr. Levin know right away by e-mail to He will need the following information:
  1. The date that your last period began
  2. The date of your LH surge (the positive test if you were using an OPK (ovulation predictor kit)
  3. The data file from your temperature chart if you were using the cyclewatch software that Dr. Levin recommends
  4. The fax number of a commercial lab where he can fax weekly orders to follow blood levels of HCG and Progesterone. To help you find an appropriate lab try Laboratory Corporation of America at their locator link or Quest Diagnostics at their locator link.
HCG and Progesterone: These two hormones will be used to try to make sure that you have a healthy pregnancy and to try to pick up an early miscarriage or tubal ectopic pregnancy (pregnancy within the tube). Once Dr. Levin orders your lab tests, it is important for you to go to the lab early in the morning (8:00-9:00 AM) so that the test results will be available to Dr. Levin during normal working hours. Otherwise your test results and any important therapy for abnormal results will be delayed until the next working day. Also do not have your weekly blood draws done on Friday as most abnormal results will not be well treated over the weekend. The best day to have you blood drawn is Tuesday.
Please do not call until after 3:30 PM for the results of your tests as we probably will not have them by that time and/or Dr. Levin may not have had time to see them. Do not call for results after we close at 5:00 PM as we will not have the availability of the test results then.
If your blood levels of progesterone are low, Dr. Levin will most likely want to supplement you with Progesterone Vaginal suppositories 50 mg. You will need to find a compounding pharmacy that will "hand make" these suppositories. Most pharmacies do not make these so you will need to call around and find a pharmacy who will make them. Try to chose a good, reputable pharmacy as the suppository they provide you will only be as good as the pharmacist who makes them. Your pregnancy could depend on the quality of their product.
Once Dr. Levin orders the suppositories and you get them, then put one inside (to the top) of your vagina and lay down for about 15 minutes. Dr. Levin will have you use one either every 8 hours or every 12 hours depending on the situation. DO NOT play around with this dosing schedule as it is important to maintain a steady level of progesterone in your blood stream. DO NOT forget to that any of them. Sometimes the suppositories can cause spotting by irritating the cervix (mouth of the womb). If this happens then you might want to use them rectally as the progesterone is absorbed rectally equally as well as if it were used vaginally.
If you have any questions about your progesterone then call Dr. Levin's staff during normal working hours.

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