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Old Nov 20th, 2011, 06:05 AM   1
catielove
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Progesterone?


I'm confused ladies!

I've heard progesterone is used to induce a period. I've also heard that some women take progesterone from O-AF to help with implantation? How can it be used for both?

Sorry if this is a dumb question, I'm just confused.



 
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Old Nov 20th, 2011, 06:25 AM   2
nlk
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I asked my OH this same question the other day! because im taking the progesterone-only pill to control my pcos until i start ttc...so not only is it used to help maintain a pregnancy and induce a period, its also used to prevent pregnancy!

thinking about it, im pretty sure its the withdrawal from progesterone that helps induce a period. but it still has wayyyy too many contradicting uses

i really hope someone can come up with an answer to this!



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Old Nov 20th, 2011, 09:03 AM   3
laodicean
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Hi

Progesterone has a variety of uses, and is taken in different amounts at different times in your cycle for a different number of days depending on what it is the doctor is wanting to treat.

Natural progesterone is secreted by the corpus luteum following release of the egg by the follicle, and is the main hormone in action for the luteal phase (in combination with oestrogen). It's presence prevents the uterus lining from disintegrating (which is what causes a period). The corpus luteum stops producing progesterone around 10-14 dpo if the woman hasn't conceived that cycle, and it is this sudden drop in progesterone levels that trigers the uterus to shed its lining and have a period.

If progesterone is prescribed by a doctor, it can be for several reasons:

1) to cause a period if someone hasn't had their period for a few months but isn't pregnant - the woman takes it for 5-10 days and then the sudden drop when she stops taking it mimics the drop in a normal cycle from the corpus luteum dying and hopefully her period will start

2) to cause regular periods in someone with irregular cycles - for the same reason as above, but this time the progesterone is given immediately following ovulation in order to ensure a woman's period arrives 14 or so days later.

3) to treat recurrent early pregnancy loss due to shortened luteal phase - this is where a woman's corpus luteum keeps dying off too soon, and the embryo isn't given a proper chance to implant fully before the uterus sheds its lining. By topping up her natural levels, the utuerus lining is preserved until a time that the embryo is established to secrete hCG and keep the corpus luteum churning out enough progesterone to keep the pregnancy safe.

4) Reduce heavy periods - a woman might be prescribed progesterone to take from the beginning of her cycle in order to prevent too much lining building up in the uterus, resulting in heavy periods.

That's probably all the main uses I can think of, though I'm sure there are more!



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Old Nov 20th, 2011, 09:08 AM   4
Scout
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I take it from O to AF bc I have low progesterone and my doctor thinks this might be one reason I keep having m/c's. I don't have a shortened LP (typically it's 14 to 15 days), but my progesterone is too low to sustain a pregnancy (my losses have been b/t 6 and 8 weeks). For those not having a period, I think it's prescribed for so many days and then you stop taking it and your period should start, and it's the withdrawl that should cause it to start.



 
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Old Nov 20th, 2011, 09:27 AM   5
catielove
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Thanks ladies! I love being able to ask questions like these. Google makes you wade through a bunch of crap to find an answer. lol



 
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