Low progesterone when planning a pregnancy what to do. The norm of progesterone when planning pregnancy in women: how to increase low levels naturally and reduce high levels? Folk ways to increase progesterone

Progesterone provides support for the second phase of the menstrual cycle. With its deficiency, various menstrual irregularities occur, and, as a result, ovulatory and anovulatory uterine bleeding. That is why, without the normal production of progesterone, pregnancy is almost impossible.

If pregnancy does occur, then a low progesterone content can have irreversible consequences: from miscarriages to underdevelopment of the embryo. You can get pregnant with low progesterone with the help of medications that contain this hormone and increase it in the blood. A completely different question is whether a woman can bear and give birth to a healthy child?

What to do if there is not enough progesterone in a woman's blood?

When the function of the corpus luteum is impaired, natural or synthetic progesterone must be administered every other day or daily for several weeks until conception occurs. Then the drug is administered up to 4 months of pregnancy, in case of miscarriage - up to 36 weeks of pregnancy. The treatment regimen, the specific drug and its dosage are prescribed by the doctor, who relies on the results of the hormone test. In no case should you independently carry out treatment, or arbitrarily change the dosage of prescribed medications!

The level of progesterone in the blood is increased by medication, one drug or their complex. Usually these are capsules applied intravaginally or orally. In the first case - 100-200 mg every 12 hours, in the second - 200-400 mg at intervals of 6-8 hours (three times a day), for 12 weeks inclusive.

Duphaston (dydrogesterone) is prescribed in an amount of 10 mg with an interval of 8 hours, the course of treatment is individual, usually the drug is taken up to 14-20 weeks of gestation. An injectable 1% solution of injest should be administered every day or every other day, 0.5 or 2.5 ml, and a solution of progesterone (oily) - 10-25 mg, until the threat of miscarriage disappears.

How to maintain adequate progesterone levels?

When the progesterone content is lowered, but not so critical as to take medication, the hormone level can be increased by taking herbal tinctures or decoctions, after warning the doctor about such a desire. If the doctor recognizes such treatment as safe and useful, it will be possible to use such methods.

There is also a special preventive diet that increases the level of progesterone in the blood. It involves eating dairy, soy, legumes, and meat products, as well as nuts, cheeses, and eggs.

The main thing is not to worry about the results of the analysis for hormones, but to consult a doctor and strictly follow all his recommendations. Then the probability of conception will increase significantly, and the pregnancy will proceed favorably and end with the birth of a healthy baby.

Progesterone is called the pregnancy hormone because it plays a significant role in the growth and development of the fetal egg and pregnancy. Does this mean that during the time it is necessary to take additional progesterone?

Why donate blood for progesterone

Before planning a child, be examined by a gynecologist and pass all the necessary tests, including for. This will help to avoid various negative factors during pregnancy. In addition, knowing your progesterone level, the doctor will be able to help you avoid "futile attempts" to conceive.

A doctor may prescribe an analysis for progesterone in such cases:

• at ;
• with infertility, if ovulation is preserved;
• with induced ovulation.

How to donate blood for progesterone

Blood for analysis to determine the level of progesterone is taken on a certain day of the cycle. So, if you have a normal cycle duration (28 days), then a blood test for progesterone will be prescribed for you on the 22-23rd day of the cycle. With an irregular cycle, several tests may be scheduled on different days.

Donating blood is best in the morning, on an empty stomach. Please note that at least eight hours must pass after the last meal.

Deviation from the norm: what to do

If the results of the tests showed abnormalities, then the doctor will prescribe you medication to adjust the level of progesterone. The course of treatment is selected individually, based on the indicators of the tests and the general condition of your body, while, as a rule, hormonal therapy is prescribed. Be sure to ask your doctor about all the positive and negative aspects of hormone therapy.

Do I need to take progesterone when planning a pregnancy? Yaroslava Nesterenko, a gynecologist at the Oxford Medical clinic, will answer this question.

Progesterone is responsible for the formation of a woman's figure, and during pregnancy for the formation of the placenta and attachment of the fetus to it. During pregnancy, a lack of this hormone can lead to miscarriage.

Usually, a number of symptoms indicate the threat of a miscarriage: pulling pains in the lower abdomen, back pain and bloody discharge. The last symptom is especially dangerous. To maintain the pregnancy, hormonal preparations with progesterone may be prescribed.

Since there can be many reasons for infertility and miscarriage, it is important to make a correct diagnosis before prescribing hormone therapy. Progesterone may be prescribed if pregnancy does not occur and there is laboratory confirmation that the reason is the low level of progesterone.

Progesterone is directly responsible for the reproductive function in a woman's body. Its name comes from the combination of a pair of words "pro" and "gestatio" hormone for pregnancy. It creates suitable conditions for the onset and further preservation of pregnancy.

With insufficient production of the hormone, the fertilized egg will not be able to attach to the wall of the uterus. And during gestation, a significant decrease in the hormone can lead to abortion.

That is why it is important at the initial stage of planning to maintain and constantly maintain this hormone in the normal range.

The value of progesterone

Progesterone is produced in the ovaries corpus luteum from moment . It plays an important role in the implantation of the fetal egg, and the development of the unborn child also depends on it. This hormone is responsible for such important functions:

• completes the menstrual cycle, increasing in the second phase;
• changes the structure, preparing it for receiving a fertilized egg;
• helps to bear fruit;
• inhibits uterine contractions.

REFERENCE! After conception, the hormone begins to be produced in large quantities, this is necessary for the growth and development of the fetus. From 7-8 weeks of pregnancy, the placenta independently begins to produce progesterone. After that, the production of the hormone in the ovaries is significantly reduced.

The nuances of passing the analysis

With a menstrual cycle of 28 days, a progesterone test is taken for 21–23 days. With irregular periods, you may have to repeat the procedure several times. Blood is taken from a vein.

It is necessary to take it in the morning on an empty stomach, it is allowed to drink clean drinking water. The last meal should be 8 hours before delivery, but better for 12. Before visiting the treatment room, you must follow some rules of delivery, otherwise the result will be unreliable, per day you can not:

• drink coffee, black tea;
• drink alcohol;
• smoke;
• take medications.

ADVICE! If the blood sampling procedure is difficult to tolerate, it is necessary to warn the nurse about this. She will prepare ammonia to bring the patient to his senses.

Norm of progesterone

Hormone level a woman changes, depending on the phase of the cycle:

low progesterone

Low progesterone occurs quite often lately. Along with this phenomenon, there is an excess of androgens. The lack of progesterone is characterized by the appearance of the following symptoms:

• Excessive hair growth in unusual places.
• Violation of the menstrual cycle.
• Increased irritability.
• Deterioration of health.
• Headaches.
• Long cycles or amenorrhea.
• Body weight gain.
• Painful sensations during intercourse and during menstruation.
• Migraine.
• Depression.

IMPORTANT! If a woman suffers from a lack of progesterone at the planning stage, and pregnancy occurred while taking progesterone-containing drugs, then she should continue to take them. Their cancellation can cause an abortion.

In the female body, all hormones are connected to each other. The insufficiency of the first phase of the cycle causes lack of ovulation. If it does not leave the ovary, then progesterone does not rise.

This phenomenon is characteristic of the syndrome polycystic ovaries. In the ovary, several follicles mature at the same time, but none of them burst due to a lack of necessary hormones.

Low progesterone can be due to the following reasons:

• pathology of the corpus luteum;
• disturbed metabolism;
• anovulation;
• inflammation of the ovaries;
• stress;
• thinness;
• excessive physical activity.

Low progesterone when planning a pregnancy has the most undesirable consequence - inability to get pregnant. Initially, the deviation is eliminated with the help of medicines, but over time the situation may worsen. Therefore, a woman with progesterone deficiency is advised by doctors to plan a pregnancy as soon as possible.

Special drugs are used to increase progesterone. The most popular of them is Duphaston. It contains artificial progesterone. Tablets are taken orally according to the scheme prescribed by the doctor. Another drug -. It includes natural progesterone. It has two ways of application - vaginally, as suppositories or orally.

Elevated progesterone

Normal increase in progesterone during pregnancy. In any other cases, we can talk about the development of a disease. Violations in the production of progesterone a woman can detect by the presence of frequent and long delays monthly.

An increase in the hormone, in the absence of pregnancy, can cause the following phenomena:

• the presence of a cyst of the corpus luteum;
• ovarian tumor;
• improper functioning of the adrenal glands;
• amenoria;
• prolonged uterine bleeding;
• kidney failure.

CAREFULLY! If the hormone rises against the background of the growth of cystic formation, then sooner or later it may burst. This leads to ovarian apoplexy. In this case, hospitalization with prolonged treatment is indicated. Probably the appearance of prolonged uterine bleeding.

To bring the hormone back to normal, doctors prescribe hormone-containing drugs. In certain cases, oral contraceptives for a period of three months may be indicated.

Control progesterone levels when planning a pregnancy is an important condition. Since the onset of the birth of a new life and the further development of the embryo without pathologies depends on the normal content of this hormone in the body of a woman.

Progesterone is a very important steroid hormone for the female body, produced by the ovaries and placenta. It actively regulates the menstrual cycle and prepares the expectant mother for pregnancy. Under its influence, the uterus contracts much fewer times, and the already fertilized egg is more actively and quickly attached to the endometrium. Therefore, it is so important to know how much progesterone is present in the body when planning a pregnancy in order to bring it to the desired norm in case of deviations.

Progesterone should be normal in the female body at the time of conception, because it plays an essential role in her reproductive function. This hormone:

• helps to create conditions in the uterus that are favorable for conception;
• improves the quality of the fetal egg;
• strengthens the endometrium in the uterus, which supports the embryo throughout pregnancy;
• prevents rejection of the endometrium, which excludes miscarriage.

Therefore, it is so important to take a blood test for progesterone in a timely manner when planning a pregnancy, to identify its level and bring it to the desired norm. In order for the results to be more accurate, you need to follow a number of recommendations on how to properly pass this analysis.

Blood test

Since the indicators of this analysis will depend on the phase of the menstrual cycle, when to take progesterone when planning a pregnancy, your doctor will determine. When the date is set, follow these simple guidelines so you don't have to donate blood later:

1. it is better to do it in the morning;
2. the analysis is taken on an empty stomach, therefore, 8 hours before blood sampling, nothing can be eaten: it is only allowed to drink clean, non-carbonated water;
3. the day before the analysis for progesterone, it is better not to smoke, drink alcoholic beverages and not engage in intense physical activity.

With the usual duration of the menstrual cycle of 28 days, the doctor prescribes a blood test for progesterone on days 22-23. This will depend on the individual characteristics of the organism. The indicators, in turn, will depend on the phase of the cycle.

Norm

Changes in the level of this unique hormone are associated with different phases of the menstrual cycle. So the analysis is taken on certain days. The standard rate of progesterone when planning a pregnancy comes down to the following indicators:

• from 0.33 to 2.23 nmol/l in the follicular phase;
• from 0.48 to 9.41 nmol / l with ovulatory;
• from 6.99 to 56.63 nmol / l with luteal.

The results of a blood test for progesterone are compared with this norm, after which the doctor decides what to do next.

Deviations from the norm

The level of this hormone is normal during the period of bearing the baby increases, which ensures the normal course of pregnancy. It is because of this that this indicator is monitored even before conception. What can he say?

1. If an elevated progesterone was diagnosed when planning a pregnancy, this is not so scary, although you need to look at how elevated it is. Usually in such a situation, the expectant mother is advised not to panic, follow an appropriate diet and continue to prepare for pregnancy.
2. Another thing is if low progesterone was detected during pregnancy planning, which can subsequently negatively affect not only conception (it may not happen at all), but also the intrauterine development of the fetus. In this situation, the doctor already decides on the appointment of drug treatment.

If a deviation from the norm of progesterone in the blood is detected during pregnancy planning, drug treatment is prescribed to correct its level. In this case, hormonal drugs have to be used. The course is usually selected by the doctor individually, depending on the analysis indicators and the general condition of the female body. Before prescribing hormone therapy, the doctor must talk about its positive and negative sides.

hormone therapy

With a low level of progesterone at the stage of pregnancy planning, injections are usually prescribed if the following contraindications are absent:

• any pathology of the liver or kidneys;
• thromboembolic diseases;
• hepatitis;
• vaginal bleeding of unknown origin;
• breast carcinoma.

With caution, it is worth using such hormone therapy for the following diseases:

• cardiovascular abnormalities;
• impaired liver or kidney function;
• diabetes;
• bronchial asthma;
• epilepsy;
• migraine;
• depression.

Progesterone is a very important hormone in the female body, on which both the success of conception and the process of bearing a child largely depend. Therefore, it is so important when planning a pregnancy to find out its level and compare the indicators with the norm in order to correct and bring to the desired numbers. All this must be done under the strict guidance of a doctor.

Progesterone is responsible for the normal course of pregnancy, it is produced before conception. Responsible for the process, its development and the successful bearing of the fetus.

Without progesterone, the embryo would be rejected. The hormone lowers the frequency of uterine contractions, preventing involuntary miscarriage.

From the beginning to pregnancy, it is produced by the corpus luteum. Without it, conception would be impossible. It prepares the body for childbirth and in every possible way contributes to a healthy course of pregnancy:

1. Allows the fetal egg to gain a foothold in the uterus, creates a favorable environment in it.
2. Seals and supports the inner layer of the uterus.
3. Provides normal secretion.
4. Helps the restructuring of the mammary glands, prepares them for the production of milk.
5. Prevents the development of fibroids.
6. Participates in the conversion of body fat into energy resources.
7. Controls blood density and sugar content.

What is the norm?

The concentration of the hormone depends on the phase of the menstrual cycle:

• In the first phase, its level is minimal - in the range of 0.3-2.24 nmol / l.
• With the onset of ovulation, the content increases, reaching a peak. At this time, the indicators fluctuate within 0.45-9.45 nmol / l.
• If conception has successfully occurred, the numerical value jumps to 7-56.6 nmol / l.
• In the absence of pregnancy, its concentration decreases to a minimum and is approximately 0.3 nmol / l.

Why donate blood?

Knowing the indicators helps the doctor predict possible deviations and take timely measures if there is a threat of miscarriage. In the case of diagnosing infertility or after a series of unsuccessful attempts to get pregnant, the results of the study determine the causes of the pathology.

Before you need to contact the antenatal clinic, pass the necessary tests. Among them there is also a blood donation for the concentration of progesterone, which is required in the following cases:

• when planning to make sure that everything is in order in the body;
• with hormonal disorders;
• to diagnose problems that prevent conception;
• after treatment of diseases of the reproductive system.

How right?

After setting the date of the study, it is necessary to carefully prepare for the delivery of the analysis. On the eve of the procedure, the doctor must explain the features. With a regular cycle of 28 days, the procedure falls on the 22-23rd day. If the study is carried out after the onset of pregnancy, the date is assigned on an individual basis.

1. Refrain from eating 8-10 hours before blood sampling.
2. Do the procedure in the morning.
3. During the day you can not smoke, drink alcohol.
4. Avoid intense physical activity.

Peculiarity! The concentration of progesterone depends on the menstrual cycle, if the study is carried out before conception.

What to do in case of rejection?

During gestation, the level increases, which contributes to normal development. To have an idea of ​​the norm, indicators are monitored even when planning pregnancy.

If they differ, it is worth taking appropriate measures:

• if progesterone is elevated, it will not interfere with conception, but it is worth considering how high it is. Usually the diet prescribed by the doctor is enough to normalize it;
• at low rates, conception may not occur or there may subsequently be a risk of miscarriage. Then the specialist prescribes drug therapy, taking into account the general state of health and the degree of deviation;
• if the fluctuations in the indicators are small, this is equated to the norm. Then medical intervention is not required, because each organism is individual;
• the degree of severity is determined by the doctor.

Low level

With such indicators, the chances of getting pregnant are reduced several times. Conception with low progesterone is possible under the following conditions:

• the expectant mother will have to be under the close attention of doctors;
• if during the entire cycle the level of the hormone remains unchanged, this is a sign of the absence of ovulation. Then it is carried out;
• taking a course of drug therapy;
• maintaining a healthy lifestyle;
• sometimes an additional diet is prescribed.

Attention! If the level of the hormone is below normal, it is difficult for the fetus to implant in the uterus, even with a successful conception, there is subsequently a threat of termination of pregnancy or lack of nutrients.

Indicators after conception

As a result of successful fertilization, it rises, activating the process of restructuring the body. Thanks to this, comfortable conditions are provided for the course of pregnancy and the development of the fetus.

The longer the period, the higher the indicators:

1. At an early stage - in the range of 7-56.5 nmol / l.
2. In the first trimester - about 9 - 467 nmol / l.
3. In II - approximately 71.5-302 nmol / l.
4. In III - from 89 to 772 nmol / l.

Duphaston for medical correction and treatment

It is an artificial analogue of progesterone. It is used with the threat of spontaneous miscarriage, low levels of the hormone. The application has its own characteristics:

1. The drug is especially effective in the early stages, when the body is most sensitive and vulnerable.
2. When taking "Duphaston", the pregnancy is successfully maintained, and childbirth is successful.
3. The dosage is prescribed by the doctor and depends on the degree of deviation from the norm and the condition of the body of the expectant mother.
4. When planning a pregnancy, they drink it to prepare the body for a successful conception.

17-OH progesterone when planning a pregnancy

With a reduced level of 17-OH progesterone, there are also problems with the course of pregnancy. To do this, prescribe drugs based on it. With their help, metabolic processes are regulated and possible deviations are prevented.

A normal level is the key to successful conception and harmonious development of the fetus. It is the basis for the production of cortisol and estradiol.

1. Spontaneous miscarriage may occur.
2. The fetus may lack nutrients.
3. Metabolism is disturbed.

Important! With a lack of necessary enzymes, their deficiency is compensated by increased testosterone synthesis.