Patient's question:
Female, 25 years old. I have been pregnant for over 50 days. On October 3rd, my progesterone level was around 9, and on October 6th, it had increased to over 33. By October 13th, it dropped back to around 10. Why is there such a big difference?! I have been receiving progesterone shots, and each time I get 40 ML. Additionally, I had three ultrasound scans. The first one said it was not visible yet, the second showed 0.4 (on October 6th), and the third showed 1.10.61.0. However, there was still no evidence of a fetal pole or heartbeat. The doctor asked me to come back for another check-up on October 20th, saying that if there was still no fetal pole or heartbeat, it would likely result in a miscarriage.What kind of help I need: What should I do in my situation? Why is the progesterone level fluctuating so much?!
Doctor's answer:
Hello, low progesterone levels are very common in clinical practice, so you don't need to worry too much. The reduction of progesterone is mainly due to luteal dysfunction and functional disorders, polycystic ovary syndrome, anovulatory dysfunctional uterine bleeding, severe pregnancy-induced hypertension syndrome, and placental dysfunction during pregnancy, with luteal insufficiency being the primary issue. Experts recommend: Currently, oral or injectable synthetic progesterone is commonly used. The specific treatment should be determined by the doctor based on the examination results. Additionally, during daily life, it is important to rest, avoid overexertion, and maintain emotional stability.