low progesterone

[amyintn]

I had my progesterone tested today, 6 dpo, and it was 10.9. My RE now has me on suppositories. I was just wanting to know what's normal and if anyone got pregnant with a number like that.

Thanks,

Amy

[Phen]

Are you on other meds (Clomid, etc.)? IIRC, that's a good number for an unmedicated cycle, but a few points shy of what they look for in a medicated cycle. But having tested on 6dpo, I wouldn't be surprised if your count is still rising.

~ Phen

[Smillow]

For an unmedicated cycle (no clomid or other fertility drugs) my RE said he wanted my progesterone above 10 - so your's looks good. On a medicated cycle he wants a 7DPO level above 15 (because most likely you will have more than on corpus luteum producing hormones). I have had four 7 DPO progesterone tests:
first - unmedicated - 7.4
second - unmedicated - 8.9
third - 50 mg Clomid CD5-9 - 4
fourth - 50 mg Clomid CD 5-9 - 23!
A progesterone level above 5 confirms ovulation.
So far no pregnancy - Well I was pregnant in January '04 but m/c in March '04...
HTH - Good luck!

[jennylou]

I got pregnant on a cycle where my progesterone was 5.9. Yours seems great compared to that....good luck!

[lawphil]

I am bumping this thread up.

On 6dpo I had a progesterone level of 8.9 - while on clomid.

The nurse asked the doctor and he said that I didn't ovulate. I pursued a little further and he got on the phone and had me email him my chart and said that maybe I had ovulated but wanted to see my temperatures for the next two days.

Anyway, I am looking for any info people may have whether it be there own numbers/results or things that their doctors have told them.

Has anyone else heard that anything over 5 means you ovulate?

Also, I asked about progesterone and he said that I didn't need it. Assuming I did ovulate is it too late in the game to get it or should I call and demand it tomorrow??

Any thoughts are greatly appreciated!!

[cosmic]

My progesterone was also low but that wasn't discovered until after I was pregnant. I took the suppositories until about 13 weeks.

[lawphil]

Thanks for your response cosmic and congratulations on your successful pregnancy! I am glad to hear someone able to get pregnant with low progesterone and then have a successful pregnancy with some supplements.

Thanks again!

[Lucy Van Pelt]

I had two miscarriages partially blamed on very low progesterone. My RE put me on suppositories two days after a positive OPK. I got pregnant a couple of months later and am now 24 week along with a baby girl! I was on the progesterone for around 8-10 weeks....can't remember for sure. Best of luck to you!

[zhannushka]

Here are my progesterone stats in the beginning of this pregnancy (I'm now 27 weeks along):

10DPO: progesterone - 8.3
15DPO: progesterone - 16
23DPO: progesterone - 21

I was put on 200mg prometrium orally until 12 weeks along.

[GardenGirl]

Hey Zhanna !

I too am 27 weeks and had low progesterone discovered after pregnancy. I'm trying to remember correctly, but it was around 15 at 18DPO and never really got much higher than 18. I took 200mg suppositories daily until 14 weeks. I never had any problems. Best of luck!!

[zhannushka]

[hijack] Hey Tera! :) Can you believe how far we've come?! [end hijack]

[lawphil]

Oh wow, thank you for all of the info ladies!


I am glad to see so many success stories.

I thought something was off when the Dr. said 8.9 meant that I didn't ovulate. Particularly when I had such a huge and sustained temp shift on my chart (as well as pos. opk and peak on fert. mon).

Thankfully I have all of you smart ladies to ask so that I can be more proactive in my care!

Thanks again!

Oh, and if anyone else has info please keep it coming!!

[julietchicago]

*Bump*

Anymore low progesterone experiences to share?

I am 6-7 DPO and my blood test for progesterone came back at 4.75 today. The nurse said the Dr likes to see it at 15...ugh!!! I was just in for an ultrasound last Tuesday and they confirmed a 25mm egg on my right ovary. What does this low progesterone level mean?

We are in the beginning stages of infertility testing. The nurse left me a voicemail w/ the above info today. I wasn't able to call her back before they closed. She did say they want to put me on a progesterone supplement. I am on information overload right now.

Any feedback would be appreciated :-)

Thanks

[pocahontas]

Low progesterone can mean a number of things but I am not trying to scare you at this point. For someone who is pregnant it can on some occasions mean a m/c because progesterone is needed to sustain a pregnancy. For somoene who is just starting fertility testing such as yourself, it is good to catch early so they can start you on suppositories (which many of us are on). Not sure how old you are but I recently read progesterone decreases with age...

[jennylou]

julietchicago - my first pregnancy my progesterone was 5.9. That was with the help of clomid. I did have to go on suppositories.

[jeggink]

I had no testing with my 1st pg but after 2 m/c they tested my progesterone without meds or being pg and it was about 8. They did put me on progesterone with my next pg and we were able to carry our daughter past the 1st tri but lost her due to other reasons that were not related. They gave us Procheive 8%, a vaginal cream with applicator. Just took it once a day and it wasn't to bad. I also had the prometrium at 1st, 200mg a day orally and that stuff didn't agree with me.

[Scooter]

I am 6-7 DPO and my blood test for progesterone came back at 4.75 today. The nurse said the Dr likes to see it at 15...ugh!!! I was just in for an ultrasound last Tuesday and they confirmed a 25mm egg on my right ovary. What does it mean when you say you have a "25mm egg" on your ovary? Is that a cyst or is that a growing dominant follicle? How do you know you O'd? If you're still in the testing phase, does that mean this was a natural cycle or were you on fertility meds?

I ask because I have read that a progesterone level of 5 and up means you've ovulated. I don't know how literally they stick to the 5 and if 4.75 counts, though. And if you've got a follicle that large on that side, and haven't O'd, chances are that you're Oing very soon. As for a good level of prog, they like to see it over 10 for a non-medicated cycle and over 15 is really for medicated cycles.

[julietchicago]

What does it mean when you say you have a "25mm egg" on your ovary? Is that a cyst or is that a growing dominant follicle? How do you know you O'd? If you're still in the testing phase, does that mean this was a natural cycle or were you on fertility meds?

I ask because I have read that a progesterone level of 5 and up means you've ovulated. I don't know how literally they stick to the 5 and if 4.75 counts, though. And if you've got a follicle that large on that side, and haven't O'd, chances are that you're Oing very soon. As for a good level of prog, they like to see it over 10 for a non-medicated cycle and over 15 is really for medicated cycles.

Thank you ladies for all of your responses!

Scooter - I went in for an ultrasound after I got a positive OPK and they confirmed a 25mm follicle. This was a natural cycle, no meds.

[Scooter]

Oh ok, got it. Before you O'd you had a 25mm follicle--makes a lot more sense. I thought you were saying you currently had that, so I was very confused!

[michelle29]

I got pg on an IUI/Gonal F Injectables cycle where my progesterone was 5. My OB always told me that cycles with low progesterone weren't worth supplementing b/c they'd end in m/c. Well, my RE supplemented, and David is now 23 months old and VERY healthy.

eta: I'm 9 weeks pg now with baby #2. My RE did not test my progesterone this time. I was just ordered to supplement a day after my IUI. He said low P4 tends to be a reoccuring problem, and they don't always catch it in time, so it's best to just supplement right away.

[alootikki]

I have had my progesterone levels checked on CD7/8 of the past two cycles - both times it has been 6.5. Isn't this pretty low?

I don't think I have any symptoms related to luteal phase defect - always have 13-day luteal phases with no spotting, chart looks good this cycle. (http://www.fertilityfriend.com/home/162b4c)

The RE seems nonchalant about the levels, but I'm concerned. Did anyone deal with this? Did progesterone supplements help?

[JennZ]

My RE said a progesterone level above 5 would indicate some sort of ovulation had occured.
He also said he wanted to see a level of 12 on an unmedicated cycle and 10 on a medicated cycle.
So if mine came back under 5, it would indicate no O. Between 5-10, he would start me on progesterone suppositories. And over 12, I wouldn't do the progesterone.
So your level does seem a little low, but maybe your doc is just nonchalant because he feels that you did indeed O.
HTH!!

[lee60657]

Bumping up to hopefully hear some more positive outcomes with low progestrone discovered after a pregnancy.

I had a very early loss/chemical pg in March. I started to worry about low progestrone. I got pregnant this cycle :) I tested + at 10DPO and went in for blood work that day b/c I was concerned about low progestrone. My 10DPO bloodwork showed progestrone level of 8 (unmedicated). :( I started vaginal supplements on 11DPO - one each night. I am SO worried about the low progestrone. Everything I read online re: low progestrone and pg = m/c. I also read a ton re: how it is pointless to supplement after pg - it delays a m/c - just negative things :(

I had my blood drawn again (14DPO) of course I have to wait until tomorrow to get the results!

I should add my hcg levels are fine and my dr made it all seem like no big concern :rolleyes:

Anyone have any + stories or advice? TIA!

[PookiePrincess]

When I went in for my first OB appointment at 7 weeks my doctor checked my progesterone level and it was low (I didn't ask the numbers though). She called in the supplements for me. I took them from then until almost 12 weeks.

It was hard at first because my immediate thought when I heard low progesterone was miscarriage. My doctor is convinced everything will be fine. At this point I'm trusting my doctor since it'll only make things worse if I worry incessantly. We've also seen the baby twice on u/s and heard the heartbeat.

My advice, you're doing all you can. Keep up with the supplements and try not to worry (I know, easier said than done!). :)

[lee60657]

Thanks for sharing Pookie! I am doing my best to remain positive. It is hard though - I want to be so excited, but this is putting a damper on it:( I hope to get good news re: my levels tomorrow.

[zhannushka]

Lee - Here are my progesterone #'s in the very beginning of pregnancy:

10DPO: progesterone - 8.3
15DPO: progesterone - 16
23DPO: progesterone - 21

I was put on oral supplements right away (10DPO) and until 12 weeks. Just like you, I was so worried about the low progesterone that I didn't even enjoy my pregnancy until after the 12 week mark. :( But, I have a happy and healthy 6.5 month old to show for it now. :D Good luck tomorrow!!!

[lee60657]

zhannushka - THANK YOU SO MUCH for posting! That really does comfort me and give me some hope. I really really hope my levels go up and this pg sticks. It sucks not to be able to enjoy the exciting news. Your post did help though so thank you:)

[loving624]

lee - at 5w3d, that was what, 18DPO, my progesterone was 8.3. It was tested bc I was spotting. My dr put me on progesterone pills 3xs a day, and by 6w5d, my progesterone was up to 32. She did however, say that had it not risen, they would have also done the suppositories as well. It CAN mean a m/c, but if they catch it and get you on the supplements, there is a very good chance that everything will be fine. Oh, and I'm now 24w2d with a healthy little boy. I took the progesterone until week 13.

Let us know how your #s turn out. Good luck!

[lee60657]

loving - thanks for sharing your story - I am glad you had good results:)

Got my #s this morning - 15DPO and my progestrone is up from 8 to 28.3:D They said I responded beautifully to the supplements. It was nice to get some positive news!

[loving624]

That's awesome Lee. Congratulations!

[Annette]

I'm glad I found this thread. I had a feeling I was pg when I didn't get my period this week, but I tested negative until today at 17dpo when I got a +. My normal LP is 12 days. I went to get a blood test to check my levels and my progesterone was only at 6. I'm starting the 100mg suppositories 2x per day. I'm still scared of miscarrying again. I don't know the cause of the first m/c. I'll get my HCG #s tomorrow and then find out if they are doubling on Monday.

[Alanna]

Hi -

After getting a BFP - I just got labs done on 13 DPO -

my HGC was only 30 and my progesterone was at 8 - the MW i spoke to wasn't too optimistic to say the least but told me she thought i was borderline as far as this being a viable pregnancy.

i am starting progesterone supplements tomorrow (i got the results too late to start tonight.) and i was just wondering... if this does turn out to be a viable pregnancy -- how do they decide when to take you off the progesterone supplements... do they have some way of monitoring your natural progesterone even when you are taking supplements?

Thanks for any input!

[zhannushka]

Alanna, my first progesterone # was 8 as well. I was put on supplements right away and had to take them until 12 weeks along. They only did two follow-up tests in the first few weeks after I went on supplements, and since the progesterone # was going up steadily, they stopped testing me for it. They wanted me on the supplements until 12 weeks though.

[Alanna]

thanks for answering Zhannushka!

[Alanna]

I have another question for people who used progesterone suppositories...
I just got mine from a compounding pharmacy and they didnt come with any directions or anything :(

i guess i just try to get it up there as far as possible?

and then it will totally dissolve before the next one? (2X a day for me)

thanks... as if this isnt complicated enough.. i assumed they would come with directions etc... i didnt even get a thing about side effects or anything.

[Scooter]

Alanna, there's no way to separate out how much of the progesterone in your system is made by your own body versus how much is from the supplement.

You can read back farther in this thread for tips and side effects, but yes you want the supplement to be as close to your cervix as possible. That's where your body needs the progesterone (your uterus) the most. There are a few different types of supplements, but yes they certainly will dissolve. Mine always dissolved completely by the 1st hour, which is why I ended up getting up and using one in the morning and then going back to bed for 30 mins.

[Alanna]

thanks so much scooter!

[Annette]

Bumping:

Question about the 7dpo progesterone test??

I am supposed to get blood drawn when I am 7dpo. I am pretty sure I ovulated over the weekend. Since my doctor's office is closed on the weekends, would getting the bloodwork done on Friday be accurate enough?

[LaneyBug]

Hello. I have to go in for the progesterone test, at the end of the month. I am a little confused as to what is happening. I spot 2-3 days before AF comes and then I only have it for 1-2 days. My doctor thinks it is my progesterone and said that she would give me Clomid. Is it possible to just take Prometrium instead of the Clomid? I am not sure how the two work and would love any insight I can get!! I would LOVE to just be able to do Prometrium and not Clomid, if I don't have to. I am just not sure if doing just the Prometrium will work. I will definately ask my doctor but thought I would check with any of you first.

Thank you!!! :)

[Scooter]

Laneybug, welcome to CC! Progesterone and clomid do two very different things. If your doctor thinks your progesterone is low, putting you on supplements is going to help keep your uterine lining in place longer. So no more spotting before AF and you'd have a longer luteal phase (the time between ovulation and AF). You would only be on the progesterone after ovulation, and would stop either when AF comes or when a test verifies you're not pregnant.

Clomid, on the other hand, is an ovarian stimulation medication. That means you take it for a few days right at the end of AF and it stimulates your ovaries to produce a stonger, more mature egg or two than you would normally produce. That process can also stimulate your body to produce more progesterone on its own.

Taking progesterone supplements is not going to have anything to do with ovulation, so if your problem is ONLY progesterone, it's possible to just take the Prometrium and get pregnant. However, I've got to warn you that often when the progesterone is low it's more indicative that your ovaries aren't producing a strong enough ovulation, which is what the ovarian stimulation meds (like clomid, femara, and injectables) help with.

[LaneyBug]

Scooter - Thank you SO MUCH for the reply!!! CC is so GREAT! So many of my questions get answered without even having to post!! But, everything you said makes PERFECT sense. I will make sure that I ask a lot of questions, at my appointment!!!

[MLA]

Okay, so I made my midwife prescribe me progesterone, because of my previous miscarriage and the fact that I'm spotting. FTR, when they drew my blood at 14dpo, my progesterone was 14, which is okay, but I've traditionally had short luteal phases, so I'm a bit worried about progesterone. And I feel pretty confident that low progesterone may have been the culprit in my last miscarriage.

Anyway, the midwife prescribed prometrium. I picked it up this morning, and now that I've read the warnings, I'm scared to take it. It talks about blood clots and strokes. And there are actually these words in the precautions section: "There is conflicting information about whether progestins may cause harm to an unborn baby." WTF?

So, does anyone have thoughts on this? I'm tempted to not take it because I don't want blood clots, and now I'm worried that it may actually harm the baby that I'm trying to keep.

[PookiePrincess]

MLA: Ignore the warnings and take the progesterone. The bottle on mine said "Do not take if you are pregnant." My thinking is doctors wouldn't prescribe it for pg women if it wasn't safe (or the benefits outweigh the risks).

I took it from about 7 weeks until I was 13 weeks, one suppository at night. Everything is fine with my baby at 20 weeks and she looks healthy.

I, too had a short luteal phase, usually 11-12 days. I never really thought about the need for progesterone until my dr said something.

[MLA]

Thanks, pookieprincess, for the advice. I went in this morning for another blood draw and spoke w/a nurse practicioner. She made me feel a lot better about it. So I'll be starting the prometrium tonight. I guess I just sort of freaked out -- those warning labels are super scary!

[cr8zyforaf]

MLA - I just wanted to also say that I was on Prometrium supplements prescribed by my RE during the first trimester with DD....I spoke at length with my RE about the warnings that came with them...and he assured me that it was fine, and I believed him.

I was not on them this time around and it will always be in the back of my mind that I should have insisted....

[MLA]

Thanks, cr8zy. I'm thinking that if I don't take it and I do end up miscarrying, that thought will also be in the back of my mind. If I miscarry, even though I'm taking it, at least I won't have that added burden. From what I understand, though, there's not a whole lot of evidence to firmly support the notion that prometrium helps to stave off a m/c. I think doctors give it to patients as a sort of "just in case it works" sort of thing and to make the patients feel like they're doing SOMETHING. So, I don't think you should feel bad about not insisting to be put on prometrium.

[JLRenheos]

Bumping



Had 7dpo progesterone test yesterday

19.1 @ 7dpt/medicated cycle

Should know in about another week!

[Annette]

I just had my 7/8 dpo progesterone test and it was 8.2. Is this good or too low? I'm not pg this cycle.

[Scooter]

Annette, sorry you're not pg this cycle. Did you check out the first few posts in this thread? They might help you a little. 8.2 is a little low, they like to see 10 or above on a non-medicated cycle.

[lisapremiere]

What is the level that they want to see on a medicated cycle at 7 days past transfer?

[Scooter]

Lisa, I'm not an IVF expert, but I'd guess they're looking for the same range on an IVF cycle as on any other medicated cycle, which would be well above 10, hopefully even 15 or above. Are you talking about 7 days past egg retrieval? That would be equivalent to 7dpo. Or are you talking about 7dp3dt or 7dp5dt? That would be equivalent to 10 or 12dpo, so obviously they would want it as high or higher than the 7dpo number. HTH.

[Alanna]

Hi there -

I am about to start taking progesterone this cycle - i was wondering if anyone knows if it will effect my waking temp - should i not bother continuing to temp once i start taking it?

thanks!

[jennylou]

alanna - it will raise your temp.

[Alanna]

thanks jennylou - i guess i will retire my thermometer for the rest of this cycle.....

[jen]

I need to ask you ladies a question (or two!)...... I've seen an RE for multiple m/c's, had the boat load of tests, and all came back normal. She decided to give me progesterone supplements and baby aspirin for the heck of it, with very little instructions. She basically told me to start taking them at CD 21, and stop when I take a HPT. Yeah, no. First of all, I'm not stopping until I get past my "regular" m/c day (around 5 weeks)... but let's back up a sec.

My questions....

1) why are progesterone supplements a CLASS D drug??? Should I be worried about this??

2)This cycle I'm not really sure if we timed things correctly. I'd rather not go through a week of supplements for nothing.... if I test a day after I miss my period, can I start then with the same results? Should I start the baby aspirin earlier?


Sorry, I feel totally clueless... I'm sure one of you can shed some light on matters!

thanks!

[MLA]

Hi jen! I've also had multiple miscarriages and all of my tests came back "normal." I'm going to be doing progesterone and baby aspirin, too. I've already started the baby aspirin. I'll start the progesterone 3 days past ovulation. My doctor said that I could wait until I got a BFP to start the progesterone if I want, but that starting at 3dpo is good. I'll take both at least through my first trimester. I don't know why she'd tell you to stop once you get a BFP. That doesn't make a whole lot of sense to me. You're supposed to take progesterone through your entire first 12 weeks. I'm not 100% sure on how long you're supposed to take the baby aspirin.

Lots of women take progesterone supplements. I don't think you need to worry about it being a class D drug.

[chi]

I am hoping that someone can help me. I got my BFP last week and am 5 weeks PG. My doctor put me on progesterone suppositories, 200 mg 1xday. I had a blood test 7dpo which showed progesterone levels of 11.6, but haven't been tested since. I just started the suppositories yesterday (15dpo) and have had some cramping today. Should I be concerned? I read that a side effect to the progesterone is cramping. Is this true? TIA!

[zhannushka]

chi, I was on progesterone supplements for 12 weeks and I had lots of cramping and nausea once I started taking them (mine were administered orally). Also, mild cramping is something lots of women experience in the 1st trimester.

[jen]

ok I'm back with another question!

How does the progesterone supplements effect your cycle? If you start taking them before you can take a HPT and end up not pregnant, will you get your period? Or do you need to stop the supplements in order for your period to start?


:o

thanks

[taffers]

ok I'm back with another question!
How does the progesterone supplements effect your cycle? If you start taking them before you can take a HPT and end up not pregnant, will you get your period? Or do you need to stop the supplements in order for your period to start?

Either can happen. Most people seem to not get AF until they stop the progesterone. I've been on progesterone about 3 times (both orally and IM shots). I remember one time on the pills, AF started while I was still on progesterone (apparently, my body REALLY didn't want to be pg!), when I was doing the IM shots, it didn't start until about 4 days after stopping.

[akacharlotte]

Should I be encouraged or ready for another Clomid cycle?

My CD21, 3DPO progesterone level was 10.8 which is a vast improvement over the previous two medicated cycles. Do I have reason to hope my progesterone will keep rising or is this number too low for a medicated cycle. I've found answers on the net that say yes and no.

[JMD]

Progesterone Supplement v. Clomid...

Okay I fully understand the difference between the two treatments and I understand that progesterone can low for many reasons.

My 7 dpo levels were at 10. My doctor felt this was on the low side (non-medicated cycle). She wants to put me on supplements next cycle. However, I am feeling like my low progesterone could be caused by poor ovulation. My feelings come from the following: (1) ever since going off the pill, I get EWCM around 3 days before O and the I am pretty dry all the way until I O, (2) sometimes I even get OPK's positive for two days and then don't O for two days after the second positive, (3) I've had one chemical for sure and I think I may be having another as we speak (no positive HPT but many symptoms that I only had with my last PG), and (4) I do not have a luteal phase defect that I know of (my LP is always 14 or 15 days long with no pre-AF spotting and good high temps).

Should I talk to my doctor and ask if we can try Clomid instead of Progesterone supplements. Or am I just being overanalytical? I'm glad to find out that something is not completely right (as I've suspected it for awhile) but I want to make sure we treat it correctly. Please give me advice.

[Scooter]

JMD, are you seeing an RE and have you had all the IF testing done already? I'd really recommend doing those two things first, if you haven't yet. Both of those meds have lots of side effects so I personally don't take either one lightly, but it's worthwhile to know that clomid alone might not do it for you. You could need both. (I still ended up on prog supps while on clomid because my prog level was still low--and clomid actually shortened my LP by about 4 days.)

The other thing is that progesterone has a standard dosage, while clomid usually starts off low, like around 50mg. That means you have to wait through an entire cycle before you know if it is raising your progesterone--and if it's too low of a dosage it can actually delay ovulation. It also causes cysts in an average of 1 in every 4 cycles, which can make your next cycle cancelled while you wait out a long cycle for it to shrink (like 40-50 days).

Basically, you could go on clomid and have the best scenario--you get pregnant immediately and it boosts your progesterone enough to support a pregnancy. :) Or, in a more worst case scenario (but still VERY common!) you could end up finding that the low dose clomid isn't enough, that you're prone to clomid cysts (even if you never had a cyst before), and in 2-3 mos when you try 100mg you could find out that it still didn't help. That would put you at 4 months out before you add progesterone to the mix, well, 5 mos if you get another cyst. Which means the BFP would be 5-6mos away--again, just worst case scenario, and all assuming that you get pregnant on the 1st try of the right combo.

I don't want to sound really negative, but sometimes it's nice to have the reality laid out before making the decisions. Having been through all this, you can see why I'd suggest 1 month on the progesterone before starting down the clomid road. There are just a lot more variables with it.

[JMD]

Thanks so much Scooter. I had just decided (before reading your post) that we would try the progesterone supplements for the month before getting involve in Clomid.

I am not with an RE. My OB does specialize in infertility - is a UCLA and Mayo Clinic grad and very respected in the Los Angeles area. I will not switch over to an RE until September. That is what DH and I agreed to. I may wait to do the Clomid until then. I really appreciate your honesty - it is exactly what I was looking for because I am very new to this whole situation.

[L and L]

I had my ob/gyn test my progesterone at 7 dpo because I spot for about 7 days before AF arrives and my level came back at about 7 (that's a lot of sevens!). I know from the boards that docs usually like it to be over 10 for a non-medicated cycle so it seems low to me. When I spoke to my ob/gyn about the results, she said the test showed that I ovulated and she seemed happy with the result. She is otherwise very thorough and attentive so it's not as if she's being negligent. Any suggestions on how to get my ob/gyn more concerned with my progesterone level? I hate to be an "internet know-it-all" but also don't want to just let this go unnoticed.

Thanks!