Sunday, June 22, 2008

Progesterone

On Tuesday, June 17, I called Dr. Davis because I was concerned I had an issue with progesterone post ovulation. He told me to come in on Thursday. In the meantime, on Wednesday, I saw my PCP and she ran some labs: progesterone, some coagulation stuff and something I came across in my research, a screening for "anti-phospholipid syndrome".

Thursday morning after therapy, I dropped Precious Miracle off at my mother-in-law's and drove the almost two hour drive to South Jersey. I waited for another two and half hours for the ultrasound room to become available. Between the tech, Dr. Davis and his med student shadow, my uterine lining and ovaries were evaluated. My uterine lining was just as it was supposed to be for day 22 in my cycle. And I had indeed ovulated. Dr. Davis also reviewed the basal temperature chart I started keeping earlier in the month beginning on day 8. There was the textbook pattern of a slight drop in temperature followed by the climb on day 14.

Dr. Davis gave me a lab slip to have another progesterone level drawn and said to test for pregnancy if I didn't start my period on day 30.

On Friday, I learned that the progesterone level that was drawn on Wednesday was 10.7. This was a little low yet all the medical people I spoke with (none MDs) said it was "within normal limits".

After dinner on Friday, I felt a little sick to my stomach but thought nothing of it. On Saturday morning it persisted as I coached Precious Miracle at My Gym. Immediately after, we headed to Quest and I had another progesterone level drawn. At the same time, after much nagging, my husband went to the Dollar Store to pick up some HPTs.

I couldn't resist doing a HPT even though we both knew it was way too early for a positive result. I did the test and was too anxious to wait the three minutes and threw the test in the garbage. My husband, gloating that he was right, it was too early to test, asked how it went. I replied that it indicated we were expecting identical quads. A few hours later as I was getting ready to go out for dinner, I decided to take another look at the test. I pulled it from the garbage can and sure enough there was a very faint pink line. I raced downstairs to show my husband who was feeding Precious Miracle and he confirmed that yes, we are pregnant. He was not shocked at all.

I was somewhat in disbelief yet unaffected by the news. I immediately called my friend, Sara, to see what her thoughts were of an hours old HPT result. She and her scientist husband felt is was accurate.

I called Dr. Davis and left a message for him explaining that my progesterone from Wednesday was only 10.7 and that I had a faint line on a HPT. We went for dinner and an hour later, Dr. Davis left a message on my home phone, indicating he would like to start me on oral progesterone and to call him on Sunday.

First thing Sunday morning, I took two more HPT. One was another Dollar Store test and the other was a First Response. They were both positive. I called Sara back to confirm that I was indeed pregnant. I also left a message for Dr. Davis. He called in Prometrium - 600 mg per day.

On Monday, after taking another HPT, I got my Saturday progesterone level which was 28.3 - Dr. Davis was very pleased with this increase, however, would like me to continue with the oral progesterone anyway. I also called my Perinatal group to request lab slips to have my HCG checked. They also scheduled my first OB appointment for July 30. I am also scheduled to see Dr. Davis on July 17.

Tuesday morning, I took another HPT and received my HCG slips in the mail. I went to have my blood drawn at 11:30. I am anxious to see where these numbers are compared to my first pregnancy.

It is still very early! I am only 3 weeks, 5 days pregnant. I haven't even missed a period yet. So far, I've only told Sara, Lori - my support mom from the NICU, my mother and Wendy -another micro-preemie mom.

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