Why progesterone in oil with ivf
All of this affects your progesterone levels. To maintain healthy progesterone levels that support pregnancy, we prescribe progesterone supplements. Patients should start taking progesterone on their egg retrieval day.
Daily use of progesterone supplements should continue until you get the results of your pregnancy test. If you test positive for pregnancy, you should continue to take progesterone supplements through all or most or your first trimester.
Typically, patients that become pregnant after IVF take progesterone supplements for 10 to 12 weeks. Throughout your IVF treatment process, we will monitor your progesterone and other hormone levels through routine blood tests. These allow us to determine if you are ready for the retrieval and transfer, and to adjust your medication as needed. Depending on the stage of the menstruation cycle or pregnancy, normal progesterone levels in women are:.
Although progesterone can be administered as an injection, oral and vaginal suppositories are more commonly used by IVF patients. Vaginal suppositories can increase the risk of spotting or light bleeding. This can be extremely concerning for patients, but it is not uncommon.
To find out if IVF is right for you, contact our practice online or call us in Lubbock at Janelle Dorsett and our warm, highly trained team provide the tools you need to start or add to your family.
List of Partners vendors. As part of the process of in vitro fertilization, you may have to take daily progesterone injections. Not every reproductive endocrinology or fertility practice uses this form of progesterone, and, in those cases, your healthcare provider may have you take a vaginal progesterone insert instead.
If your healthcare provider requires you take progesterone via injection, you will need to do intramuscular injections , a process which, for some women, can be arduous and tiring. Before getting started, it's important to understand why you are taking this medication.
Progesterone is the primary hormone of pregnancy, and the daily injections are helping your body prepare for a pregnancy.
Knowing that you may be helping your chances of success can make the discomfort a little easier to bear. It's also important to alert your healthcare provider to any food allergies you may have.
Progesterone is usually compounded in sesame oil. If you have any allergies to peanuts or sesame, make sure to mention it to your healthcare provider so he can prescribe progesterone in olive oil instead. If you are currently taking progesterone injections and finding it difficult, the following tips can help simplify the process.
Keep the oil in a warm place, not in the refrigerator. Oil can congeal when in a cold environment, which can make it more difficult to draw up or inject. Before you inject yourself, change the needle after drawing the medication into the syringe. A sharp needle, not dulled after passing through the rubber stopper on top of the vial, will actually make the injection itself a little less painful.
Once you've picked an injection site—for intramuscular injections this will most likely be your buttocks, arm, or thigh—use ice to numb your skin before cleaning it with alcohol.
Don't forget to rotate your injection sites. Never inject your medication into the same spot repeatedly. This can increase your chances of tissue damage. Make sure you palpate your muscles before choosing a site.
Sometimes progesterone in oil can accumulate in your muscle, causing little knots or bumps. The injection should not go into one of these bumps and should be about an inch away.
Beyond causing pain, the injected progesterone will not be absorbed properly. If you are finding it difficult to inject yourself, ask a friend, family member, or partner for help. If that isn't an option, call your healthcare provider's office and ask for a tutorial.
Once you've injected yourself, use heat or a heating pad to warm the injection site. Because the progesterone is contained in the oil, it can take a while for the progesterone to absorb into your muscles. The heat will warm and thin the oil, helping boost absorption. You should also massage the area after the injection is complete.
Stimulating your muscle can also help the progesterone be absorbed. Always monitor for any side effects and report anything concerning to your healthcare provider. If you are truly having difficulty tolerating the daily injections or notice any side effects, do not hesitate to speak with your healthcare provider about switching to an alternate form of progesterone.
Most healthcare providers are willing to discuss other options. Intramuscular progesterone oil injections marketed under the brand name Gestone and others have different uses:. Intervention s : Either the standard protocol, 50 mg of IM P-in-oil daily for 6 weeks group 1 or the study protocol, 50 mg of IM P-in-oil daily for 11 days group 2.
Main outcome measure s : Clinical pregnancy, ongoing pregnancy, and live birth rates. Result s : One hundred one patients were enrolled 48 in group 1, 53 in group 2.
Mean age Despite higher embryo quality in group 1 than in group 2
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