Prometrium to Prevent Miscarriage
From LoveToKnow Pregnancy
If you have a history of miscarriages, you'll know that using Prometrium to prevent miscarriage is quite often a course of action. It can be taken orally, vaginally, or by injection and is often prescribed when you're trying to conceive.
Why Use Prometrium to Prevent Miscarriage
Prometrium is basically a progesterone supplement sometimes used in conjunction with estrogen supplements but not to be used while you're pregnant or nursing. This is because of the inconclusive evidence regarding its effects on a developing baby. It's used to help keep the uterine lining ready for the implantation of a fertilized egg. Using Prometrium to prevent miscarriage is done prior to conception-—not afterward.
How It's Used
Your doctor will be able to advise you on the appropriate schedule for using Prometrium as an infertility treatment. It has to be prescribed by a physician, so you'll have plenty of opportunity to set up an ideal treatment schedule with your health care provider. You will also be able to discuss which method works best for you: pills, vaginal suppositories, or injections.
Generally, it is meant to be taken at night, once a day for the first twelve days of your twenty-eight day cycle. Other uses for Prometrium (such as restoring your period) require a different schedule.
Why Miscarriages Can Occur
Regarding progesterone, it's hard to decipher whether low progesterone levels cause a miscarriage, or if the miscarriage is inevitable so the body doesn't bother producing an adequate amount. Low levels of progesterone during the first three months are a sign of an impending miscarriage.
Doctors will most often argue that low progesterone levels do not cause miscarriages. Rather, there are other things that cause them and the low levels of the hormone just mean the pregnancy wasn't healthy to begin with.
Fertility specialist Mark Perloe, MD, lists other issues that may cause miscarriage:
| Potential Cause | Explanation |
| Hormonal Causes | High levels of hormones LH, FHS (related to the age of the mother), or high prolactin levels |
| Chromosomal Causes | This can be related to the mother or the father. Families with this cause for miscarriage can have normal pregnancies, too. You won't always necessarily miscarry. |
| Immunity | Antibodies could be attacking the attachment of the placenta to the uterus. In this case, your body doesn't realize it's pregnant, per se, but thinks instead that the pregnancy is a foreign invader, like a virus. |
When it comes to miscarriages, Prometrium could be just what you need to help prep your uterine lining for the implantation of the fertilized egg. Keep in mind, though, it's regrettably not a miracle cure. As listed above, there could be several reasons for miscarriage that don't relate to progesterone levels.
Side Effects of the Drug
Prometrium doesn't come without side effects. Here are a few you may experience if you take Prometrium to prevent miscarriage:
- Back pain
- Breast tenderness or pain
- Cough
- Cramps
- Depression or irritability
- Constipation or diarrhea
- Vomiting
- Changes in weight
Some side effects are more serious than others and you should contact your doctor if you experience any of the following:
- Severe allergic reactions (make sure you don't take Prometrium if you're allergic to any of the ingredients or if you have a peanut allergy since it contains peanut oil)
- Double vision or other changes in vision
- Yellow eyes or skin
- Severe pain in the stomach, chest, or head
- Difficulty breathing
- Speech problems
- Vaginal bleeding to exceed "breakthrough bleeding" amounts
Other Words of Caution
Have a complete physical exam before jumping right onto the Prometrium boat. This rules out health problems that could conflict with the medication. It also will confirm that Prometrium is a viable treatment for you.
Extra Advice
There are a number of sources on the web where you can go to discuss Prometrium and its effects. Here are a few:
Comments
Eden, prenatal pills and iron are common and safe during pregnancies. Vicodin is a Class C drug, meaning that it's not really known whether it will have any harmful effects on an unborn baby. As long as your doctor is aware of the medication and your pregnancy, and you are comfortable taking it, you are probably safe to continue taking it for a short time.
Prometrium is usually given before women conceive, but more doctors are also recommending it during pregnancy.
If you have concerns about any of the medications you are taking during pregnancy, please discuss it with your doctor since she is most familiar with your history to know what you should be taking.
-- Contributed by: HollySwansonI just had surgery for an assist on my ovaries and found out i was pregnant. Surgery went well still have both ovaries n baby is fine they think i'm 5-6wks pregnant and my hormone level is at 12,000? now it was at 6. I was given prescription for crinone 8% but cant afford it so the alternative was prometrium 200mg. I am a little worried about taking it bc of my pregnancy.i'm taking prenatal pills, iron pills and vicodin for my pain. i just want to know how this will affect my baby. It will be my first and i want answers please help me-pregnant and confused.
-- Contributed by: EdenJ,
you will need to talk to your doctor about this directly. Prometrium is usually used before conception but I'm not qualified to second-guess your doctors advice. Double-check with your doc exactly what he wants you to do and what he wants you to take. If you have doubts about the treatment, check with another OB/Gyn or your primary care physician.
-- Contributed by: HollySwansonThis page has been accessed 3,858 times. This page was last modified 19:52, 2 July 2008.
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