Is 55 nmols too low progesterone after FET today?

[PaulaDag]

Hi All,

I had my natural FET today and before the transfer I asked for my progesterone to be tested. The nurse just called and it came back as 55 nmols. I said i thought it was low and she went off to check with the consultant who said its OK and not concerned but if i want to add another lubion there are no contraindications. Apparently he said over 60 nmols is fine and mine is close at 55.

When i had my fresh transfer in Oct/Nov my progesterone was over 190 nmols and the other week I said i wanted more progesterone this FET as i'd bled before OTD on the fresh. The consultant said its different with a natural FET as I produce my own progesterone unlike a fresh ivf so he doesn’t want to up from 1x lubion and 2x pessaries per day. This doesn't explain why my levels were higher in the fresh transfer versus the natural FET 🤔

They said I can either do:-

- 1 pessary in the AM, 1 lubion at lunch, and then another lubion and pessary before bed.

or

- 2 pessaries in the AM and PM and 1 lubion in the evening.

Any thoughts? Which is more effective? What do your clinics say is the acceptable level of progesterone for successful implantation/pregnancy?

Thanks. So stressed out

[Lapinblanc88]

Mine (private in London) said over 70 but ive read many studies saying over 100 is optimal

I was on 2oral progesterone tablets

2crinone a day

3 intramuscular progesterone injections a week

Levels were 150 on transfer day (FET)

Side effects were debilitating fatigue and bad sleep

[PaulaDag in reply to Lapinblanc88]

Thanks Lapinblanc88

The optimal level seems to differ from clinic to clinic doesn't it.

Is crinone the oral progesterone?

It seems as if my clinic just do cyclogest and lubion.

xx

[Lapinblanc88 in reply to PaulaDag]

Crinone is a vaginal progesterone gel So my clinic had me on oral, vaginal and muscular injections.

[Jumpppy]

Good luck and lots of sticky wishes XOXO

[PaulaDag in reply to Jumpppy]

Thank you xx

[Millbanks]

Hi Paula, my clinic says 50 or above on day of transfer I think in general you can't really overdose on progesterone, so I would always opt for the higher amount personally. For my last 3 FETs I've had 2x pessaries and 1x lubion. xx

[PaulaDag in reply to Millbanks]

Hi Millbanks, ok thats good to know, thanks. It seems as if optimal level differs from clinic to clinic. The nurse said the consultant told her 60.

They upped me anyway so now doing 2x pessaries and 2x lubion with a retest on Saturday to check. I also added in an extra pessary here and there to be sure 🙂

xx

[Millbanks in reply to PaulaDag]

Brilliant - I always think more is better for FET - especially as your body isn't producing any naturally. Haha I've done the same with an extra pessary or two xx

[PaulaDag in reply to Millbanks]

Only downfall is lubion is pricey over a period of time haha 🥴

[Millbanks in reply to PaulaDag]

Urgh indeed - but I'd happily pay for more if it meant our FET would work! xx

[PaulaDag in reply to Millbanks]

Ditto! 😀 xx