* Author Topic: Is measuring progesterone level before embryo transfer usual practice?  (Read 1463 times)

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Offline kittykat76

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I would speak to the clinic and say you want to complain about it as you asked twice and they still refused,they could/should have done it for your peace of mind. My clinic asked if I wanted to move back to pessaries as they now test on transfer day but I refused and stuck with the prontogest as I knew that worked for me and I wouldn't forgive self if changed it and it went wrong. Prog is important,I was annoyed when I was told they weren't sure if it was as felt I was being fobbed off. Unfortunately in this journey you often only find the strength to be assertive as you get further along and do more cycles and sometimes its too late by then if you are have no more embies or cant afford to keep going. I think they not knowing is the hardest part as you just torture yourself over it all. I agree with other ladies that levels should always be tested in a medicated fet as you aren't producing it yourself

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    Offline artistliz

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    Thankyou everyone for sharing all the feedback and your experiences. Kittykat thankyou, yes we are going to talk with the consultant next week to hopefully get some answers. And also the counsellor. I actually wrote it all down today for the consultant, nurse team and counsellor as it was all spinning around in my head and found writing it down very helpful and hopefully can act as a discussion starting point.

    In my case it was difficult as I was told when I was due to start taking them the consultant's protocol is prontogest injections every day but i had to check with my NHS haematologist due to my antiphospholipid syndrome as I've three blood clots in my leg and on blood thinners and aspirin. My haematologist said I shouldnt be on prontogest as bleeding risk was too high. So i asked to speak to discuss with my ivf consultant and was told he was too busy and could only speak 10 days later which was 5 days after embryo transfer!!

    So I got an email from the ivf nurse saying how about prontogest every 3 days and 3 pessaries a day on top. So I discussed with my haematologist who despite massive workload is always readily available to talk!!! She said ok do that but make sure the injections are done properly and lots of pressure afterwards to avoid bleeding risk. So that's what was decided but as I've said before despite asking twice for my progesterone to be tested the ivf nurse said my consultant said not necessary. Obviously I realise the progesterone level was probably fine. But who knows!!!!

    My ivf clinic clearly now I see is unable to do tailored individualised treatment plans and is unable to communicate effectively and with care and empathy...

    Offline artistliz

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    So having no individualised treatment plan when you spend 20k on ivf seems kind of crazy!!!! 

    Offline taraeob

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    your question is very interesting.  I have just had failed FET and I suggested to doctor that I would get my tsh checked and he also asked me to get progesterone checked- at start of cycle and again before transfer.  Hopefully this will show whether the cyclogest is enough or not.

    Offline artistliz

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    So what was your dose of cyclogest on your last FET? Did your doctor say your progesterone levels were high enough?

    Offline brooky

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    Hi guys, just thought I would add that my clinic don't test progesterone, however they have put me on 3 lots of progesterone a day , suppository morning and night and pessary midday. I wonder why they don't do it as standard? I mean.... it does seem really weird.. I might ask if they can do, but I feel like they will say no.

    Offline artistliz

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    It's too late for us now. But if we were to do ivf again from this terrible experience i would never ever take no for an answer. Its completely the case that you shouldnt have to be your own IVF doctor but after what we have been through i would just never ever trust a clinic or a so called ivf specialist.