Hello doctor,
I spoke with your office, and I understand that you do not follow women’s hormones throughout pregnancy. You help women get pregnant and then pass them to an OB. I’m working with a high-risk OB, but because I had two c-sections previously. I did have one miscarriage once before. After that I happened to have a pregnancy while seeing a GP that works based on NaProTechnology and prescribes bio-identical progesterone during pregnancy. I had a successful pregnancy in 2021, but my levels looked good without the hormone, so I stopped taking that at 20 weeks. I’m pregnant now and my GP has been testing my progesterone and it is much lower than my last pregnancy. I did not go to a fertility clinic before, and my high-risk OB wants nothing to do with looking at my levels. I’m really at a loss for where to go to have a conversation about the use of progesterone and maintaining a pregnancy. My GP said, “the progesterone keeps the baby where it is supposed to be.” So basically, if it drops low I could go into pre-term labor. Based on my conversations with the OB, they would only prescribe progesterone if I had multiple miscarriages. It seems weird to me that someone that does not ever track progesterone could even figure out who needs it and who does not. I know this isn’t what you do, but where can I go to get an opinion about continuing to use progesterone? I’m 31 weeks pregnant and my current GP would have me take this dose of 400mg vaginally twice daily until 37 weeks. I live in Flemington, NJ, but I’m willing to travel. I could try and find another OB, but I thought maybe a fertility clinic would know something about what is usually done during pregnancy to reach full term successfully. I have blood work every two weeks before taking my morning dose and I wanted to discuss these levels with a competent doctor or clinic to get a second opinion.