QuestionHi Dr. Rameriz. I am 35 years old and I have done 4 fresh IVF and 2FET all
negative. In august i did another IVF with Intralipid infusion and I had my
very first positive beta of 158 and 324 2days after. My office doesnt do a
third. Since my positive beta I have been worried though because my
pregnant feelings have disappeared. I am using progesterone suppositories
and my last level was 15.7 is this too low? Do you think I will have a good
outcome with these numbers??
AnswerHello Lisa-Marie,
Your numbers are looking good and pregnancy symptoms are very non-specific. I recently had a similar patient who swore each time she had a blood draw, that she was no longer pregnant because she didn't have any symptoms. In fact, she continued to remain pregnant with twins, and was transferred to her obstetrician at 9 weeks gestational age. She still didn't have any symptoms.
I think your progesterone level is a little low. With that level, I would double your progesterone dosage. I like it to be greater than 25. Some clinics want it to be greater than 30, but that high a level is not necessary.
I'm glad to hear that the intralipid worked, although studies have shown it not to be beneficial. In your case, it certainly seems to have been. I get similar results using low dose aspirin and heparin (and they are less expensive).
Good Luck,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf
