Progesterone is the most important hormone in a group of steroid hormones known as progestogens. This hormone plays a major role during your pregnancy by affecting your uterus, amniotic fluid, and your immune system. Overall, progesterone is involved in maintaining your pregnancy and preventing preterm birth. As a supplement, progesterone is used during pregnancy primarily for recurrent miscarriage and to prevent preterm labor. There is a lot of research on the use of progesterone and this episode dives into the role progesterone plays, testing your levels, supplementing, and the use of progesterone to prevent miscarriage and preterm birth.
Included in This Episode
- The role of progesterone during pregnancy
- Hormones in Pregnancy
- Progestogen for preventing miscarriage
- A Randomized Trial of Progesterone in Women with Recurrent Miscarriages
- Progesterone Supplementation and the Prevention of Preterm Birth
- Short Cervix, Incompetent Cervix, & Cervical Cerclage
- Fetal fibronectin (fFN) test
- Timing of progesterone supplementation
- Testing progesterone levels
- Threshold progesterone level of 25 ng/ml to sustain pregnancy in first trimester in women with history of infertility or miscarriage
- Types of Progesterone
- Synthetic progestins (medroxyprogesterone acetate and norethindrone acetate)
- Natural progesterone
- Vaginal progesterone
- Oral micronized progesterone
- Side effects
- Maternal progestin intake and risk of hypospadias
- Improving your progesterone levels
- Cortisol and progesterone
- Talking to your doctor or midwife
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