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Question

19 Apr 2006

Please help me with results of 21 day cycle test
Hi there how are you?

I do not know if you know anything about these results but my Progesterone count is 0.4 nmol/L. I just know that the comms from them is
Post Menopausal, Ovarian failure,
Hypothalamic.Pituitary disfunction, "Pill"
HRT- Hormone replacement therapy.

Please help if you know what the results is.
Answer 548 views
Expert
pathologist

01 Jan 0001

You do not mention your age which really makes it impossible for me to interpret your result. The following is just general comments about when progesterone is tested for and what these results mean.

Progesterone levels are measured:

As part of an infertility assessment, when a woman is having trouble getting pregnant and the doctor wants to verify that she is ovulating normally
To determine if ovulation has occurred and when following drug therapy to induce ovulation
When symptoms, such as abdominal pain and spotting, suggest an ectopic pregnancy or threatened miscarriage
To monitor the effectiveness of treatment when a pregnant woman requires progesterone injections to help maintain her pregnancy
To monitor placenta and fetal health during a high-risk pregnancy
When a non-pregnant woman is experiencing abnormal uterine bleeding


What does the test result mean?

Interpretation of progesterone test results requires knowledge of where a woman is in her menstrual cycle or pregnancy. Progesterone levels usually start to elevate when an egg is released from the ovary, rise for several days, and then either continue to rise with early pregnancy or fall to initiate menstruation.

If progesterone levels do not rise and fall on a monthly basis, a woman may not be ovulating or having menstrual periods. If levels do not rise normally during an early pregnancy, the pregnancy may be ectopic and/or may be failing. If serial measurements do not show increasing progesterone levels over time, there may be problems with the viability of the placenta and fetus.

Levels of progesterone will be naturally higher during pregnancies that involve multiples (twins, triplets, etc.) than those in which there is only one fetus.

Increased progesterone levels also are seen occasionally with luteal ovarian cysts, molar pregnancies, and with a rare form of ovarian cancer.
Increased levels are occasionally due to an overproduction of progesterone by the adrenal glands.

In late pregnancy, low levels of progesterone may be associated with toxemia and pre-eclampsia.


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