Low progesterone levels can significantly impact ART success rates, hindering implantation and early pregnancy development. Supplementing with progesterone during IVF cycles is a common practice. This often involves daily injections or vaginal suppositories, starting after egg retrieval and continuing until the pregnancy is well-established (typically 8-10 weeks). Dosage varies based on individual needs and is determined by your reproductive endocrinologist.
Progesterone Supplementation Strategies
Different progesterone delivery methods exist. Vaginal progesterone is generally well-tolerated, leading to fewer side effects compared to injections. However, blood levels may be less predictable. Injections offer more consistent hormone delivery, but can cause discomfort at the injection site. Your physician will discuss the best option for your situation, considering factors like your medical history and preferences. Regular blood tests monitor progesterone levels ensuring optimal therapeutic concentrations. If levels remain low despite supplementation, your doctor may adjust the dosage or delivery method.
ART Procedures and Progesterone
In some cases, low progesterone is addressed before commencing ART. This pre-treatment might involve lifestyle changes, dietary adjustments, or medication. During IVF, embryo transfer techniques may be slightly modified to account for low progesterone levels, though this isn’t a universal protocol. Intracytoplasmic sperm injection (ICSI) is used more frequently if other fertility issues are present besides low progesterone, and does not directly address low progesterone issues.
