Anti-Müllerian Hormone, abbreviated as AMH, is a substance that greatly affects reproductive function in both men and women. The level of this hormone in male body allows you to determine the onset of puberty. The indicator of AMH in the blood of women is given special attention, since it indicates the readiness of the body for conception and the ability to endure pregnancy. This substance has an important effect on the functioning of the ovaries, namely, it controls the process of maturation of the follicles and their subsequent growth.
Why are women given an AMH test?
Anti-Müllerian hormone is present in the body of every woman from birth and it dries up only after menopause. That is, by determining its level, you can find out the number of available in female body, at the time of the study, eggs that are completely ready for fertilization.
Accordingly, this analysis is most often prescribed in the case when standard tests for hormone levels do not show any deviations, but at the same time, having a regular sexual life the woman still does not get pregnant.
A test for the amount of AMH can also be prescribed in the following situations:
- to determine the effectiveness of antiandrogen therapy;
- with suspicion of polycystic ovarian disease;
- history of unsuccessful IVF attempt;
- in cases of delayed sexual development;
- with infertility with an unexplained nature;
- with suspicion of granulosa cell tumor of the ovaries.
The normal level of the hormone in the body of a healthy person
When receiving test results, a woman, first of all, needs to understand that this indicator does not depend on such external factors as nutrition and lifestyle. Also, its level in the blood is practically not affected by age, except for the period of menopause. There are cases when the level of AMH in women over the age of 40 was much higher than in healthy women. reproductive age.
Normally, this hormone in the female body should be contained in an amount of 1-2.5 ng / ml. In cases of deviations, when the indicator is lowered or increased, there is reason to assume the presence of pathologies in the female reproductive system.
The results obtained after the study of AMH can help in the diagnosis of such women's problems as:
- polycystic ovaries;
- malignant tumors of the ovary;
- infertility;
- earlier onset of menopause.
Elevated levels of the hormone in the blood
Based on the established norm for the content of this indicator in the blood, anti-Mullerian homon is considered elevated when its amount exceeds 2.5 ng / ml. If the deviation slightly exceeds this indicator, then in cases where a woman is preparing for an IVF procedure, an adequate excess will only benefit her. This result of the analysis suggests that she has a high chance of pregnancy as a result of artificial insemination.
When AMH in the blood is significantly elevated, this can be perceived as a signal of the presence of various tumors. It may also indicate polycystic ovaries, delayed puberty, and the presence of a defect in luteinizing hormone receptors.
Why does the hormone go down?
In cases where the anti-Mullerian hormone is lowered, there are suspicions about the presence of the following pathologies:
- ovarian failure;
- decrease in ovarian reserve;
- the onset of early menopause;
- obesity
- premature puberty.
Accordingly, with a low rate of this hormone, independent pregnancy occurs very rarely. It must be understood that AMH is just an indicator that shows the number of viable eggs.
Artificial stimulation of this indicator medicines, including hormonal ones, is possible. But in this case, the number of eggs still, unfortunately, will not increase. In fact, the ovarian reserve will remain the same. The AMH indicator can be increased only when the causes that initially lead to the absence of healthy eggs in the body are eliminated.
Self conception with low AMH
The question as to whether it is possible to get pregnant when the anti-Mullerian hormone is low is quite complicated. A test result of less than 0.2 ng / ml is considered critically low. Just a low indicator is considered to be a result from 0.2 to 1 ng / ml.
In the second case, when the indicator is admissibly lowered, appoint control test on FSH. If it is not overestimated, there is a chance of getting pregnant on your own. If in women, after 30 years, the anti-Mullerian hormone is critically low, this may be a signal of the imminent onset of menopause.
It is known that the number of eggs that will be ready for fertilization in the future are laid in the female body even during its prenatal development. At the time of a woman's puberty, in the absence of serious pathologies, the number of such healthy eggs is about 300 thousand. They are called the female ovarian reserve or reserve.
Throughout each menstrual cycle, there is a maturation of several eggs, followed by the release of the highest quality. This process in the body of a sexually mature woman occurs non-stop, and does not stop even while taking contraceptives or pregnancy itself.
A critically low level of AMH in women over 30-40 years of age indicates that the supply of eggs in her body is coming to a logical conclusion. Unfortunately, in this case, it is no longer possible to force the body to produce additional eggs.
If the approaching menopause was named as the reason for the low rate, but at the same time the woman wants to become pregnant, in addition to consulting a gynecologist, she needs to contact an endocrinologist. In some cases, the doctor prescribes a replacement hormone therapy. This method can delay the onset of menopause for some time, due to which the childbearing function is prolonged. In such situations, the onset of independent pregnancy is likely.
IVF procedure with low AMH
After receiving the results of the tests, according to which the anti-Mullerian hormone in the blood is lowered, the decision on further actions should be taken only by qualified doctor. Unfortunately, experts note that the most likely way to conceive a child in this case is IVF. Sometimes, it is necessary to use a donor egg.
If a woman categorically refuses donor material, artificial ovarian stimulation can be used. But with low AMH, it is likely that this procedure will be ineffective. Such intervention can lead to even greater depletion of the ovarian reserve.
How to pass the test
The indicator of this hormone, as a rule, does not change throughout the entire menstrual cycle. But in order to obtain the most correct and accurate results, the test is prescribed to a woman on the 3rd or 5th day of the cycle.
To get the correct result, when passing venous blood for any laboratory study, it is necessary to adhere to certain rules. The AMG test was no exception. In order to protect yourself from unnecessary worries due to incorrectly obtained results, the following recommendations must be observed before donating blood:
- a woman is strictly forbidden to smoke at least 1 hour before the procedure;
- a few days before donating blood, it is necessary to reduce physical activity as much as possible. It is strictly forbidden to play sports, lift weights and allow strong physical overstrain;
- should be avoided if possible stressful situations. A few days before the study, it is not recommended to experience strong emotional outbursts, it is necessary to remain in a state of rest;
- do not take the test immediately after the transfer acute infection or some serious illness.
If at least one of the above factors was not observed, this should be reported to your doctor. On his reasoning, it may be decided to postpone the test to another day. Since the analysis is paid, it will help save money and relieve unnecessary worries in case of receiving incorrect data.
What to do after the test results are received
Usually, this study can be carried out from 2 to 7 days. After receiving the results, do not try to decipher them yourself. Only the attending physician can do this correctly.
If AMH deviations from the norm are detected, there is no need to panic, since this result is not the final sentence to infertility and the impossibility of independent pregnancy.
Since the indicator reflects only the correct functioning of the ovaries, and the work of other organs, as well as indicators of other hormones, does not affect the level of AMH in any way, at high rate the test is necessary to look for ovarian pathology.
If the test score is elevated, the doctor prescribes a series additional research in order to exclude various neoplasms. First of all, it will be necessary to undergo an ultrasound diagnosis.
In case of detection of tumors or polycystic diseases, long-term therapy is prescribed. After its successful completion, when the factor that provokes an increase in AMH is eliminated, re-testing can lead to a result corresponding to the norm.
If the anti-Mullerian hormone is low, also do not despair. The real problem with the onset of pregnancy is possible only when low AMH is observed with a simultaneous increase in FSH (folicostimulating hormone). That is why, when the anti-mullerian hormone in the blood is low, the doctor prescribes an additional study for FSH.
If the indicator of folic-stimulating hormone is normal, and pregnancy still does not occur, then it is necessary to continue searching for the causes of infertility.
The article tells about the Antimullerian hormone (AMH), what it is and how important it is in a woman's body.
Antimuller hormone: the hormonal norm for the female body and the likelihood of pregnancy
In the human body, there is a huge variety that are individually responsible for the correct operation of various functions.
Negative fluctuations at the hormonal level cause many diseases. Let's look at the characteristics of the Anti-Muller hormone, its functional features, hormonal norm and rules for blood testing.
What is Anti-Mullerian Hormone (AMH)?
AMH is a special hormone associated with reproductive functions. In the female body, thanks to him, the processes of growth of the structural components of the ovaries - the follicle - and an increase in the number of eggs that have reached the final point of maturation occur. This substance plays an important role in biological processes to women from birth.
Before adolescence age period the hormone level remains at a minimum level. AMH is normalized at the onset of reproductive processes, and is kept within specific limits during the menstrual cycle.
Indications for passing the analysis
The content of the inhibitor in the blood cells of women indicates the number of follicles that are at rest. This indicator is called the PCF, and it characterizes the likelihood of conception and how quickly menopause can occur.
Inhibitor analysis is prescribed for:
- Serious disorders of the ovaries;
- Slowing down the processes of puberty;
- premature onset;
- Weak or no IVF effectiveness.
The passage of this analysis reveals the causes of infertility or a malignant tumor
What result is normal?
These values are typical for a healthy female representative who is capable of conceiving and bearing a fetus.
For the Mueller inhibitor, the norm is 1-2.5 or 0.5-12.6 ng/ml (values may vary depending on the methods of examination). The laboratory must write those values that are taken as the norm for them.
Increased rate
If the level of the hormone exceeds the norm, this may be due to the following manifestations:
- Slow puberty;
- The appearance of tumor formations in the ovaries;
- The appearance of symptoms of polycystic.
This is the most common causes an increase in the content of a substance in the blood.
Low level: causes
Low hormonal levels may indicate the following pathological manifestations:
- Changes before menopause;
- Obesity;
- Decrease in FRM due to age-related features.
Is it possible to get pregnant at low levels?
Pregnancy due to low levels of the inhibitor is possible, however, only in very rare circumstances. The egg in such a situation is not always able to mature to a full-fledged state.
To determine the possibility successful conception you should pass the proper tests and undergo an ultrasound procedure.
The final results are more influenced by the age of the patient and the level of follitropin.
Pregnancy with high AMH
A high hormonal concentration is always indicated by a value exceeding the established norm of 1-2.5. With minimal deviations in value, when a girl is preparing to undergo an artificial insemination procedure, exceeding the indicators will not interfere in any way positive pregnancy. A high percentage of AMH signals the presence of tumor-like formations and other disorders that can interfere with an adequate bioprocess.
Anti-Müllerian hormone: the norm for conception in women
In order for conception to occur, you need a healthy hormonal background. Despite the fact that this hormone does not directly affect the conception of a child, it shows how the female reproductive system works.
Figures may vary slightly different people- this is normal.
Table
Hormone levels are evaluated according to the table below.
Deciphering indicators
You can conceive and endure at any level of the hormone, except for a very low one. A very low level will require oocyte maturation, and it may also be needed if the level is low.
High levels of the hormone may indicate diseases reproductive system, for example, about polycystic, or be a consequence of stimulation.
Treatment
If the tests showed a low presence of an inhibitor substance, it is necessary to artificially stimulate the functioning of the ovaries so that they begin to produce eggs. There are also drugs on the market (for example, DHEA) that can increase the percentage of the component for some time, but this will not be enough to solve the problem of infertility, since pathology must be prevented for a positive result.
Anti-Müllerian hormone (AMH) is synthesized in the body of both men and women. Its main purpose is the regulation of the production of germ cells. So, in males, it is directly involved in spermatogenesis, in women it regulates the processes of egg maturation. Thus, this substance has a direct impact on the possibility of conception in women. That is why ladies, when faced with a situation where they are interested in whether it is possible to get pregnant and how to do it at a low concentration.
What is the meaning this indicator should be normal?The norm of concentration in the blood of anti-Mullerian hormone in women for the occurrence of pregnancy is 1-2.5 ng / ml. At the same time, it should be noted that these values are typical for sexually mature girls, because. the value of the concentration in girls is much lower.
A decrease in AMH is said when its level fluctuates between 0.2-1 ng / ml.
Can You Get Pregnant With Low Anti-Mullerian Hormone?
As a rule, with such a violation, women are diagnosed with insufficiency of ovarian activity. That is why they cannot get pregnant naturally.
In cases where the AMH concentration drops below 0.2 ng/ml, the situation is critical, i.e. pregnancy is only possible through
If we specifically talk about why it is impossible to get pregnant with a low level of anti-Müllerian hormone, then first of all it is necessary to turn to the peculiarities of the physiology of the female body.
The fact is that the concentration of AMH itself is used by physicians as an indicator of the so-called ovial reserve (the functional ability of a woman's gonads to develop full-fledged follicles, from which mature eggs are then released). That is why a reduced AMH, which is a consequence of disorders in the reproductive system, indicates that in the near future the ovulatory process will stop altogether.
How to get pregnant with low anti-mullerian hormone?
Algorithm therapeutic actions in such a situation, it completely depends on the characteristics of the disorder and the level of AMH. However, it must be said that in most cases, a decrease in this hormone in the blood is not the cause, 
but a consequence of an existing violation. There are so many of them (from obesity to impaired puberty, pathologies of the reproductive system) that it is not always possible to accurately determine the cause that led to the decrease in AMH.
As for directly increasing the chances of pregnancy with low anti-Mullerian hormone, it should be noted that even hormone therapy cannot help. The thing is that in the body of every woman the level of this hormone directly depends on the number of full-fledged, capable of maturation, eggs. Therefore, even the introduction of synthetic AMH into the body will not lead to an increase in the number of follicles.
The level of the hormone AMH is one of the most important indicators reproductive health women. If Anti-Mullerian Hormone is Low, Can I Get Pregnant? This question is asked by many women who want to have a baby after 40 years. This age limit introduces changes in the body that may not yet be visible outwardly.
Women younger age less often face the need to determine the quantitative value of AMH. And yet, a decrease or increase in this hormone relative to the norm is possible at any age. It is possible to judge the possibility of pregnancy only when complex diagnostics. One definition of anti-Müllerian hormone is not enough.
A certain amount of AMH in the blood of a woman is synthesized from birth until the moment of extinction reproductive function. The indicators of this substance allow you to evaluate the function of the ovaries and find out the likelihood of fertilization. Anti-Müllerian hormone (another name is Mueller inhibitory substance) is produced. For some reason, it may decrease or, on the contrary, increase.
During fetal development, a female embryo lays a certain number of eggs. From birth to puberty, it decreases. By puberty, a girl's gonads contain about 300,000 eggs. During the reproductive age, there is a monthly decrease in this reserve. The indicator of the hormone allows you to determine the remaining stock.
As you know, without the development of female germ cells, conception cannot occur. If the value of other hormones is able to change during the cycle, then the level of anti-Müllerian hormone remains constant. It is not affected by the day of the cycle and other factors. It only changes with age.
Anti-Müllerian hormone is extremely important for conception. With its critical decrease, it will not work to get pregnant. This substance reacts sensitively to the processes occurring in the body, which may not be visible externally. Increasing AMH levels is also not very good. In this case, you will have to look for a problem in the ovaries.
When and how to take the test
To prescribe an analysis for AMH, the patient must have the following indications:
- infertility of unknown origin;
- delayed sexual development;
- suspicion of a granulosa cell ovarian tumor;
- polycystic ovary syndrome or suspicion of it;
- conducting antiandrogenic therapy and the need to assess its quality;
- preparation for the use of assisted reproductive technologies.
The study involves taking blood from a vein. Advance preparation is usually not required. The patient is not recommended to consume fatty foods and alcohol the day before the study. An hour before the sampling of the material, you should not smoke and be exposed to emotional experiences. The best time to take the test is in the morning. It takes 2 to 5 working days to study the quantitative value of AMH. The results obtained may be as follows:
- critically low 0-0.8;
- reduced 0.8-1;
- the norm for women is 1-2.5;
- elevated 2.5-7 or more.
The commonly accepted units of change for anti-Müllerian hormone are nanograms per milliliter.
Can I Get Pregnant With Low Anti-Mullerian Hormone?
A decrease in anti-Müllerian hormone levels indicates that the ovaries no longer have the former supply of ovarian reserve and are gradually depleting their resources. The following factors influence the decrease in AMH values:
- menopause and menopause (at this time, menstrual function stops in women and the reproductive period ends);
- operations and resections performed on the ovaries (a decrease in the ovarian reserve is due to the removal of part of the ovary along with the follicles);
- insufficient development of the sex gland (congenital anomalies in the structure of the ovaries);
- pathology of the hypothalamus and pituitary gland (there is insufficient production of hormones, which entails pathological changes in the functions of the reproductive system);
- violation of metabolic processes in the body.
The reasons for the decline are not always the impetus for reaching critical AMH values. It is impossible to bring all patients under a single classification. It is also impossible to say with certainty whether it is possible to get pregnant with low AMH. To answer this question, it is necessary to conduct a comprehensive examination and study the gynecological history of the patient.
When anti-Müllerian hormone levels are below normal, but do not have critical values, pregnancy is not excluded. The probability of conception decreases, but it remains in the natural cycle. If you apply hormonal correction and stimulate the ovaries, then the chance of a positive result will increase.
How likely a pregnancy with low AMH can be determined using a study of follicle-stimulating hormone. If its value does not exceed 10-15 mIU, then a woman will be able to become pregnant on her own. An increase in FSH indicates that the ovaries are working for wear and tear, the time of menopause is approaching, and the likelihood of pregnancy tends to zero.
With high FSH and low AMG pregnancy impossible. Doesn't help in this situation. known techniques treatment. A woman with such a picture laboratory research it is proposed to carry out in vitro fertilization using donor material.
If a woman has a low AMH, and an independent pregnancy does not occur within 6-12 months, then you should think about the use of assisted reproductive technologies. Taking into account individual characteristics patients and on the basis of additional studies, the gynecologist can choose a certain tactic of action:
- stimulation of ovulation;
- in vitro fertilization;
- IVF using donor material (when own AMH is critically low).
How to increase AMH
To date, there are no drugs that have won the trust of specialists that could increase the volume of the ovarian reserve and the number of eggs in the ovary. Otherwise, there would be no essence of the problem that occurs with a decrease in anti-Müllerian hormone. A temporary delay in the reduction of this substance is given by hormone replacement therapy.
Treatment involves the use of drugs that stop the ovaries from working for the right time. This technique is used for women with prerequisites for a decrease in ovarian reserve, planning a pregnancy in the future. The technique is quite common and has positive results. An important condition for such therapy is a timely start.
There is a lot of talk about how to increase AMH. Particularly active in such debates are women preparing for in vitro fertilization. With a critical decrease in the ovarian reserve, the ART procedure is not performed. In this regard, patients are trying to find all sorts of non-traditional and medications that increase AMH values.
Numerous experiments have led to the conclusion that it is possible to increase the levels of anti-Mullerian hormone with the help of vitamin D3 and dehydroepiandrosterone (DHEA). This technique is actively used when the values are less than 0.5 ng/ml. IVF for low AMH is performed using a double dose of stimulants or by fertilizing a donor egg.
Elevated anti-mullerian hormone when planning a pregnancy
Pregnancy with a slight decrease in AMH is possible. The probability of conception will be the higher, the greater the value of the reduced indicator. Based on this assertion, one can elevated values anti-Müllerian hormone a good result. But this is not always the case. The reasons for the increase in indicators are various deviations in the ovaries: tumors, neoplasms, polycystic, congenital developmental defects, as well as pathologies of LH receptors.
Reproductologists believe that if a woman has a high AMH, then she will be successful in the IVF protocol. It is important to choose the right tactics of action. Often women with large values this substance in the blood is not stimulated.
If hormonal agents are used to enhance ovarian activity, then in minimal doses and very mild. The danger that anti-Mullerian hormone is elevated lies in hyperstimulation. At the same time, many follicles are formed in the ovaries, and the glands themselves increase several times. In a cycle with ovarian hyperstimulation, embryo replanting is not carried out, so the protocol is delayed for several months.
How to lower AMH
The need to reduce AMH occurs when the digital values of this substance reach 7 or more. Often this happens with polycystic ovary syndrome, when ovulation is absent.
Normalize the level of AMH is possible only by restoring ovulation. For this, conservative and surgical methods of treatment are used. good effect gives drilling of the ovaries. After the procedure, ovulatory function is restored in the first month.
Anti-Müllerian hormone and IVF
In vitro fertilization involves a preliminary comprehensive examination. A woman is assigned various tests, including the determination of the amount of AMH, FSH and other important substances. Take for IVF normal AMH, if there are other reasons for the absence of pregnancy (no fallopian tubes or they are obstructed, a male factor is present, or infertility is determined of unknown origin). In this situation, there are no issues with stimulation, and a standard scheme is used for a woman.
IVF with low AMH is also possible, but only if FSH is normal. The level of AMH for IVF should not be less than 0.8 ng/ml. Under this condition, reproductologists use a large dose hormonal drugs to stimulate the ovaries. IVF with low AMH can be done in two ways:
- a long protocol in which long stimulation is carried out (more than a month) and a weak ovarian response is achieved (3-5 follicles);
- a short protocol that is characterized by a moderate ovarian response and produces up to 10 mature follicles.
AMH after IVF can decrease even more, so a woman is always stimulated with great care, assessing the expected benefits and risks. If the patient has low values anti-Müllerian hormone, but stimulation was carried out and showed good result embryo freezing is recommended. In the future, preference is given to cryoprotocols in IVF, and anti-Mullerian hormone is not taken into account.
If the level of AMH during IVF (in preparation) is determined to be critically low, then the couple is offered the ICSI procedure. The method of infertility treatment involves injecting sperm directly into the egg, which increases the chances of a successful outcome. When the rate for IVF significantly exceeds those found in a woman, in vitro fertilization is carried out using donor material.
When pregnancy occurs, the patient should be under medical supervision. The expectant mother must be prescribed maintenance therapy, as the risk of abortion remains high.
1 vote, average rating: 3.00 out of 5How to get pregnant with low progesterone and is it possible at all, as well as ways to eliminate this problem - actual topic for modern women. In order not to panic in vain, this issue should be well understood and find the right solutions.
The role of progesterone in conception and pregnancy
What is progesterone?
The steroid hormone progesterone, produced in both men and women, is associated mainly with the activity of the genital organs. In the female body, this hormone maintains the normal course of the second half of the menstrual cycle, it is secreted by the corpus luteum in the ovaries (after the release of the egg from the follicle, the follicle bursts and the corpus luteum appears). The hormone is also produced by the adrenal glands.
progesterone and pregnancy
For pregnant women, progesterone is the main hormone, it is he who makes the bearing of the fetus possible:
- prepares and adapts the endometrium before and during pregnancy;
- contributes to the fact that the fertilized egg "gets along" in the uterus;
- does not allow the menstrual cycle to continue in pregnant women;
- prevents contractions of the uterine muscles;
- allows the uterus to grow;
- suppresses the woman's immunity (which is important after the first days of conception, when the fetus is perceived female body as an object to be destroyed);
- in the last two trimesters of pregnancy, it helps tendons and ligaments to become more elastic and softer (then pelvic bones easier to disperse during childbirth).
In general, without progesterone, the body future mother he would not be able to adapt to the new conditions that arise after the birth of a small life in him. In addition, it directly affects menstruation and the production of other hormones (corticosteroids, testosterone, estrogen).
In addition, progesterone takes part in the processes of bone formation, strengthening of blood vessels and immunity, suppression of various kinds of allergies, protects against cancerous tumors endometrium and mammary glands.
What happens when there is a lack of progesterone?
The exact opposite situation occurs with a lack of a hormone. Insufficient progesterone levels provoke abortion, especially on early dates. This is explained by the fact that the uterus in such cases will be in good shape and simply “throw out” the fetus.
Causes of Low Progesterone
Main reasons
Among the reasons why a healthy woman may have a decrease in progesterone are hereditary predisposition and an unhealthy lifestyle: long-term hunger strikes for weight loss, constant stress and strong feelings.
Although, professional athletes also have low levels of progesterone due to exorbitant physical activity(ballerinas, light and heavy athletes).
It happens that in order to identify the reason why hormones are not produced in the right amount, the organs that are responsible for them are also examined. Sometimes the cause is in a disease of the ovaries or adrenal glands, and the thyroid gland is also checked.
What else could be the reason?
Other reasons may include infectious diseases genital and inflammation urinary organs, uncontrolled reception hormonal and contraceptives, wrong work endocrine system, cyst or underdevelopment corpus luteum, placenta, etc.
Sometimes a hormone test is given at the wrong time, ie. day of the menstrual cycle, and then the result is also incorrect. This happens with an irregular cycle, it is especially important to correctly determine the right day for analysis. It is from the cause of the hormonal failure that the treatment will completely depend.
Symptoms of a lack of progesterone in women
It is important to know the symptoms of low progesterone so that you can start correcting the problem as soon as possible. Most often, the alarm is sounded when there are:
- serious violations in the cycle of menstruation, their short duration;
- small discharge before the onset of menstruation;
- severe pain during menstruation;
- profuse discharge, vaginal bleeding.
When the hormone is not enough, the woman constantly experiences fatigue, is extremely irritable, gains a lot of weight, PMS ( premenstrual syndrome) is very difficult.
There are also sudden changes in mood, inability to control emotions, pain in the head, hair loss or excessive growth in unwanted places, dryness in the vagina, swelling of the mammary glands. Bloating, malfunctions of the gastrointestinal tract also indicate possible problems with hormones.
Normalization of progesterone levels
Naturally, everything in the body should be normal. So are hormones: if progesterone is elevated, there is nothing good in it, the uterus simply will not contract, but with reduced level- the uterus spasms, which leads to menstruation.
First of all, it should be noted that the answer to the question "Can I get pregnant with low progesterone?" has an ambiguous answer. Conception is possible, but it is unlikely that it will be possible to bear and give birth to a child with an indicator below the norm, so it is better to bring the hormone back to normal in advance, when planning a baby.
Progesterone test
Without analysis data, it is not reasonable to try to increase your progesterone, hormones are no joke, the intervention of a doctor is necessary here.
Blood must be taken on an empty stomach, usually in the morning, when 7-8 hours have passed from the last meal, on the 22nd or 23rd day of the menstrual cycle. Try to calm down before taking the test, avoid stress and quarrels.
Additionally, the doctor can observe the phases of maturation of the follicle, the state thyroid gland, the pituitary gland (its anterior lobes) for the presence of tumors and other abnormalities. Examine the villi of the endometrium, how they react to progesterone. It would not be superfluous to clarify how a woman lives: lifestyle, nutrition, leisure, etc. Comprehensive examination is the key to successful treatment.
Treatment
Various drugs with steroid components are prescribed, the duration of administration and doses are prescribed strictly individually. One of them is duphaston, it is a synthesized progesterone, it is used both before and during pregnancy, until the placenta can synthesize the hormone itself.
Utrozhestan is also a popular drug in the treatment of hormone deficiency. Available in capsules of 200 and 100 mg, the method of administration is vaginally or orally.
There is a special vaginal gel - Crinon. It is recommended for pregnant women to prevent miscarriages.
Developed and vaginal tablets called endometrin. They are administered with a special applicator, used even by women in position.
progesterone during pregnancy
Progesterone during pregnancy The feasibility of hormone therapy
The girl cannot get pregnant. Is it infertility?
Dufaston when planning pregnancy
AT hormonal treatment injections are also practiced. For example, Injesta - the drug is administered intramuscularly. For the application of such an injection, patients are recommended to be on inpatient treatment, although an outpatient option is also possible.
Under the supervision of a physician, an oily solution of natural progesterone is administered intramuscularly or subcutaneously. It is necessary in the absence of menstruation, the threat of miscarriage, dysfunction of the corpus luteum.
All drugs have a number of limitations, which are reliably known to the attending physician, this is another reason to contact medical institution rather than resort to self-medication
Folk ways to increase progesterone
Food
Zinc in salt compounds, as well as vitamins B and E are partly responsible for the creation of progesterone in the body. To replenish the reserves of these elements, it is advised to lean on nuts, seeds, legumes, bran, beef liver(also chicken and rabbit), take multivitamin complexes. It would not be superfluous to include cereals, eggs, milk, cottage cheese, avocados, olives, turkey, tuna, salmon in the menu, you can take fish oil.
Sport
There are sports and physical activity, after which it works better nervous system, which means stress and anxiety go away. This is facilitated by dancing, yoga, meditation, long leisurely walks in the fresh air. It is recommended to master the gymnastics for intimate muscles according to the Kegel method and perform it daily.
In addition, you need to get enough sleep (8 hours a day) and monitor nutrition, it must be correct and regular.
decoctions of herbs
Herbal decoctions to increase progesterone begin to be taken on the 15th day of the menstrual cycle.
Mix one tablespoon of cuff with one teaspoon of psyllium seeds, pour a glass of boiling water, insist and drink a tablespoon three times a day.
Take dried raspberry leaves, wild yam. Pour a tablespoon of herbs with boiling water (200 g) and leave for a couple of hours. Drink a tablespoon three times a day.
You can only brew raspberry leaves. Two tablespoons are brewed in two glasses of boiling water, insisted for an hour and drunk a little all day.
Of course, without the results of tests on your hands, you do not need to independently take on an increase in progesterone, especially if it is not known for sure whether this is necessary.
The reasons for the failure of the desired pregnancy can be very different and very often they can be eliminated with the help of competent treatment and a responsible attitude to one's health.
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