Dear Rachel et al - Prometrium is sometimes prescribed to pregnant women here in the US when they are found to have low serum progesterone, corpus luteum defect/cyst, or with histories of multiple/recurrent miscarriages that were preumably attributed to low progesterone. My limited review of the literature, and discussion with a few local OBs, finds that it is a controversial topic (imagine that!), with some prescribing it "just to be safe" and others feeling that it is unwarranted. I went through this recently with my own pregnancy, and was amazed and appalled at the lack of clinical evidence given to support the recommendation that I take the prometrium, which is why I quickly weaned myself off of it (and low and behold, remained pregnant - 20 weeks now). I emailed Ellen personally and asked her the following questions: What is this mom's serum progesterone level? Why were the meds. prescribed? Has she experienced previous pregnancy losses attributed to low progesterone? Is her doctor concerned about continued nursing because of its possible effects on the nursling (a quick look in Hale reassured me) or because of nursing's possible effects on the mother and fetus (which is questionable at best). One big question I have is this: since any reference I have found to support progesterone supplementation suggests that it can/should be removed by 11-13 weeks or so, why is this mom is already ten weeks pregnant and just starting the meds? Her own placenta should be taking over production soon, and if she has been nursing this whole time without issue, the advice to wean abruptly at this point does not seem well thought-out. I am quite surprised that a woman who is seeing a fertility specialist has just discovered she is pregnant at ten weeks - usually moms with fertility issues know that they have conceived before they even miss a period! And the questions I always ask a pregnant mom of a current nursling: How will she feel if she does not wean, and loses the pregnancy? How will she feel if she DOES wean, and loses the pregnancy? I agree that she needs another medical opinion, and a lot of support for whatever decision she makes. Karen Pogge, MD, LLLL Enjoying being back on Lactnet after a long break *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html