0.2 progesterone level, is this normal?

by Christine
(Colorado)

I normally don't share my health stories out of fear there is something wrong with me although my husband who now wants to have children believes its my off balance body that is preventing this from happening.

Since I started my menstrual cycle when I was twelve all the way up to my present age, I have suffered from irregular periods. At first it was more like long drawn out periods that never seemed to end. I would bleed for two sometimes three months and then I wouldn't bleed for months.

Off and on I would bleed for months and then not for months and this continues. Finally about five years ago I meet my husband and we marry three years later. The entire time my husband has been telling me to seek a doctor regarding my irregular periods but I assume I am perfectly fine. I reassure him my only issue is that I eat irregularly and smoke which I explain is most likely my main cause for my issues.

Recently I have been bleeding since June and the sad part about my situation is I completely am used to bleeding regularly that I didn't even notice. Finally my husband comments about not being able to try for children as I have been bleeding for months.

This is where I realize I have been bleeding since june and currently am still bleeing. After talking with some family later I discover I have two cousins that have recenlty been diagnoised with PCOS. I make an appointment where they actually do a cervix examine and draw 6 vials of blood. They also schedule me for an ultrasound.

At the ultrasound the next day they tell me I have a cyst that is the size of a walnut if not smaller not on or in my ovary just by my ovary. I ask her if this is why I am having my bleeding issues and she tells me maybe, she doesn't know.

Three days later, they call me although I am unable to answer and this is when they tell me they would like to do a BX of my uterus lining as it seemed thicker than normal. I call back to make the appointment and also to find out about my lab results but they are unable to tell me anything of use.

Today I get a copy of my labs and everything seems normal although I have no idea what any of it means. It claims my DHEA levels are 235.4 and my progesterone levels are 0.2. I have tried to contact the DR. regarding my labs by no one seems to have the time.

Is any of this normal? Does anyone know what any of this means?

Comments for 0.2 progesterone level, is this normal?

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Nov 04, 2010
0.2 progesterone level, is this normal?
by: Wray

Hi Christine I immediately thought of PCOS, no one should bleed for months and then have times when no bleeding occurs. Your progesterone is very low, indicative of levels found in the first or follicular phase of the cycle. This probably means you are not ovulating. Below are the ranges for
progesterone (serum), see.......
Female (follicular) < 1 ng/ml
Female (luteal) 5 to 20 ng/ml
Medline Progesterone
You don't give the results for oestrogen, which is also needed. The DHEA is within range. You don't give your age, and as DHEA varies I've given all ages, see....
Ages 18 - 19 145 - 395 ug/dL
Ages 20 - 29 65 - 380 ug/dL
Ages 30 - 39 45 - 270 ug/dL
Ages 40 - 49 32 - 240 ug/dL
Medline DHEA-S
The thickened lining indicates you have too much oestrogen, the bleeding is caused by excess MMP's. Oestrogen is a mitogen, it stimulates cells to grow. Vital in stimulating the endometrium each month to grow and thicken ready for a possible fertilised egg. But in excess it stimulates cells to continue growing. MMP?s are enzymes that break down protein. They play a role in the breakdown of endometrial tissues at the end of the menstrual cycle. If they are over active, as would be the case with excess oestrogen in the body, as oestrogen stimulates their production, the result is a pathological reaction. A high level of MMP?s can lead to inflammation and excessive bleeding in the uterus. If a low level of progesterone is present, and a high level of oestrogen, the lining will continue to grow. With a high level of MMP?s the lining will also continue to break down. Progesterone suppresses both MMP?s and oestrogen.
It is essential to use a high amount of progesterone, between 400-600mg/day. If the bleeding is continual, use it both daily and hourly. Using it hourly keeps the level high throughout the day. If there is a cycle, it?s best to ignore it and use the progesterone daily, hourly too, until the bleeding is under control. The progesterone can be used to regulate the cycle once bleeding has stopped. PCOS is caused by oxidative stress, it can be reversed by antioxidants and progesterone. Please read through our page on PCOS. Take care Wray

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