I have my Proov results - now what?

You got through your first cycle with Proov and now have information about your progesterone levels - awesome! But now, you may be wondering what to do with this powerful new piece of information. Positive or negative, we’ve laid out some of the next steps you can take in your fertility journey.

If your Proov results are positive…

If your Proov results are positive, congratulations! You can feel confident that you have enough progesterone to support conception. This means low progesterone is not a barrier to conceiving successfully. Remember that for trying to conceive, we recommend testing days 7-10 post peak fertility, as this represents the implantation window. For successful conception to occur, it’s important that progesterone is elevated throughout this window.

But what if your Proov results are positive, but you still are not conceiving? While progesterone is a critical piece of the puzzle, fertility is complex and there are a variety of factors that could be making successful conception a challenge. Luckily, OBGYN and Reproductive Endocrinologist, Dr. Aimee Eyvazzadeh, aka “the Egg Whisperer.” has an awesome method she’s developed to help women understand the key factors that impact fertility. In the TUSHY Method, she explains five key things you should get checked when trying to conceive: tubes, uterus, sperm, hormones, and genetics. The TUSHY Method provides a great place to start conversations with your doctor about testing or to consider other at home testing options like Yo or Trak which can help monitor the “S” in TUSHY, sperm.

Regardless, with positive Proov results you can move forward feeling confident in your progesterone and know you are one step closer to figuring out what may be preventing you from conceiving.

If your Proov results are negative…

If your Proov results are negative, don’t panic! While low progesterone is the most common cause of infertility, it is also very treatable. Now that you have a possible cause, you can move forward and treat the problem.  Remember that when trying to conceive, negative results include the second line never fully disappearing, even if there is a change vs. baseline. Additionally, if you get positive results for a couple days of your implantation window, but not through day 10 post peak, this could indicate a low progesterone issue as well.  If you have any questions interpreting your results, please contact us.

OK, onto the issue at hand - increasing progesterone.  First, there are ways to increase your progesterone naturally:

Diet changes: Leafy greens, nuts, seeds, and whole grains have been shown to increase progesterone production. Vitamin B-6 and zinc also both play a role in hormone production and balancing. You can also try seed cycling.

Herbals: Chaste tree berry (vitex), red raspberry leaf, and maca all help progesterone production and encouraging a hormone balance.

Reduce stress: Stress triggers the production of cortisol and when your body needs more cortisol, it can interrupt progesterone production to make it. Learn more about how stress impacts fertility here.

Maintain a healthy body weight: Low or high levels of fat cells can create a hormone imbalance. Maintaining a healthy weight encourages balanced progesterone and estrogen production.

For more information on naturally increasing progesterone levels, you can read this blog.

While increasing progesterone naturally can be effective, sometimes progesterone levels need the help of medicine. Here are some steps you can take with the help of your doctor:

Ask about ovulation inducing medication: Ovulation inducing medication, such as Clomid or Femara, can help you ovulate or ovulate “stronger” by increasing your progesterone levels.

Ask about trigger shots: “Trigger shots” are a form of purified hCG that is injected to stimulate ovulation. HCG also tells the corpus luteum (the empty follicle) to continue to produce progesterone.

Ask about progesterone supplements: Bio-identical progesterone supplements are widely available and a great way to give your body more progesterone. We recommend avoiding over-the-counter progesterone creams as they typically don’t have high enough of a dose of progesterone. A prescription level supplement will be most effective and this is prescribed by your doctor.

To learn more about ways to increase progesterone with the help of a doctor, check out this blog.

Still not sure of your results or where to go from here? Feel free to email us anytime. We are here to help you!