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Doctor insights on: Mc Kenna

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Does makena injections lose its effectiveness after 5 weeks from first use? There is written that it must be used within 5 weeks from first use. Why?

Consistency: Medications such as Makena, really any hormonal regimen, rely on a certain level of consistent presence in the body to be effective. It's quite possible that missing the injections, at certain times, lowers the level of medication in the system; making it less effective. ...Read more

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Will taking mackena p17 shots cause stillborn or misscarriage?

Will taking mackena p17 shots cause stillborn or misscarriage?

Not Likely: P17 injections are to prevent preterm labor for women w/ cervical incompetence. Given, they decrease likelyhood of miscarriage. This is hormone usually produced by placenta, sometimes drops in this will cause early contractions. I would recommend sitting down for further discussion with your ob/gyn or family doctor to discuss further, the risks/benefits. ...Read more

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I need advice from a gynae. I have a mirenna inserted 5 years ago in March. When does this stop working. Must it be done in March or can it wait.

I need advice from a gynae. I have a mirenna inserted 5 years ago in March. When does this stop working. Must it be done in March or can it wait.

A 9 month wait?: Mirena does have a finite life as the hormones are metabolized and are no longer effective. If you go past the expiration date, then pregnancy is a very real possibility as ovulation can resume at any time past that point. A nine month wait for a new baby would not be a risk worth taking of going past the expiration date of Mirena. ...Read more

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I know some injection sites must not be washed or contacted with water till the next day. Does it apply to hydroxi progesterone caproate (makena) shots?

I know some injection sites must not be washed or contacted with water till the next day. Does it apply to hydroxi progesterone caproate (makena) shots?

I do not think so.: All injection sites including intramuscularly injected hydroxyprogesterone should be done on a surface that was previously cleaned for example with alcohol. Cleaning that same area at a later time by washing with water/ soap should not be a problem. ...Read more

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My husband gave me an injection of Makena (a progesterone shot) a two weeks ago. It's been really sore and last week I noticed a lump. Is this normal?

My husband gave me an injection of Makena (a progesterone shot) a two weeks ago. It's been really sore and last week I noticed a lump. Is this normal?

Weekly shots: Makena is designed to be given weekly. If your last shot was two weeks ago then this concerns me that you may be missing them. Have your obgyn examine the injections site. Also consider having your obgyn train you husband to make sure he is giving the injections appropriately ...Read more