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Rapid oral progesterone desensitization*

Rapid oral progesterone desensitization*
Protocol step Oral capsules dose (mcg) Number of capsules Total dose Time interval (minutes)
1 1 1 1 30
2 1 2 2 30
3 1 5 5 30
4 10 1 10 30
5 10 2 20 30
6 10 5 50 30
7 100 1 100 30
Note that this protocol has been performed in a very small number of patients by experienced allergy specialists. The efficacy in larger numbers of patients awaits further study. UpToDate suggests that allergy specialists supervise such protocols whenever possible.
* With use of capsules made at a compounding pharmacy.
Original figure modified for this publication. Reproduced from: Prieto-Garcia A, Sloane DE, Gargiulo AR, et al. Autoimmune progesterone dermatitis: Clinical presentation and management with progesterone desensitization for successful in vitro fertilization. Fertil Steril 2011; 95:1121.e9. Table used with the permission of Elsevier Inc. All rights reserved.
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