Who knew there were so many ways to measure progesterone?! They include chemiluminescence (CLIA), electrochemiluminescence (ECLIA), enzyme-linked fluorescent assay (ELFA), fluorescent enzyme immunoassay (FEIA), and two that are impractical in clinical settings but are considered “gold standards” — radioactive immunoassay (RIA), and liquid chromatography-mass spectometry (LC-MS).
The hospital lab has a machine (Siemens Atellica) that uses chemiluminescence to assess serum progesterone in blood. The IDEXX Catalyst uses some top secret proprietary technology that they would not reveal when I called Customer Service to inquire.
Yes, I have been nerding out over progesterone this week.
The IDEXX Catalyst does not appear to have been used in any peer-reviewed, published studies, although I did find one presentation that was peer-reviewed. Instead, there is considerable IDEXX-generated literature about their progesterone testing.
HMMMMMM.
That doesn’t mean their information is wrong! It just offers the critical thinker a reason to pause. When the company selling a product tells you how great and accurate it is — well, it might all be true but consider the source. And if it is so great — where are the peer-reviewed, published studies?
Like this one, which did not use an IDEXX machine, FYI:
Hollinshead, F. & Hanlon, D. (2019). Normal progesterone profiles during estrus in the bitch: A prospective analysis of 1420 estrous cycles. Theriogenology 125: 37e42.
I did say I was nerding out, right?!
You can use the above to understand the table below, which is Claire’s progesterone results.