Can a child be saved if there is spotting in the early stages of pregnancy and the progesterone level is low?

Patient's question:

I'm still in school, 21 years old. I recently just found out I'm pregnant. I'm a bit young, and I don't know what to do. Please ask: Can the pregnancy be saved if there is spotting in the early stages of pregnancy and the progesterone level is low?

Doctor's answer:

Yes, it has been three days. A follow-up ultrasound should be done one week after the last one to check how the gestational sac has grown. Pay attention to bed rest and maintain regular bowel movements. If there is heavy vaginal bleeding or severe abdominal pain, go to the hospital immediately. It is best for you to have an ultrasound tomorrow. Perhaps the gestational sac has leaked. Even if it is a miscarriage this time, you should check your progesterone before the next pregnancy to supplement it early. You can choose dydrogesterone tablets or progesterone capsules, depending on how much bleeding you have. If the bleeding is not significant, you can wait for a few days. If the bleeding is heavy, go to the hospital at any time.

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