Patient's question:
On November 4, 2009, I underwent a right fallopian tube removal surgery. My last menstrual period was on August 23, 2011. On October 11, I had an ultrasound examination with the following findings: The uterus measured 6.0×5.4×4.3cm in size, and the cervix was approximately 3.0cm in length. The shape was regular, and the muscle wall echo was uniform. A gestational sac was observed in the uterine cavity, measuring about 2.0×2.4×0.6cm. Inside the sac, an egg yolk sac and a 0.8cm long embryo were visible, along with a primitive heart tube. Below the gestational sac, a crescent-shaped fluid-filled area measuring 0.3cm in width was observed. In the left adnexal region, a cystic echo area measuring about 2.8×2.5cm was detected, with clear boundaries and good internal sound transmission. No significant abnormal echoes were found in the right adnexal region. No fluid-filled areas were observed in the uterosacral fossa or bilateral cul-de-sacs. MRI findings showed intrauterine early pregnancy.Doctor's answer:
Hello, according to the symptoms you described, the main cause of threatened miscarriage is luteal phase deficiency.Recommendation: First, you should have a blood test to determine the progesterone levels. Then, appropriate luteal support should be provided. The main medications for luteal support are progesterone and hCG. Recently, it is important to rest and enhance nutrition. Avoid sexual intercourse for the three months before pregnancy. If possible, I recommend that you be hospitalized for fetal preservation.