Did the fetal demise occur on October 2nd?

Patient's question:

I have had a miscarriage before. The last day of my last period was October 2nd. When I went to the hospital for a thorough check-up, my progesterone level was 14.6. On November 16th, I had a progesterone test, and the result was 12.6. On the 16th, after an ultrasound, I went home and had pink discharge. The doctor prescribed Dydrogesterone tablets. After taking them for two or three hours, the pink discharge stopped, but after a while, it started again. Is the pink discharge a miscarriage? Is it the same as the previous miscarriage?

Doctor's answer:

According to your description, the current condition involves brown discharge, which is a symptom of threatened miscarriage and is related to low progesterone levels. It is recommended to focus on medication for fetal preservation, rest in bed, and visit the hospital around 50 days of gestation for a detailed ultrasound examination. If there is a fetal pole and fetal heartbeat, there should be no problem. Is it the same as the last time, where it was only known after the examination? The condition of fetal demise is very serious, and it is advised that the patient seek immediate treatment and follow the doctor's advice for symptomatic treatment. At the same time, pay attention to dietary issues and avoid spicy foods.

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