Can I take dydrogesterone tablets to prevent miscarriage during pregnancy?

Patient's question:

At 31 days pregnant, without any bleeding, can I take dydrogesterone tablets to prevent miscarriage? In the past, when my progesterone levels were low during pregnancy, it would lead to bleeding. This time, can I start taking progesterone earlier? How many pills should I take per day and how should I take them?

Doctor's answer:

In summary, in this situation, it is best to consider getting pregnant early by visiting the hospital to check the levels of human chorionic gonadotropin (hCG) and progesterone to confirm if progesterone is low. Then, decide on the appropriate course of action. It is recommended to maintain a proper diet, avoid spicy, irritating, and cold/hard foods, stay in a good mood, reduce stress, take folic acid promptly within the first three months of pregnancy, and abstain from sexual activity if necessary. If needed, go to the local hospital for special care and attend prenatal check-ups on time.

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