Patient's question:
Low progesterone, 4 weeks, previously had uterine adhesions and adenomyosis. Currently experiencing mild left abdominal pain, occasional uterine cramping, excessive gas, and it's significantly affecting my daily life. I'm considering leaving the child. With so many aftereffects, the doctor says the ultrasound is unclear, and blood tests keep showing low progesterone but not excessively low. I don't know what to do. Should I treat my previous conditions before getting pregnant, or should I focus on preserving the pregnancy now? The abdominal pain and bleeding are a bit heavy—what should I do? I've had three abortions in the past few years, and I'm worried this time it might affect my ability to get pregnant again. The doctor keeps saying the ultrasound is unclear and cannot confirm ectopic pregnancy.Doctor's answer:
I'm glad to help you with your question. Early pregnancy progesterone levels being low, however, don't focus on the progesterone level; you must look at the doubling of the hCG level. It should double every three days. If you previously had adenomyosis and uterine adhesions, you need to consider how the gestational sac is growing, with the help of ultrasound monitoring data. Low progesterone can be digested, but progesterone is not the only indicator for assessing the growth and development of the gestational sac; the main indicator is the doubling of the hCG level.