Patient's question:
I had a miscarriage due to fetal demise before. Three months later, I got pregnant again, and now I'm two months along. During my first thorough check-up at 45 days, my progesterone level was around 9. The doctor found a small cyst but didn't conduct a detailed examination. He mentioned that my progesterone was a bit low and prescribed progesterone capsules for me. After taking them for a week, I had another check-up, and my progesterone level increased to around 13. There was a fetal heartbeat and fetal, which made me feel better. Later, my friends told me that taking medication could help progesterone levels rise faster, so I went back to the hospital for another check-up, and my progesterone level was around 15. The doctor didn't recommend medication but prescribed dydrogesterone instead. I took it for three days and went for another check-up today. My progesterone level is now around 11, hCG has increased slightly, and the fetal is present. I still want to take progesterone. What should I do? I'm very worried. Please, doctors, give me some advice. How should I take these medications—how should I use them—to ensure the safety of my child?Doctor's answer:
According to your ultrasound examination, the embryo's growth and development are good, with a very small amount of fluid in the uterine cavity, indicating symptoms of threatened miscarriage. It is recommended that you rest in bed and avoid unnecessary movement. You can take progesterone orally or by injection. Daily intramuscular injection of 20-40mg of progesterone can be considered, as most cases can be successfully maintained. The above advice is for the question "What should I do if I have low progesterone after a previous miscarriage?" It is hoped that it will be helpful to you. Wishing you good health!