Does taking medication during early pregnancy have a significant impact on the fetus?

Patient's question:

Hello doctor:
I am the pregnant woman who asked the question last time. My last menstrual period was from October 11th to 15th. I did not know I was pregnant beforehand, and I started taking fluconazole from November 7th to 22nd, taking it twice a day with 50mg each time. A week ago, I was also taking progesterone because I noticed my period was delayed, so I took it for five days. I started taking it from November 18th and continued until November 22nd. I have been to the hospital, and the doctor said the baby was too small and couldn't determine if there was any impact.
If the doctor says so, then this child

Doctor's answer:

Hello: The progesterone you are taking is not a problem. As for fluconazole, it does indeed have some impact, but the specific extent of the impact cannot be determined. Therefore, it is recommended that you actively monitor your condition regularly. Medication may affect fetal development, but it is not absolute, and it depends on the dosage used and the fetus's tolerance to the drug. In the case of a confirmed intrauterine pregnancy, a B can be performed around the third month of pregnancy to further assess the fetal development. If necessary, an amniocentesis can be conducted between the 16th and 20th weeks of pregnancy to further confirm the diagnosis.

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