Patient's question:
I am 2.5 months pregnant. A couple of days ago, I had a little bleeding. The hospital examination said it was threatened miscarriage and prescribed me injectable human chorionic gonadotropin (HCG) to be administered for 5 days. Today is already the third day, and the bleeding is a bit more than the previous two days. I am very worried that I might lose the pregnancy. Could you please advise if there are any other good methods? Thank you.Doctor's answer:
Hello:The signs of threatened miscarriage are the initial stage of a potential miscarriage. The main symptoms include slight vaginal bleeding, a feeling of heaviness or pain in the lower abdomen, or lower back pain. Some pregnant women may continue their pregnancy after rest and treatment. However, if the pregnant woman experiences worsening abdominal heaviness, increased pain, heavier bleeding, or even the passage of blood clots or amniotic fluid, it indicates that continuing the pregnancy is no longer possible. In such cases, medical attention should be sought promptly for treatment.
When a pregnant woman shows signs of threatened miscarriage, an ultrasound examination should be performed. The first step is to confirm whether the fetus is still alive and whether other conditions are normal. If the fetus has died, further attempts to preserve the pregnancy are unnecessary, and an induced abortion should be performed as soon as possible. If the fetus is normal, it may be possible to preserve the pregnancy. In addition to bed rest, medication can also be used. Clinically, progesterone and human chorionic gonadotropin (HCG) are commonly used, and they can be combined with traditional Chinese herbal medicine or patent medicines. Traditional Chinese medicine has a long history in preserving pregnancy, and it is based on syndrome differentiation to treat according to the patient's condition, focusing on nourishing the kidneys and preserving the pregnancy, which has proven to be highly effective.
Progesterone, also known as progesterone, is now synthetically produced. Its chemical structure is identical to that of natural progesterone. The ovary's corpus luteum secretes progesterone, which is a hormone essential for maintaining pregnancy, especially in the early stages. Progesterone is effective for cases where the corpus luteum function is poor or progesterone secretion is insufficient, and it can be considered a "miracle drug" for preventing miscarriage. However, it should only be used within the first three months of pregnancy, as after this point, the placenta can take over the secretion of sufficient progesterone from the corpus luteum.