the Use of Progesterone Suppositories During Early Pregnancy - Obstetrics and Gynecology

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Progestin suppositories for pregnancy maintenance?


Hello, I am currently 7 weeks pregnant and there are blood clots in the embryo.
It has only been a few months since my natural miscarriage on November 5th of last year, and I became pregnant again naturally.
During my follow-up appointment today, I asked the doctor about the previous miscarriage, and he prescribed medication to support the pregnancy, which I have to pay for out of pocket.
However, it is not an oral medication; it is a suppository that I need to insert two at night and one in the morning.
Is it necessary to use the suppositories? Given my situation, is there a risk that I might have an unhealthy baby? Thank you.

Xuan, 20~29 year old female. Ask Date: 2017/03/01

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1.
I am 7 weeks pregnant and there are blood clots in the embryo! It has only been a few months since I had a natural miscarriage on November 5th last year, and I became pregnant again naturally! During my follow-up appointment today, I asked the doctor about the previous miscarriage, and he prescribed me medication to support the pregnancy, which I have to pay for out of pocket.
However, it is not taken orally but is administered vaginally—2 tablets at night and 1 tablet in the morning.
Is it necessary to use all of them? Answer: If there is no bleeding, you do not need to use 2 tablets.
2.
Given my situation, is there a chance that I will have an unhealthy child? Answer: The probability is the same as for the general population.

Reply Date: 2017/03/01

More Info


Using progesterone suppositories during early pregnancy is a common practice, particularly for women who have experienced previous miscarriages or are at risk of complications such as bleeding. Progesterone is a hormone that plays a crucial role in maintaining pregnancy. It helps to prepare the uterine lining for implantation of the embryo and supports the early stages of pregnancy by preventing uterine contractions that could lead to miscarriage.

In your case, since you are 7 weeks pregnant and have a history of miscarriage, your doctor has prescribed progesterone to help stabilize your pregnancy. The presence of blood clots in the embryo can be concerning, but it is important to understand that progesterone supplementation may help reduce the risk of miscarriage by providing the necessary hormonal support.

Progesterone can be administered in various forms, including oral tablets, injections, and vaginal suppositories. The choice of using suppositories may be due to their effectiveness in delivering the hormone directly to the uterus, where it is needed most. The dosage prescribed by your doctor—two suppositories at night and one in the morning—indicates that they are taking a proactive approach to ensure that your body has adequate levels of progesterone to support the pregnancy.

Regarding your concern about the health of your baby, it is essential to note that progesterone itself is not known to cause harm to the developing fetus when used appropriately under medical supervision. The primary goal of using progesterone in early pregnancy is to create a supportive environment for the embryo to grow and develop. Many studies have shown that progesterone supplementation can significantly reduce the risk of miscarriage in women with a history of pregnancy loss.

However, it is also important to monitor your pregnancy closely. Regular check-ups with your healthcare provider will help assess the health of your pregnancy and the development of the fetus. If you experience any unusual symptoms, such as increased bleeding, severe cramping, or any other concerning signs, you should contact your doctor immediately.

In summary, using progesterone suppositories during early pregnancy, especially in your situation, is a standard and often necessary practice to help maintain a healthy pregnancy. While it is natural to have concerns about the health of your baby, the use of progesterone is aimed at reducing the risk of complications and supporting the embryo's development. Always follow your doctor's instructions regarding medication and attend all scheduled prenatal appointments to ensure the best possible outcome for you and your baby.

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