the Differences Between Fu An Meng and You Jie Tong in Pregnancy Care - Obstetrics and Gynecology

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Youjie Tong and Fu An Meng?


At 11 weeks of pregnancy, I suddenly experienced bleeding.
The doctor prescribed Dydrogesterone and advised me to rest in bed more.
He also mentioned that I had a placenta previa.
I took Dydrogesterone four times a day for almost two weeks, but I still had brown discharge.
During this time, I visited the clinic multiple times, and the doctor had me sign a "threatened miscarriage" notification, which made me feel very depressed.
Later, I switched to another clinic where the doctor advised me to rest more and prescribed Utrogestan three times a day.
He told me to stop taking Dydrogesterone and did not mention anything about placenta previa, saying it was too early to discuss that.
He insisted that I must stay on bed rest and did not have me sign any notification.
After taking the medication at home, the brown discharge stopped, and my abdominal cramps improved significantly.
What is the difference between Dydrogesterone and Utrogestan? I do not want to return to the first clinic.

Qi, 30~39 year old female. Ask Date: 2017/11/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, for most patients, rest is sufficient for both similar medications.
Wishing you good health.

Reply Date: 2017/11/30

More Info


In your situation, it’s understandable to feel overwhelmed and anxious, especially with the complications surrounding your pregnancy, such as the diagnosis of a potential threatened miscarriage and the presence of a low-lying placenta (placenta previa). The medications you mentioned, Fu An Meng (婦安蒙) and You Jie Tong (優潔通), are often prescribed in pregnancy to manage different symptoms and conditions, but they have distinct purposes and mechanisms of action.

Fu An Meng (婦安蒙) is typically used to support pregnancy and is often prescribed in cases of threatened miscarriage. It contains ingredients that are thought to help stabilize the pregnancy and reduce the risk of miscarriage. The medication is generally aimed at providing support to the uterine environment, potentially helping to reduce uterine contractions and promote relaxation. However, it is essential to note that while it may help some women, its effectiveness can vary, and it is not a guaranteed solution for all pregnancy complications.

On the other hand, You Jie Tong (優潔通) is often used to address specific symptoms such as abdominal pain or cramping. It may contain ingredients that help alleviate discomfort and promote better blood circulation, which can be beneficial in managing symptoms associated with pregnancy complications. The fact that you experienced a reduction in symptoms after switching to You Jie Tong suggests that it may be more suited to your current needs, especially if your primary concern is managing discomfort rather than preventing miscarriage.

The decision to switch medications should always be made in consultation with your healthcare provider, as they can assess your specific situation and determine the best course of action. It’s also important to communicate openly with your doctor about any concerns you have regarding your treatment plan, including the reasons for switching medications and the implications of your diagnosis.

Regarding your experience with the first clinic, it’s crucial to feel comfortable and supported by your healthcare provider. If you felt that your concerns were not adequately addressed or that the communication was lacking, seeking a second opinion, as you did, can be a wise choice. A good healthcare provider should not only provide treatment but also ensure that you understand your condition and the rationale behind the prescribed medications.

In terms of your current condition, the presence of brown discharge can be concerning, but it is not uncommon in early pregnancy, especially with a diagnosis of a low-lying placenta. It’s essential to continue monitoring your symptoms and follow your doctor’s advice regarding rest and activity levels. Bed rest is often recommended in such cases to minimize the risk of complications.

As for lifestyle considerations, maintaining a healthy diet, staying hydrated, and avoiding strenuous activities are crucial. It’s also advisable to avoid any substances that could potentially harm the pregnancy, such as tobacco, alcohol, and certain medications not approved by your healthcare provider.

In summary, while both Fu An Meng and You Jie Tong serve different purposes in pregnancy care, your choice should be guided by your symptoms and the advice of your healthcare provider. Always prioritize open communication with your doctor and seek a supportive environment for your pregnancy journey. If you have further concerns or experience any new symptoms, don’t hesitate to reach out to your healthcare provider for guidance. Your mental and emotional well-being is just as important as your physical health during this time.

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