Bleeding After Taking Progesterone: What Should You Do Next? - Obstetrics and Gynecology

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Bleeding after taking progesterone?


I am currently eight weeks pregnant and have detected a heartbeat.
Due to some light pink spotting a few days ago, my doctor prescribed six days' worth of progesterone.
After taking it for two days, the spotting changed to brown, but today I noticed pink spotting again.
Should I schedule a follow-up appointment or continue taking the remaining progesterone?

Ivy, 30~39 year old female. Ask Date: 2019/01/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I am currently eight weeks pregnant and have detected a heartbeat.
Due to some light pink bleeding a few days ago, my doctor prescribed six days' worth of progesterone.
After taking it for two days, the bleeding changed to brown, but today I noticed pink blood again.
Should I schedule a follow-up appointment or continue taking the remaining progesterone? Answer: Continue taking the remaining progesterone.

Reply Date: 2019/01/02

More Info


Experiencing bleeding during pregnancy, especially after starting progesterone supplementation, can be concerning. In your case, since you are currently eight weeks pregnant and have already detected a heartbeat, it is important to approach this situation with caution and awareness of the potential implications.

Firstly, it is not uncommon for some women to experience light spotting or bleeding during early pregnancy. This can occur for various reasons, including implantation bleeding, hormonal changes, or even cervical irritation. The fact that your bleeding has changed from light pink to brownish (which often indicates older blood) is generally a reassuring sign, as it may suggest that the bleeding is resolving.

Progesterone is often prescribed in early pregnancy to help support the uterine lining and maintain a healthy environment for the developing embryo. If you have been instructed to take progesterone and have started experiencing bleeding, it is crucial to follow your healthcare provider's recommendations. Since you have already been prescribed a six-day course of progesterone and have taken it for two days, it is advisable to continue taking the medication as directed unless your doctor advises otherwise.

However, the appearance of new bleeding, even if it is light, warrants further evaluation. It is essential to communicate any changes in your symptoms to your healthcare provider. You should consider scheduling a follow-up appointment to discuss your concerns, especially since you have experienced a change in the nature of the bleeding. Your doctor may want to perform an ultrasound to ensure that everything is progressing normally and to check the health of the fetus.

In addition to following your doctor's advice regarding medication, here are some general recommendations for managing bleeding during early pregnancy:
1. Rest: Take it easy and avoid strenuous activities. Physical stress can sometimes exacerbate bleeding.

2. Monitor Symptoms: Keep track of the amount and color of the bleeding, as well as any accompanying symptoms such as cramping or pain. This information can be helpful for your healthcare provider.

3. Stay Hydrated: Drink plenty of fluids to stay hydrated, which is important for overall health during pregnancy.

4. Avoid Sexual Intercourse: Until you have been evaluated by your doctor, it may be wise to avoid sexual activity, as it can sometimes lead to further irritation or bleeding.

5. Seek Immediate Care if Necessary: If you experience heavy bleeding, severe cramping, or any other concerning symptoms such as dizziness or fainting, seek medical attention immediately.

In conclusion, while light bleeding can be a normal occurrence in early pregnancy, it is essential to keep your healthcare provider informed and to follow their guidance. Continuing with the prescribed progesterone is generally advisable unless instructed otherwise. Make sure to schedule a follow-up appointment to address your concerns and ensure the health of both you and your baby. Your well-being is paramount, and staying in close communication with your healthcare team is the best way to navigate this situation.

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