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Family Medicine  (Expert Forum)
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Pregnancy : Progesterone and other questions.
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

Pregnancy : Progesterone and other questions.

by bacflash, Dec 04, 2006 12:00AM
My wife is 35 ys old and 8 weeks pregnant.
We have been regular visits to the gynaecologist and she have been undergoing daily injections of 200mg of progesterone.

Ultrasound scan reveals that the fetus is growing and has a heartbeat.

Since then, she has been repeated incidents of heartburn, nausea and pain (most notably from injections).

We have some questions:-
1. The last measurement of the fetus stands at 10mm. Is this a normal size given 7 weeks? If not, what should be the average size be?

2. Is the continued injections of 200mg progesterone required?
At the visit, the blood test results show her progesterone levels were at 35.
The doctor indicated it should stay above 100.
She is also taking vaginal creams to supplement the treatment.

3. Are there any alternatives to taking progesterone other than injection and cream insertion? We were told that the absorption rate is far superior via injections but also more painful.
Are there orally injested types?

4. Any food types she should avoid? (e.g. seafood)

5. Lastly, is progesterone needed to start with? Again, we were told it help prevents bleeding but don't know more than that. Other GPs we've visited do not know much either.
Is this a sign of potential miscarriage?

Kindly advise soon and thanks for your time.

Regards,
Ed

by Kevin Pho, MD, Dec 04, 2006 12:00AM
Hello - thanks for asking your question.

This question outside my scope of knowledge.  I will contact the administration to arrange a refund.

Thanks,
Kevin, M.D.
kevinmd_
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