Your parameters look very promising: confirmed ovulation after your hCG injection, perfectly timed intercourse, and a wonderfully receptive womb lining of 14.5mm. Continuing with your Susten (progesterone) support is excellent for helping a fertilized egg implant. At age 27, with such ideal conditions, your chances of conceiving this cycle are very favorable?around 20% to 30%, which is the maximum natural chance per cycle. Try to stay relaxed and positive during this two-week wait.

Please do not stop or extend your course of Susten 200 (progesterone) without consulting your doctor first. Since you have finished your 10-day course, please contact your obstetrician today to ask if they want you to continue. Meanwhile, do continue taking your Thyronorm (levothyroxine) and Folivite (folic acid) as prescribed, as thyroid support and folic acid are incredibly important for your baby's early development.

Susten 200 (progesterone) is used to support your cycle, and a withdrawal bleed usually starts 2 to 10 days after stopping it. Since it has been 10 days, pregnancy is indeed a possibility, though a minor hormonal delay can also occur. Since your period is now late, you can take a home pregnancy test right away for an accurate result, preferably using your first morning urine. If it is negative and your period still does not start in a few days, please reach out to your doctor.

While Ayurveda can support your general well-being and help manage stress, there is no scientific evidence that Ayurvedic treatments can safely prevent lupus-related miscarriages. Lupus requires highly specialized medical care. It is vital to continue working closely with a high-risk obstetrician and a rheumatologist. They can fine-tune your medical regimen, which may include heparin and other targeted therapies, to give you the best chance of a safe pregnancy. Please do not start any herbal remedies without consulting your specialists first, as they can interact with your medications.

A pregnancy hormone (hCG) level of 112.30 can sometimes indicate a healthy pregnancy that is simply earlier than expected due to later ovulation. However, because she is experiencing severe lower cramps, it is very important to consult her doctor promptly to rule out any complications. Please ensure she continues her Susten (progesterone) and folic acid as prescribed. Her doctor will likely recommend a repeat hCG blood test in 48 hours to check if the levels are rising appropriately, alongside an ultrasound.

At this vital stage, please do not stop taking your Susten 200 (progesterone), as it is crucial for supporting your early IVF pregnancy. You should also continue your Fol 123 (folic acid) and Livogen (iron) to support your baby's development. Your AtoZ multivitamin and L-arginine are generally safe, but please contact your IVF clinic immediately to confirm their exact protocol for these before Tuesday's scan. Most importantly, never stop your progesterone support without direct medical advice.

A progesterone level of 5.1 ng/mL confirms that you have ovulated, which is a very positive sign, though it is slightly low for supporting a new pregnancy. Since you are trying to conceive after a miscarriage, your doctor prescribed Susten 400, which is vaginal progesterone. This medication works by supplementing your natural hormone levels, helping to thicken and prepare the lining of your uterus. This creates a secure, nourishing environment for a fertilized egg to implant and grow, giving your body the extra support it needs in the early stages. Please continue to use it as directed.

With a mature follicle, timed hCG injection, and progesterone (Susten) support, your chances of conception this cycle are quite good, typically around 15% to 25%. The progesterone helps support your uterine lining for a potential pregnancy. Because the hCG trigger injection itself contains the pregnancy hormone, testing too early can lead to a false positive. To ensure an accurate result, I highly recommend waiting at least 14 days after your hCG injection?which is usually after completing your 10-day course of Susten?before taking a home pregnancy test.

Having two mature eggs and a timed hCG trigger injection gives you a wonderful head start this cycle. Ovulating on day 12 and supporting your uterine lining with Susten (progesterone) starting on day 14 creates an ideal environment for a potential pregnancy. With two mature follicles, your success rate is higher than a standard cycle, typically around 15% to 20% per attempt. This is a highly encouraging and well-coordinated treatment plan. Try to stay gentle with yourself during the upcoming two-week wait.

While acetaminophen is generally the safest pain reliever during early pregnancy, experiencing severe pain and heavier bleeding while taking Susten requires urgent medical evaluation to ensure your wife's safety. Please avoid other painkillers, especially non-steroidal anti-inflammatory drugs like ibuprofen, without a doctor's direct advice. Her healthcare provider needs to evaluate these symptoms right away to support her health.