The hCG and Susten (progesterone) you took safely helped support your early pregnancy. Since a small nasal bone can sometimes be a normal variation, but you have a family history of developmental conditions, I recommend discussing a referral to a genetic counselor. They can review your family history and discuss advanced options like a detailed anatomy ultrasound at 18?20 weeks, or diagnostic testing like amniocentesis for definitive answers.

Your recent ultrasounds and hormone levels were normal. While progesterone (Susten) is prescribed to support early pregnancy, experiencing severe cramping and heavy bleeding is not a typical reaction and needs prompt medical evaluation. Sometimes, minor spotting can happen, but heavy flow and pain require an immediate check-up with your obstetrician to ensure everything remains on track. Please contact your doctor or visit the nearest clinic right away for a physical assessment.

Having four mature follicles for your IUI cycle is very promising and generally increases your chances of success, though it also carries a higher likelihood of twins or triplets. As for the creamy vaginal leakage, please don't worry. This is a very common and completely normal side effect of vaginal progesterone (Susten 400). The suppository melts to deliver the active medication, and your body naturally discards the inactive base. It does not mean the medication isn't working. I am sending you my warmest, most hopeful wishes for a successful and healthy outcome!

Your doctor likely prescribed both Duphaston (dydrogesterone) and Susten SR (progesterone) to provide dual-action hormonal support to secure your pregnancy. This combination is a safe, common clinical practice. These medications are also safe to take alongside your daily Metformin, Folic acid, Vitamin D, and Thyronorm (levothyroxine), which are vital for managing your thyroid, insulin levels, and supporting fetal development. You are doing a wonderful job caring for your health, and it is highly recommended to continue these as prescribed while keeping your obstetrician updated.

Yes, starting Susten SR 300 (which contains progesterone) on cycle day 15 can indeed delay your period. Progesterone works to support and maintain the lining of your uterus. While you are taking this medication, your hormone levels remain elevated, which typically prevents your period from starting. Usually, menstruation will begin a few days after you stop taking the medication, unless you are pregnant. This is a completely normal and expected effect, so please do not worry. Be sure to follow your doctor's exact guidance on when to stop the medication.

Please be reassured that this combination is very common and generally safe under medical supervision. Susten SR (progesterone) helps support your uterine lining to sustain the pregnancy. Ecosprin (low-dose aspirin) improves blood flow to the developing placenta. Thyronorm (levothyroxine) is crucial to maintain your thyroid levels, which are vital for your baby's healthy development. These medications work in different ways and do not harmfully interact with one another. Please continue taking them exactly as prescribed and maintain regular check-ups with your obstetrician.