Please know that light vaginal bleeding at four weeks of pregnancy is quite common and does not always mean a miscarriage will occur. You are already taking progesterone (Susten), which is a hormone used to support your uterine lining and help protect the pregnancy. At four weeks, an ultrasound is very early and provides a baseline. I recommend continuing your progesterone as prescribed, resting, and staying in close contact with your doctor. They can monitor your hormone levels or schedule a follow-up ultrasound to reassure you. Please seek prompt medical care if you experience heavy bleeding or severe cramping.

These medications support your uterine lining, and your period typically starts 2 to 10 days after you stop taking them. Because of this, your usual 28-day cycle will likely be shifted. Please rest assured that this delay is a normal response to the hormone therapy. If your period does not arrive within 10 to 14 days of stopping the medication, or if there is a chance of pregnancy, it is best to take a test and consult your doctor.

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 300 contains progesterone, a natural hormone that helps relax the uterine muscles and support your pregnancy. Using it daily until 32 weeks is a very common, safe, and effective way to manage moderate cramping and prevent early labor. Your doctor has prescribed this to keep you and your baby safe. Please continue to follow their guidance, and do reach out to them if your cramping worsens or is accompanied by any spotting.

However, Duspatan (mebeverine) is generally avoided during pregnancy unless your obstetrician specifically advises that it is necessary for you. Because everyone's health needs are different, please consult your doctor before making any changes to these medications. They will help you plan the safest schedule for you and your little one.

While mild skin sensitivity can occasionally occur with progesterone (Susten), generalized itching is not a typical side effect. In the third trimester, widespread itching?particularly on your palms and soles?can sometimes indicate a pregnancy-related liver condition called intrahepatic cholestasis of pregnancy. While this is not an emergency, it does warrant a prompt, reassuring evaluation by your obstetrician to ensure you and your baby remain safe and healthy. Please consult your doctor soon so they can run simple tests and help find you some relief.