However, it is best not to swallow your Susten VG 200mg tablets. This specific medication is formulated to be absorbed through the vagina, delivering the progesterone directly where it is needed most. Swallowing these tablets can lower their effectiveness and cause unwanted side effects like drowsiness or dizziness, as oral medications are processed differently by your liver. Please reach out to your doctor right away; they can prescribe an oral progesterone alternative or offer an applicator to make the vaginal insertion process much easier and more comfortable for you.

Yes, plain steam inhalation is perfectly safe and highly effective for relieving your cold and cough during pregnancy. It will not interfere with your pregnancy or your medications like Duphaston (dydrogesterone), Susten (progesterone), and Fol 123. Please avoid adding strong essential oils or vapor rubs to the steam. The pelvic pain you feel when sneezing is common, often due to sudden pressure on your abdominal muscles near the subchorionic bleeding. To ease this, try gently supporting your lower belly with your hands or hugging a pillow when you sneeze. Rest well, stay hydrated, and please let your obstetrician know about your symptoms so they can monitor your recovery.

Accidentally taking a double dose of your progesterone (Susten) for 10 days is very unlikely to harm you or your baby at 7 weeks of pregnancy, as progesterone is a natural hormone crucial for supporting pregnancy. You might experience temporary, mild side effects like extra sleepiness, dizziness, or breast tenderness. I recommend returning to your originally prescribed daily dose of 200 mg starting today. Please contact your OBGYN to let them know about this minor mix-up so they can guide you on your next steps.

Along with your cervical stitch and bed rest, you might discuss switching your progesterone (Susten) from oral to vaginal administration with your doctor, as vaginal progesterone can be more effective locally. Additionally, stay well-hydrated, avoid any pelvic activity like intercourse, and monitor for signs of preterm labor, such as regular contractions or fluid leakage. Continue close follow-ups with your obstetrician or a maternal-fetal medicine specialist. Your medical team is there to support you and your baby every step of this journey.

Susten 300 is a progesterone medication, and it is quite common for a withdrawal bleed to take up to 7 to 14 days to start after finishing the course. Since your pregnancy test is negative, this delay is likely just your body taking a little extra time to respond to the hormonal changes. I recommend waiting a few more days. If your period does not start within 14 days of stopping the medication, please reach out to your gynecologist for a simple evaluation.

Since ultrasounds show the pregnancy is unfortunately not viable, stopping supportive therapies like progesterone is generally recommended to allow a natural miscarriage. You can also discuss active medical or surgical options with your doctor to help complete the process safely. Please be reassured that your corpus luteal cyst is a completely normal finding that will resolve on its own. Additionally, your small 2.7 cm fibroid is very common and will not affect your recovery or your ability to have a healthy pregnancy in the future. Please reach out to your healthcare provider, who will support you through your next steps.