With a negative beta-hCG test on day 36, pregnancy is highly unlikely. Your delayed cycle is likely related to your PCOS and thyroid disease. Regarding Susten (progesterone), it is completely normal that you haven't started menstruating yet. A withdrawal bleed typically begins 2 to 10 days *after* you finish the medication course, not while taking it. Please complete your prescribed dose. If your period doesn't start within 10 days after your last pill, please consult your gynecologist to discuss the next steps.

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.

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.

It is very common to experience mild, one-sided pain and light spotting after an hCG trigger shot and while taking Susten 400 (progesterone). The pain often relates to ovulation or a corpus luteum cyst, and the light bleeding can be a normal response to hormone changes. However, if the sharp pain worsens, please contact your doctor to ensure your safety. To boost your chances next cycle, continue taking your medications precisely, maintain a healthy diet, stay hydrated, and manage stress. Always share these symptoms with your fertility specialist to optimize your care.

At 28 weeks, a cervix of 2.6 cm is slightly short, but your risk of early labor is being actively managed. Your prescribed medications are highly effective: Susten SR (progesterone) helps relax the uterus, while Tidalan (isoxsuprine) prevents contractions. Shelcal HD and Uprise support your nutritional needs. Staying on strict bed rest, drinking plenty of water, and avoiding physical strain are crucial to help prolong your pregnancy, and contact your doctor immediately if you experience severe pain, fluid leaking, or bleeding.

At six weeks, it is still very early, and pregnancy dating can sometimes be slightly off. It is entirely possible for the yolk sac and heartbeat to develop and become visible over the next two weeks. Your doctor prescribed Susten 200 (progesterone) to help support the pregnancy during this critical time. While an irregular sac can sometimes be a concern, it is not a definitive sign of failure at this stage. The follow-up scan in two weeks is the best way to get a clear picture of how your pregnancy is progressing.