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 contains progesterone, a natural hormone vital for pregnancy. After an intrauterine insemination (IUI) procedure, these vaginal tablets are prescribed to help thicken and prepare the uterine lining, making it a welcoming environment for a fertilized egg to implant successfully. It also helps support the early stages of pregnancy. Using it vaginally delivers the hormone directly to the uterus where it is needed most, minimizing body-wide side effects.

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.

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.

Yes, if you are not pregnant, you will still get your period. After you finish your 10-day course of Susten (progesterone), your hormone levels will drop, which typically triggers a withdrawal bleed (your period) within 2 to 10 days. Since you ovulated on day 20, the best time to take a home pregnancy test is 14 days after ovulation (around day 34 of your cycle), or a day or two after completing your Susten course. This will give you the most accurate and reliable result.