While Ayurveda can support your general well-being and help manage stress, there is no scientific evidence that Ayurvedic treatments can safely prevent lupus-related miscarriages. Lupus requires highly specialized medical care. It is vital to continue working closely with a high-risk obstetrician and a rheumatologist. They can fine-tune your medical regimen, which may include heparin and other targeted therapies, to give you the best chance of a safe pregnancy. Please do not start any herbal remedies without consulting your specialists first, as they can interact with your medications.

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.

Take your Susten (progesterone) at bedtime, as it can cause sleepiness. Your Ferium (iron) is best taken in the morning, ideally with food if it upsets your stomach. Most importantly, take your Milical (calcium) at lunch or dinner. Be sure to keep at least a two-hour gap between your iron and calcium supplements, as calcium can prevent your body from absorbing iron properly. Always follow your doctor's precise instructions.

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 SR 300 contains progesterone, a vital hormone that supports your pregnancy by maintaining the uterine lining and preventing miscarriage. While its side effects?like drowsiness or nausea?can be very challenging, it is highly important to continue taking it as prescribed to protect your pregnancy. Please do not stop or lower your dose without consulting your doctor, as they can help ease these discomforts. Generally, patients can safely stop progesterone support around weeks 10 to 12 of pregnancy, when the placenta takes over hormone production.

A negative result on day 15 is generally reliable, but please do not stop taking your Susten (progesterone) just yet. Home tests can occasionally show a false negative if hormone levels are still rising. I warmly recommend contacting your clinic for a blood pregnancy test to be absolutely sure. Your specialist will guide you on whether to safely discontinue Susten based on that result.