The hCG and Susten (progesterone) you took safely helped support your early pregnancy. Since a small nasal bone can sometimes be a normal variation, but you have a family history of developmental conditions, I recommend discussing a referral to a genetic counselor. They can review your family history and discuss advanced options like a detailed anatomy ultrasound at 18?20 weeks, or diagnostic testing like amniocentesis for definitive answers.

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 400 (progesterone) is highly effective at supporting your pregnancy and helping to prevent preterm labor. At 32 weeks, a stable cervical length suggests the treatment is doing its job well. Generally, progesterone therapy is continued up to 34 to 36 weeks of pregnancy to ensure safety. However, because every pregnancy is unique, it is essential to consult your obstetrician before continuing or stopping the medication. They will guide you on the safest timeline for you and your baby.

Susten 300 contains progesterone, a hormone that helps prepare and support the uterine lining for a pregnancy. Using progesterone after ovulation is a common and generally safe approach to support early pregnancy, especially if you have had a prior miscarriage. However, because timing is critical and dosing must be tailored to your specific cycle, it is very important to discuss this with your gynecologist before starting. They can guide you on the exact timing to ensure it is safe and effective for you.

Having four mature follicles for your IUI cycle is very promising and generally increases your chances of success, though it also carries a higher likelihood of twins or triplets. As for the creamy vaginal leakage, please don't worry. This is a very common and completely normal side effect of vaginal progesterone (Susten 400). The suppository melts to deliver the active medication, and your body naturally discards the inactive base. It does not mean the medication isn't working. I am sending you my warmest, most hopeful wishes for a successful and healthy outcome!

While switching from vaginal Susten (progesterone) 400 mg to oral progesterone 200 mg twice daily is pharmacologically possible to maintain the same daily dose, oral progesterone is absorbed differently and may cause more systemic side effects like drowsiness, dizziness, or nausea. It is essential to consult your obstetrician before making this change. They will ensure the switch is safe for your pregnancy and help manage any discomfort you are experiencing.