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Terminated pregnancy via pill. No DNC. Have excess dark, thick hair on my legs and thighs. Prescribed Duphaston. Taking Folvite-MB. Safe?

DOCTOR OF THE MONTH - May 2013
May 2013
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I am 35 and been married since 5 years. I had 2 confirmed pregnancies spaced by 11 months in 2009 which were terminated safely via a pill, no DNC. We now want to have a baby: - Sep 2013
FACTS:
1) I have excess dark, thick hair on my legs, thighs and back, but I have regular menses, 30 day cycle.
2) Height: 5"3 and weight is 47 kg, slim disposition
3) A Gyn has now prescribed Duphaston from day 5 to 25 for 3 months (saying it will help me since the hair makes it seem there could be a hormonal imbalance).
4) An Anemia Profile MAXI came up normal on all accounts, including Folate by all methods and Iron, etc. (Folate: Serum, Whole Blood, RBC and Heptaglobin, G6PDKinetic, Quantitative, etc). Only Ferritin levels were a bit lower and slightly high Reticulocyte count. Hb is 12.1
5) i have been taking Folvite-MB since 4 months. I am also taking a Whole food based organic Prenatal supplement sourced from the USA which has RDA's of 70% of everything

QUESTIONS:
1) Is it safe for the fetus to take duphaston? i read on NDTV doctor that it may cause unwanted facial hair in the fetus, etc - WWW.WWWW.WW
2)The dosage of folic acid @5mg is much 10 times than the RDA of 500 mcg...is this safe? Can i stop the Folvite now, since my folate levels are anyways normal?
3) It has been 7 days since duphaston now and i have lesser whitish discharge than normal at day 9 to day 14 and lesser mid-cycle-pain as well as slight headache....is this normal? safe?
4) Am I better off taking natural micronized progesterone? like the one made by Serum Institute of India.... WWW.WWWW.WW
5) If i do end up getting pregnant, and the duphaston continues and is then stopped at the end of the 3 month cycle, is there a risk of mis-carriage?
6) If I do not get pregnant even after 3 months and the duphaston is stopped will there be an issue with normal menses (since a lot of women posting here have stated they do)
7) The lesser white discharge also means intercourse has become drier. Is it ok to use some natural lubricant like coconut oil....will this affect the vagina and/or chances for pregnancy?
Posted Thu, 26 Sep 2013 in Pregnancy
 
 
Answered by Dr. Sree Gouri SR 12 hours later
Brief Answer:
natural progesterone, folic acid supplementation

Detailed Answer:
Hi,
Thanks for the query.
1. According to some studies duphaston can cause some unwanted side effects as told by you.
But there is no proven evidence according to some other studies.
But better to be on safe side, use natural micronized progesterone as per as possible. 2 . You can use the folic acid 5mg also as it will not affect the baby. You have to continue the folic acid till becoming pregnant and also throughout the pregnancy. It helps in neurological development of the baby.
3.Yes, progesterone can alter the cervical mucus secretion and can lead to some side effects.
Better to use the progesterone tablets from 15th day of the cycle, that is during luteal phase.
4.Yes, better to take natural micronized progesterone.
5. No, usually you won't have the problem of miscarriage, because by 3rd month placenta will start producing progesterone.
6.You can have some irregularity in cycles for one or two months, after that usually it will rectify.
7.Instead of oil, better to use lubricant gels like KY gel, Lubricant etc.

Hope I have answered the query and I will be available to answer the follow up queries. If you are happy with the answer, please give your review.
Take care.

Above answer was peer-reviewed by
 
Follow-up: Terminated pregnancy via pill. No DNC. Have excess dark, thick hair on my legs and thighs. Prescribed Duphaston. Taking Folvite-MB. Safe? 32 hours later
hi,

thanks for a detailed and precise answer....3 more questions:

1) would it better to take an oestrogen-progesterone combination instead?

2) what brand and strength of natural micronized progesterone would you suggest to replace duphaston 10mg?

3) If i have access to folate at 800 mcg per day, can i stop taking the Folvite-MB since it seems to have an unnescesary high level of folic-acid....

- i understand that i can only take it on a doctors prescription and shall be checking with my GYN first. - Just want a second opinion to be sure, thats all !
 
 
Answered by Dr. Sree Gouri SR 39 hours later
Brief Answer:
Estrogen in the first half

Detailed Answer:
Hi,
1. You should not take combination of estrogen and progesterone throughout the cycle, which will prevent the pregnancy.
Instead you can take estrogen in the first half of the cycle and progesterone in the second half of the cycle.
2 . Usually in our clinic we recommend natural progesterones like naturogest or susten in strength of 100mg or 200mg.
3. As I told you there is nothing harm in using 5mg folic acid tablets.
As you are previous history of abortions, your doctor might have recommend high dose folic acid tablets.
Anyhow as you are having normal folic acid levels you can take 800mcg also with your doctor's advice.
Hope I have answered your query. If you are satisfied with my answer give your review at the end of the discussion.
Take care.
Above answer was peer-reviewed by
 
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