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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Prescribed Ustrogestan. Histroy Of Miscarriage. Opinion?

Hi, I m hoping you can advise me: I had a miscarriage at 9 wks one year ago following cramps and spotting. I am now 6wks pregnant again and had my first dr appointment yesterday. The doctor told me everything looked fine from the scan. She took no blood tests, but sent me on my way with many boxes of ustrogestan 100mg. I m concerned if I really need to take it, as I don t know her reasons, other than one past miscarriage. I m only concerned because I currently live in Singapore where doctors unfortunately have a bad reputation for over prescribing. Thanks and looking forward to your opinion?
Mon, 22 Apr 2013
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OBGYN 's  Response
Hello, I would be happy to help you with your question.

You are right, this sounds like over-treatment. It is not uncommon for a woman to experience one prior miscarriage. In fact, one prior miscarriage does not mean that your are at increased risk for this happening again. The definition of 'recurrent miscarriage' is THREE prior unexplained first trimester losses. While taking progesterone (which is what you were prescribed) is likely harmless, in your case, it is un-indicated.

I hope that this helps. If you have more questions, please click on "ASK ME A QUESTION" link above to directly ask me a question!
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Pregnant. Prescribed Ustrogestan. Histroy Of Miscarriage. Opinion?

Hello, I would be happy to help you with your question. You are right, this sounds like over-treatment. It is not uncommon for a woman to experience one prior miscarriage. In fact, one prior miscarriage does not mean that your are at increased risk for this happening again. The definition of recurrent miscarriage is THREE prior unexplained first trimester losses. While taking progesterone (which is what you were prescribed) is likely harmless, in your case, it is un-indicated. I hope that this helps. If you have more questions, please click on ASK ME A QUESTION link above to directly ask me a question!