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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Spotting Despite Taking Progesterone And Primolut-N?

I amn 34 yr old know I have first pregnancy..know I am in 8 week of pregnancu..first 3 weeks of pregnancy I have some blood spot..then this blood stopped and I took progesterone suppository 200mg daily and primulote depot ampule 2 times weekly(4 ampul)...and I take full bed rest...then I took pregneyl 5000 iu every 10 days(3 vial) and primulote ampul(4ampul)weekly..progesteron 400mg suppository daily.know I took 2 primulote and one pregney in my priscription..know I have some blood spot what can I do???
Wed, 15 Feb 2017
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General & Family Physician 's  Response
Hello,
Thankyou for asking your question at health care magic.
I understand your concern
Spotting during the first trimester (12 weeks) of pregnancy is common and can be due to several reasons like
-Implantation bleeding
-Polyps/masses on the cervix or vagina (These are completely benign and cause no threat to the pregnancy)
-Increased blood flow to the cervix. Anything that irritates or cause pressure on the cervix like sexual intercourse, sneezing or coughing can cause mild spotting.
-Subchorionic heamarrhage(bleeding that occur behind placenta)
-Threatened abortion(bleeding of unknowncause, with no problems for the baby )
-abortion(usually associated with more bleeding and pain)

Pelvic examination and ultrasound is warranted to come to a definite diagnosis

primolut deopt and pregnyl are completely safe during pregnancy and is usually given for high risk pregnancies during the first 12 weeks.

I recommend that you
- continue both the medications as prescribed by the doctor
-Take folic acid tablets every day
-take bed rest, avoid rigorous activities
-Follow a healthy diet rich in green leafy vegetables,protein like soy,chicken etc
-Avoid large fishes with high mercury content
-avoid carbonated caffeinated drinks
-Drink plenty of fluids
-Consult with your doctor immediately as he /she can determine the cause for the spotting and manage accordingly.

Hope I was able to help you
Please let me know if you have any questions or concerns.
Regards
Dr.Lekshmi
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What Causes Vaginal Spotting Despite Taking Progesterone And Primolut-N?

Hello, Thankyou for asking your question at health care magic. I understand your concern Spotting during the first trimester (12 weeks) of pregnancy is common and can be due to several reasons like -Implantation bleeding -Polyps/masses on the cervix or vagina (These are completely benign and cause no threat to the pregnancy) -Increased blood flow to the cervix. Anything that irritates or cause pressure on the cervix like sexual intercourse, sneezing or coughing can cause mild spotting. -Subchorionic heamarrhage(bleeding that occur behind placenta) -Threatened abortion(bleeding of unknowncause, with no problems for the baby ) -abortion(usually associated with more bleeding and pain) Pelvic examination and ultrasound is warranted to come to a definite diagnosis primolut deopt and pregnyl are completely safe during pregnancy and is usually given for high risk pregnancies during the first 12 weeks. I recommend that you - continue both the medications as prescribed by the doctor -Take folic acid tablets every day -take bed rest, avoid rigorous activities -Follow a healthy diet rich in green leafy vegetables,protein like soy,chicken etc -Avoid large fishes with high mercury content -avoid carbonated caffeinated drinks -Drink plenty of fluids -Consult with your doctor immediately as he /she can determine the cause for the spotting and manage accordingly. Hope I was able to help you Please let me know if you have any questions or concerns. Regards Dr.Lekshmi