I missed taking Utrozhestan during pregnancy NewMed.su

Missed a dose of Utrozhestan

Hi all. Fifth week of pregnancy, prescribed Utrozhestan 200, vaginally once a day, at night. Today I woke up at 4 am and remembered that I didn’t put the capsule in. Put. So it's 4 hours late. Usually I set it at 12 am. Who has had this happen and what are the consequences? I'm worried.

Read 6 comments:

I was a couple of days before my delay, but when I knew for sure that I was pregnant, it turned out that I delayed taking duphaston by 2.5 hours. The next day it smeared brown. I don't know if this is related. But everything worked out fine then. Then I set alarms on my phone and now I’m not late

Don't worry, four hours is not critical. I think the author of the previous message had nothing to do with this. And it’s better to really set yourself a reminder) it certainly won’t be superfluous. And you and your baby, and your mother, won’t have to worry about it again

As soon as I remembered, I immediately inserted, I don’t remember how long the break was. And the next day, as usual, at the same time, before bed. Don't worry!

edited less than a minute ago

I think that nothing bad will happen from once, but it’s better to set a reminder, the doctor told me that this hormone requires a clear time, to be present in the same amount in the body around the clock

I missed taking Duphaston so many times, and nothing))) don’t stress yourself out! Nothing will come of it)))

It all depends on how strong your threat is, if not very strong, then a time deviation is nothing to worry about

Missed taking utrozhestan during pregnancy

I have been taking utrozhestan vaginally since the 18th week of pregnancy, and continue to take it until 30 weeks. Dosage: 200 mg 1 rub. per day (at night). But I missed 3 days. See a doctor only after 2 weeks. I couldn’t contact her before because... she is on the vacation. There is no one to consult. .:( Maybe someone also had breaks of 2-3 days... And am I panicking in vain?? Today I will continue to put on as if nothing had happened, or is it better to talk to a doctor? Continue reading →

I missed week 14, my phone was dead, and I’m rarely on the computer)) At 13+2 (01/17/17) I had my first screening. According to the ultrasound, everything is fine, the egg wanted to sleep and waved it off with its hands)) Heart rate 153 per minute. KTR 74 mm. TVP 1.2 mm. Nasal bones 2.0 mm. Normotonus, chorion along the posterior wall. The second screening is scheduled for February 28, 2017. I haven’t seen the blood test yet. The appointment was set for 02/06/16 to look at my cervix on the chair, because in my last pregnancy I had ICN. 01/19/17 was my birthday, 26 years old!) We celebrated quietly and peacefully, with a couple of friends and... Continue reading →

Pregnancy 3 weeks. ECO. I take a loading dose of Proginova 2 t 3 r per day, Duphaston 2 r per day, Utrozhestan suppositories, Divigel 3 r per day. I missed a dose of Proginova! I was visiting and remembered it the next day. Does anyone know about the consequences? Continue reading →

Often we are prescribed medications in the housing complex, but out of ignorance we are afraid to take them, because in our thoughts we only have our kids. We don't want to harm them. This article is about medications that are prescribed to almost all pregnant girls, depending on their problems. Girls, this article will help you figure out why this or that drug is needed. Personally, during the entire period of pregnancy, I passed through half of the drugs listed here ☺ CANEPHRON FOR RESTORING URINARY FUNCTIONS. Continue reading →

Girls, I posted this post a long time ago, but the information is important, so I’m raising it. Copied from one forum. Two stories of ICN, dramatic, but with a successful outcome. Girls, I read with my mouth open. This is written by a girl about herself and her two B. She is simply a heroine and a great smart girl. And so much useful information about the cervix and ICN. Even though it’s 2009, it’s still the same. So, if anyone is interested, read on. I'll tell you about both times, because... the first option, when everything is already running, and the second, when the possibility of ICN is known from the very beginning. A story without emotions, summer 2008, I’m 32. Continue reading →

How to get pregnant quickly and what to do if it doesn’t work out Pregnancy occurs during the period of ovulation during sexual intercourse. But ovulation and high-quality sperm are not all that is needed to quickly get pregnant. There are some nuances that need to be taken into account. Wise nature is designed in such a way that in conditions unfavorable for the development of the unborn child, conception is impossible; even pregnancy freezes if negative factors appear. You can get pregnant quickly if you exclude these factors and follow our recommendations. What to do to get pregnant faster. Stress doesn't help. Continue reading →

What is the best way to take Utrozhestan during pregnancy?

Utrozhestan is a plant analogue of progesterone, a female sex hormone responsible for the second phase of the menstrual cycle and the normal course of pregnancy.

It is available in the form of vaginal capsules in a dosage of 100 or 200 mg of the active substance.

It is used when planning pregnancy and to replace the lack of progesterone while expecting a baby.

The duration of treatment depends on the patient's condition.

During pregnancy, Utrozhestan is prescribed in the following cases:

If there is a threat of miscarriage due to insufficiency of gestagens;
Pregnancy occurred as a result of IVF;
If pregnancy occurs against the background of endometriosis or uterine fibroids;

The medicine is used vaginally at an average dosage of 200 mg per day. If necessary, the dose of the drug can be changed if the patient's condition requires it. You can take one capsule in the evening before bed or one 100 mg capsule in the morning and evening.

The drug can also be used orally if vaginal administration of the medication is contraindicated for the patient. The average dosage is 200 mg per day; you need to take the medicine in the evening before bed, always with plenty of water. The dose may be reduced or increased depending on the patient's condition.

In the 2nd and third trimester of pregnancy, the drug can cause cholestasis (stagnation of bile), so it should be used with caution. If it was used to support a patient's pregnancy, it is usually discontinued 4-5 weeks before delivery. The medicine should not be used after the baby is born - it passes into breast milk and negatively affects the child’s endocrine system.

Read: Planning the sex of a child by ovulation: reality or fiction?

Progesterone support for IVF is prescribed when planning pregnancy and continues after its onset at least until the 12th week. The use of Utrozhestan in this case is mandatory for all patients, since the need for IVF is almost always associated with hormonal disorders. At week 12, the doctor decides whether it makes sense to continue hormonal support, or whether it is possible to stop taking Utrozhestan.

If there is a threat of miscarriage, Utrozhestan is prescribed in a dosage of 200 mg or more after a blood test for progesterone levels. The medication regimen remains the same.

There are certain rules for taking Utrozhestan. If the patient takes it orally, all or most of the daily dose should be taken in the evening, and a smaller dose should be left in the morning. If the medicine is taken vaginally, it is advisable to prescribe it in the evening before bed - this increases its bioavailability.

When choosing between the oral and vaginal route of administration, the doctor will proceed from the patient’s condition. Oral intake increases the overall level of progesterone in the body. During pregnancy, it is prescribed for increased uterine tone, pathologies of the cervix and vagina, inflammatory processes on the skin and mucous membranes of the genital organs, and local allergic reactions.

Vaginal use increases the level of progesterone in the vessels of the uterus, having a minor effect on its overall level throughout the body. Their use is preferable when a high level of progesterone in the great vessels can adversely affect the patient’s health, as well as if there are any contraindications from the digestive system.

Comments

- Blood may come out

— it’s better not to joke with hormonal pills, it may lead to co-leakage

- In general, it cannot be abruptly canceled. But in the end I also put 1 time 200 and the gynecologist said to just stop taking it and that’s it.

- I constantly miss it, I get sick of it and when I really don’t want to, I don’t even put it on for a couple of days. Nothing, progesterone is produced by the corpus luteum - the body has a safety net

- There may be bleeding. Don't miss it, what are you doing?

- It could end very badly! Don't miss it! Someone was lucky if they missed it out of stupidity, but if you are unlucky, you will blame yourself for the rest of your life!

- Nothing good will happen.

— I took it 2 times a day, then 1 time a day and stopped and everything was fine (that’s what the doctor prescribed for me)

— @mamaanya003, progesterone stops being produced if you start using utrozhestan, the doctor told me

- hormones should not be skipped

— @an1kaz, well, how can it be, the corpus luteum is not atrophied, I don’t know for sure, of course, but if this is prescribed until the 12th week (for me), then what happens next, progesterone is needed throughout the entire period. I think that everything is produced on its own, and Utrozhestan is for maintenance, precisely for safety in the early stages, until the body accelerates itself to produce a certain amount of hormones

— @an1kaz, of course, it is not recommended to skip it, but once you skip it without any special health complications, it’s not fatal

— @mamaanya003, I’m at 34 weeks and I’m still inserting and will continue to insert until 36, so it’s not at all until 12, depending on who you are!

— @mamaanya003, it is not prescribed until 12 weeks, I used it until 30; I’m telling you what the doctor told me and I know that it’s true, if you miss it, then don’t recommend it to others, it’s really fraught.

— @mamaanya003, what does it mean until progesterone accelerates?))) it immediately begins to be produced in the body, if it suddenly drops even a little, they immediately prescribe utrogestan or there will be a miscarriage, progesterone should not fall at all. And it’s only your business to accept it through the rad, please don’t recommend this to anyone else

— @mamaanya003, first the corpus luteum produces progesterone, then the placenta. For some people they will prescribe it before the placenta matures, for others it will be prescribed even after until birth.

— I called the doctor in Moscow. She said that a maximum delay of 15-20 hours is acceptable.

— @nastenkabrunetochka, that’s right! But it is recommended to take it at the same time, I don’t know if your doctor told you or not. Therefore, remember the next time you take it, and so after 24 hours, if you take it once a day

— I canceled it for two months, first out of two, 200 - one a day, then every other day... I just finished it. I didn’t insert it once at the beginning, I thought it wasn’t necessary before the appointment on the chair(

— @an1kaz, @lysenkovamary thank you) phew I need to calm down, otherwise I’m so nervous. terrible

— @nastenkabrunetochka, this is also unnecessary) everything is fine)

- @lysenkovamary, yes, you can’t throw it too suddenly, only gradually

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Taking the drug when planning pregnancy

Low progesterone levels and luteal phase deficiency can lead to serious difficulties with conception and implantation of the embryo.

If, when examining a couple for infertility, such endocrine disorders are revealed, the woman is prescribed a course of progesterone therapy. For which it is used, including Utrozhestan.

Read: Find out how to calculate the sex of a child by blood renewal

Indications for its use are endocrine infertility, luteal phase deficiency and preparation for IVF.

Contraindications are incomplete abortion, menstrual bleeding, thromboembolism of various origins, and high levels of progesterone.

The drug causes a number of side effects - changes in the menstrual cycle, headaches and dizziness, engorgement and enlargement of the mammary glands (rare), drowsiness, emotional lability. Local allergic reactions are also possible.

The drug is taken in a standard dosage of 100 mg (one capsule of 100 mg). It is advisable to take it in the evening. The form of administration can be either oral or vaginal. The dose of the drug can be increased if necessary.

It is very important to take the medicine at the same time, preferably within an hour, since this is when Utrozhestan has its maximum effect.

The decision to prescribe the drug Utrozhestan when planning pregnancy is made by the doctor, based on the patient’s test results. The dosage and form of administration are also selected by a specialist. More often, vaginal administration is prescribed, one capsule in the evening. The oral form is used when a woman is unable to take the medicine vaginally.

For vaginal administration, the capsule is inserted into the vagina as deeply as possible. This should be done while lying on your back or side. Then, until the capsule dissolves (about 15 minutes), you need to remain still. After this, it is advisable to lie down for about an hour - which is why it is recommended to administer the capsules at night.

When taken orally, you must take the medicine with water. Utrozhestan can be taken with or without food, but it is advisable to take most (or all) of the daily dose at night. This is due to the fact that physiologically the level of progesterone increases in the evening. The oral form is more likely to cause side effects, so the drug is often prescribed vaginally.

An overdose of Utrozhestan is manifested by bleeding from the vagina, menstrual irregularities or complete cessation of menstruation, abdominal pain, nausea and vomiting, and a sharp deterioration in condition. The drug should not be used in combination with other hormonal drugs, especially hormonal contraceptives.

Read: What time of year is best to have a baby: practical and scientific reasons

Utrozhestan during pregnancy: use and withdrawal

Utrozhestan is prescribed during pregnancy when there is a threat of its termination. How does this drug help preserve the fetus?

Utrozhestan is a hormonal drug that replaces progesterone. It is called the main hormone of pregnancy. Its task is to protect the embryo during development until birth.

Progesterone is produced by the ovaries, and during pregnancy the placenta is also connected. The first trimester of pregnancy is the most dangerous. During it, a malfunction may occur and progesterone levels will drop.

If it is deficient, miscarriage or premature birth occurs. To prevent such a tragedy from happening, the girls are prescribed hormonal therapy.

Utrozhestan during pregnancy

Its peculiarity over other similar drugs is that its composition at the molecular level is as similar as possible to natural progesterone.

It is produced in the form of capsules and suppositories. It is absolutely safe for mother and child. It affects the functioning of the endometrium, uterine contractions, and fallopian tubes.

The main purpose of the medication is to give birth to a healthy baby at term and maintain pregnancy. Other advantages include that it does not cause excess weight, does not raise blood pressure, and does not cause swelling.

Utrozhestan was combined with sedatives and antispasmodics.

Spasms, pain in the lower abdomen, and spotting indicate a threat to the fetus. When going to the hospital, they may immediately prescribe Utrozhestan.

Instructions for use of utrozhestan during pregnancy

During pregnancy, Utrozhestan is taken orally or intravaginally. Typically the dosage of tablets is 200 mg. The drug is taken in two doses.

200 mg of the drug is administered into the vagina in two doses, preferably at night, as it tends to leak.

Utrozhestan is used cautiously for diabetes, epilepsy, depression, varicose veins, thrombosis, for liver problems not in the stage of compensation, for malignant neoplasms of the female genital area and mammary glands at the time of administration, or in history.

Drowsiness and confusion may occur when taking the drug. Be careful when driving.

Utrozhestan during pregnancy is prescribed by gynecologists quite often today. However, caution must be exercised when using progesterone during pregnancy; self-medication is unacceptable. In some European countries, Utrozhestan is not used. This is due to the fact that its effect on the fetus has not yet been studied enough. The drug is new. In what cases is taking the drug justified:

If a laboratory blood test during pregnancy reveals a lack of progesterone.
If you have recurrent miscarriage associated with a lack of progesterone.
If you cannot get pregnant due to lack of progesterone.

Be sure to keep in mind that the dosage and duration of treatment with Utrozhestan can only be determined by a doctor! Typically, a dose of 200-300 mg is administered twice. The drug is withdrawn gradually. The withdrawal regimen is prescribed by the doctor. Typically, each week is administered 100 mg less than the previous one until complete withdrawal. Abrupt withdrawal can cause a miscarriage!

How much to take utrozhestan during pregnancy?

During pregnancy, Utrozhestan provides the expectant mother with effective hormonal support. It is prescribed if there is a threat of miscarriage before the 24th week of pregnancy. For women with liver problems, it is preferable to use Utrozhestan suppositories.

Cancellation of Utrozhestan during pregnancy

Utrozhestan is discontinued during pregnancy, reducing the dose by 100 mg per week, or by 50 mg every three days. At the same time, make sure that there is no bleeding from the genital tract. In any case, Utrozhestan is discontinued gradually so as not to harm the child.

[12], [13], [14]

Discharge after morning use during pregnancy

Discharge after inserting Utrozhestan suppositories during pregnancy should not bother you, as they melt into the vagina and flow out. White discharge is the norm in this case.

Bloody discharge requires dose adjustment of the drug. If you find a spot on your underwear, go for an emergency appointment with an obstetrician-gynecologist!

[15], [16], [17], [18], [19]

Pregnancy after taking utrozhestan

The desired pregnancy sometimes does not occur due to progesterone deficiency. Utrozhestan during pregnancy and at the planning stage in the form of capsules and suppositories copes with this problem. He helped thousands of women become pregnant and give birth to a healthy child. To be on the safe side, at the planning stage, the doctor may prescribe Utrozhestan to women with acne or male pattern hair. You cannot prescribe the drug yourself. Taking Utrozhestan causes dizziness and drowsiness in some women.

Taking utrozhestan during frozen pregnancy

Utrozhestan during pregnancy can be prescribed after a frozen pregnancy, especially if there are alarming symptoms, for example, brown discharge. The progesterone contained in the drug will help you carry your pregnancy to term. Utrozhestan tablets or suppositories are taken or administered in the morning and evening. Usually the dosage is 200-300 mg per day, but if the threat is very strong and the analysis shows hormonal dysfunction, the dose can be increased to 600 mg per day.

Utrozhestan reviews

Due to side effects, burning in the vagina, baking candles, this hormonal medicine does not always leave positive reviews.

But women are ready to endure this because they want to give birth to a healthy baby, and not have painful experiences about a miscarriage. And Utrozhestan helps with this. Not everyone likes its price; some girls consider it a bit expensive.

Remember, hormonal drugs are not toys. This is not a slice of lemon in tea that we drink to avoid getting sick. Utrozhestan and similar products have a serious impact on women's health. They should only be prescribed to you by a doctor, and not by you yourself.

“I couldn’t bear a child for several years (I constantly had miscarriages in the early stages. I went to another doctor and he suggested Utrozhestan suppositories. When I became pregnant again, I was very afraid that I would have a breakdown again... I was all on my nerves. But the suppositories helped! I already at 5 months (pah-pah-pah). Girls, listen to good doctors" Maria

Doctors' opinions, women's reviews

Doctors note the fairly high effectiveness of Utrozhestan in the treatment of infertility, despite a fairly large list of side effects.

The drug is also used to treat some other hormonal disorders, including various ovarian dysfunctions, menopausal disorders, and dysmenorrhea of various origins.

An important clarification - if a woman does not intend to become pregnant, but she needs a course of treatment with Utrozhestan, then the preferred method of contraception is condoms, since Utrozhestan is incompatible with hormonal drugs, and the reliability of physiological methods when taking it decreases significantly.

Women note that during treatment with Utrozhestan, headaches often occur, performance decreases, and emotional instability may occur.

Some patients are unhappy that they have to switch to barrier methods of contraception. Among the reviews, there are sometimes indications that during treatment with Utrozhestan, sexual desire increases or decreases.

Not everyone is comfortable with the vaginal method of using the medicine - for example, it is difficult to do this while traveling or outdoors. For those who often have to be away from home, it is recommended to take the medicine orally.

When is the hormonal drug Utrozhestan prescribed:

15 Oct 2021 Valeria 371

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06/30/2019 admin Comments No comments

Utrozhestan is a popular drug prescribed to women during pregnancy, and in some cases before and after it. Hopes are often pinned on him for the conception and successful bearing of a child. What is special about the drug and how to use it correctly?

Did you know? " Utrozhestan" is a drug created on the basis of the hormone progesterone, which is also called the pregnancy hormone. This drug, unlike other analogues, completely replicates the progesterone molecule, but at the same time is able to be absorbed by the intestines.

Why is Utrozhestan prescribed: indications for use

Some women are prescribed Utrozhestan during pregnancy, but they are not always told why it is prescribed. In fact, the basis for its prescription is a lack of progesterone in a woman’s body, which can negatively affect not only the course of pregnancy.

A woman's health, if it is deficient, can fail even when she is not expecting a child.

The reasons for its use are:

menstrual irregularities;
acute manifestation of premenstrual syndrome;
inability to conceive due to insufficiency of the luteal phase of the menstrual cycle;
prevention of miscarriages in the early stages;
threat of premature birth;
fibrocystic mastopathy of the mammary glands;
various stages of menopause.

The drug is prescribed based on a laboratory analysis of progesterone levels, which is measured in the second half of the menstrual cycle.
Therefore, it is always important to know the start dates of previous cycles. Important! The drug cannot be used as a contraceptive, since the dosage is too small for such a result.

Therefore, often, having sufficient grounds, doctors prescribe the drug in the first weeks, and also in some cases in subsequent periods, in order to avoid miscarriage.

Did you know? Progesterone is produced by the placenta, corpus luteum and adrenal glands. Therefore, during a normal pregnancy, its concentration in the woman’s body increases and is maintained at a high level until the time of birth.

Utrozhestan in early pregnancy

Utrozhestan during early pregnancy, in the first trimester, is prescribed mainly in the form of suppositories, which are administered at the same time in the evening every day. This form of the drug is preferable to tablets, as it causes fewer side effects that are undesirable for the pregnant woman and baby, especially from the liver.

Medicine can solve many of the problems with pregnancy by prescribing women an adequate dose of progesterone. The drug reduces the tone of the uterus and tidies up the nervous system. Side effects of Utrozhestan during early pregnancy: dizziness and absent-mindedness, so be extremely careful when driving a car and at work. Thrombophlebitis, varicose veins and liver problems can also cause your doctor to refuse Utrozhestan therapy. In most cases, Utrozhestan is well tolerated. Additional care is needed when taking the drug for pregnant women, those suffering from diabetes mellitus and those with problems with the cardiovascular system. There are no uniform recommendations for all pregnant women - a possible daily dosage is 300-600 mg. Since the drug is herbal based, you will not be able to gain weight while taking it. It does not take part in carbohydrate and lipid metabolism. Utrozhestan does not cause swelling and does not harm the baby, and does not lead to hormonal disorders in the child after birth. This is evidenced by the fact that hundreds of thousands of children around the world were born due to the fact that the doctor recommended Utrozhestan when there was a threat of miscarriage. The drug has no analogues.

[6], [7], [8], [9]

Utrozhestan at 5 weeks of pregnancy

Pregnancy is a special state of the body, it is a reason for joy and new hopes. But often during a short period of pregnancy it is necessary to prescribe medications that help preserve it. Utrozhestan during pregnancy at 5 weeks may be prescribed to you if there is slight bleeding or the uterus is in good shape. Utrozhestan is designed for long-term use. It is made from plant materials. So a decrease in hormonal levels should not cause you to panic; it can be completely eliminated without consequences for your health during pregnancy. But you should not self-medicate in any case - everything is under the control of a gynecologist!

The drug has a minimum of side effects; when taking it, you will not suffer from swelling or gain weight. It normalizes the structure of the endometrium in early pregnancy so that the baby feels good in your belly.

The drug should not be abruptly discontinued. Your doctor will tell you at your appointment how best to reduce your dosage. Usually it is reduced by 50 mg weekly.

Utrozhestan at 13 weeks of pregnancy

Utrozhestan is prescribed at the 13th week of pregnancy if there is a threat of miscarriage due to a lack of progesterone. This problem is very common today. Antispasmodics are also often prescribed. They are fully compatible with Utrozhestan. Utrozhestan during pregnancy is in most cases prescribed in a dosage of 200 mg. Utrozhestan does not suppress the production of pregnancy hormones by your body, but complements them and therefore cannot cause harm. The only thing that needs to be taken into account is that utrozhestan should not be prescribed to women with liver problems, thrombosis and varicose veins.

How does it affect pregnancy?

The main function of the hormone in a woman’s body is to stimulate the production of secretory endometrium. That is, it helps to relax the muscles of the uterus, reduce its tone and prevent its transition to labor.

The drug "Utrozhestan", in addition to these functions, increases the body's absorption of glucose, activates the mammary glands, and calms the nervous system. All these issues are very acute during pregnancy.

How to take during pregnancy: instructions

The question logically arises of how to take Utrozhestan during pregnancy. Only the doctor can decide this based on the data obtained from the tests taken.

The drug is available in capsules in dosages of 100 mg and 200 mg. This allows doctors to prescribe the appropriate amount of the drug individually for each woman.

Did you know? The medicine is available only in capsule form. But they can be used as tablets, orally, and as suppositories, intravaginally. They differ only in concentration and form. So, a 200 mg capsule has an oval shape, and a 100 mg capsule has a round shape.

The way they are used will also be different. Most often it is prescribed as a suppository in the vagina.

In this case, it is absorbed faster and more reliably, and also produces fewer side effects. For example, when taken orally, the load on the liver increases and severe pain may occur in it, which is why women in some cases have to refuse this form of treatment.

The capsule is inserted into the vagina before going to bed directly in bed in a lying position. When taking the drug in tablet form, they are swallowed 15-20 minutes before meals, after which you should immediately drink a glass of water.

Rules and scheme during pregnancy

Increasingly, in recent years, women are faced with various problems during pregnancy.
One of the popular diagnoses is recurrent miscarriage. This means that a representative of the fairer sex cannot give birth to a child due to miscarriages, frozen pregnancies, and so on. Often, pathology occurs due to a lack of hormones, in particular progesterone.

Modern medications can compensate for the deficiency of this substance.

This is what Utrozhestan is like. You should start taking this medication, as well as stop using it, only on the recommendation of a specialist. Today's article will tell you how o is produced during pregnancy. The diagram will be presented below.

Why is medicine needed?

Before you find out what the regimen looks like during pregnancy (after IVF or natural conception), you need to get acquainted with the drug itself. The drug "Utrozhestan" is a gestagenic agent. It is recognized as a synthetic analogue of progesterone.

This hormone is normally produced by the corpus luteum, located in the ovary, after ovulation. Progesterone helps prepare the endometrium for the attachment of the fertilized egg, maintains the uterus in normal tone, prevents pregnancy from ending due to myometrial contraction, and performs other important functions.

If this hormone is not enough, which is often found in gynecological practice, then the drug “Utrozhestan” is prescribed.

Features of use

The regimen during pregnancy always depends on the dose of the drug taken. According to the instructions, the drug can be inserted into the vagina or taken orally.

The first option turns out to be more preferable for doctors, as it reduces the risk of side effects.

Please note that the medication is not prescribed for severe liver failure, the patient’s tendency to thrombophlebitis, or for certain diseases of the nervous system.

The dosage and duration of use are always determined by the doctor individually. The medication can be prescribed to prevent miscarriage (after ovulation) or to treat self-abortion that has begun. Instructions for use recommend using 200-400 milligrams of medication per day. This portion is divided into 2 doses. But gynecologists can prescribe a different dosage.

Scheme for pregnancy in case of its termination

Often the medication is prescribed to prevent miscarriage. In this case, the drug is taken in a standard dose of 200 mg per day from the moment of ovulation. If pregnancy occurs, then at the discretion of the doctor and based on test results, the amount of Utrozhestan can be doubled.

When the pregnancy ends unsuccessfully and a miscarriage occurs, the medication is discontinued. This action can provoke the spontaneous release of the fertilized egg from the uterus. In this case, the woman will not need curettage.

The drug is discontinued only if termination of pregnancy is confirmed by reliable facts (tests, ultrasound, the patient’s well-being). There are no special rules.

Just stop using the pills.

Standard diagram o

During pregnancy with a diagnosis of “recurrent miscarriage,” the drug is prescribed from the moment of delay at a dosage of 200 milligrams. The patient will have to take the medication for a long time. At approximately 13-16 weeks of pregnancy, the placenta assumes responsibility for progesterone and maintaining the vital activity of the embryo.

From this moment on, there is no need to use Utrozhestan. Therefore, you can gradually stop taking the drug. This should only be done together with a doctor. The doctor will prescribe you a regimen that will look something like this:

13th week – 100 mg morning and evening;
14th week – 100 mg in the evening;
15th week – 100 mg in the evenings every other day;
16th week - stop the drug completely.

Taking the drug and stopping it if there is a threat of interruption

If the patient is at risk of miscarriage, which is manifested by pain in the lower abdomen, bleeding and other symptoms, then the medication is prescribed in a higher dosage.

Doctors increase the dose of medication to 400 mg per day. In these cases, it is convenient to use capsules that contain not 100 mg of progesterone, but 200. The medication is used as standard: until the 13-15th week.

The pregnancy diagram in this case looks like this:

13 weeks – 200 mg morning and evening;
14 weeks – 100 mg in the morning and 200 mg in the evening;
15 weeks – 200 mg in the evening;
16 weeks – 100 mg in the evening;
at week 17, completely eliminate the capsules.

Artificial insemination and progesterone supplementation

The situation is different when using assisted reproductive technologies. The IVF procedure is quite expensive and hard on the patient’s body. Therefore, doctors play it safe and prescribe the drug “Utrozhestan” in large doses immediately after embryo transfer. This tactic allows you to prevent miscarriage and the threat of its occurrence.

Typically, the patient is prescribed a daily dose of 600 to 800 mg of progesterone. Take the medicine until about halfway through the term. By the 20-21st week, the pregnancy plan is completed; according to doctors, there can never be too much. Therefore they act like this:

15 weeks – 2 tablets of 200 mg in the morning and 2 in the evening;
16 weeks – 200 mg (1 tablet) in the morning and 400 in the evening;
17 weeks – 200 mg morning and evening;
18 weeks – 100 mg in the morning and 200 in the evening;
19 weeks – 100 mg morning and evening;
20 weeks – 100 mg in the evening;
21 weeks - the drug was stopped.

In what cases, after reducing the dose, is it increased again?

The regimen during pregnancy is selected depending on the patient’s condition. First, the gynecologist prescribes an ultrasound examination and a blood test to determine progesterone levels.

After receiving the results, the doctor decides whether to start reducing the dose of the drug or wait longer. As you can see, in all situations the dose of medication is reduced gradually.

Sharp restriction of the drug or its complete withdrawal can provoke termination of pregnancy.

During dose reduction, it is necessary to carefully monitor the woman's condition. Due to the large flow of patients, the gynecologist is not always able to control the well-being of the expectant mother. Therefore, the responsibility falls entirely on your shoulders.

If you suddenly feel worse: pain in the back and lower abdomen begins, brown or pink discharge appears, then you need to return the previously prescribed dose of the medication. A few weeks after normalization of health, the scheme is repeated.

During pregnancy at the same time, the patient may be recommended sedatives and sedatives.

Reviews and recommendations

Representatives of the fairer sex say that the scheme is almost always the same. During pregnancy, the dose is reduced gradually. First, daily portions are reduced.

If you initially used 600 mg (200 in the morning and 400 in the evening), then in the first week of withdrawal the drug is halved in the morning and left in full for evening use.

The next week, the first portion of the medicine is completely abandoned and only the second is used.

This is done especially carefully during IVF pregnancy. The regimen is always prescribed individually by the gynecologist, taking into account the characteristics of the body and the number of implanted embryos.

Summarize

The article provided you with information about what regimen is available during pregnancy (600, 400, 200 or 800 mg). While reducing the dose of medication, monitor your feelings. In most cases, cancellation occurs without negative consequences. But if you have any questions or concerns, please consult your doctor. Good luck!

Source: https://FB.ru/article/266486/pravila-i-shema-otmenyi-utrojestana-pri-beremennosti

How long to take

Until what week you take Utrozhestan during pregnancy, the doctor also decides. As a rule, if a woman took the drug before its onset, then at least the first trimester will have to continue using it.

Sometimes there is a need to drink it until the 20th week. It all depends on the complications and nature of the pregnancy. For example, if a medicine is prescribed to avoid termination of pregnancy, then it is taken until the threat disappears.

The most dangerous periods in this sense are the first 13 weeks, when miscarriages most often occur. Also dangerous is the period of the third trimester, when there is a threat of premature delivery. In this case, it is prescribed until the 36th week.

Important! In case of recurrent miscarriage or IVF and habitual miscarriage, the dosage can be increased to 800 mg, which is also divided into two doses. In this case, it is recommended to take it until the 24-26th week of pregnancy.

During menopause, the need to support hormonal levels can be prolonged. Therefore, Utrozhestan can be taken for years.

Side effects and special instructions

"Utrozhestan" is not a panacea and is a completely safe remedy; during pregnancy, side effects are quite common. They can also occur when taken by a non-pregnant woman.

The most common reaction is a shortening of the cycle or bleeding between cycles. Therefore, an examination of the condition of the endometrium is required to accurately identify the cause of bleeding.

It is necessary to immediately discontinue the drug if the following symptoms occur:

Strong headache;
thromboembolism, thrombosis;
retinal vascular lesions;
loss of vision;
migraine;
double vision.

Moreover, these disorders do not depend on the method of taking the medicine: orally or vaginally. If at least one of these symptoms appears while taking the medicine, you should immediately consult a doctor.

Important! Do not worry about unusual white discharge when using the medicine as a suppository. When dissolving, the capsule is not completely absorbed, but comes out. But spotting may indicate the need for dosage adjustment.

Cases of jaundice have been reported. You need to know that the drug has a slight depressant effect on the nervous system, so you should not drive a car while taking it.

Taking micronized progesterone in questions and answers

1. How many capsules are there in the package?

There are 2 forms of release of the drug: capsules of 100 mg and capsules of 200 mg. Each package of the drug with a dosage of 100 mg contains 28 capsules (2 blisters of 14 capsules each), and each package with a dosage of 200 mg contains 14 capsules (2 blisters of 7 capsules each).

2. How to take the drug?

The micronized progesterone preparation has the following methods of use:

– orally – take orally with water;

– intravaginally – insert into the vagina.

The choice of route of administration is carried out in accordance with the diagnosis, on the recommendation of the doctor and taking into account the individual preferences of the patient.

3. Can I take the drug with food?

No, it is not recommended to take the drug with food. It is recommended to separate food intake and oral administration of the drug by 2 hours. Intravaginal use of the drug does not depend on food intake.

4. Can the drug leak after use?

Micronized progesterone preparation is progesterone capsules in an oil solution. The amount of oil in each capsule is insignificant (about 1 ml), so it cannot lead to any pronounced discharge.

However, if minor discharge is still present after administration (in rare cases), then this is not a discharge of progesterone itself, but of auxiliary elements. Progesterone itself is very quickly absorbed into the bloodstream.

There should be no concern or inconvenience here.

5. What should I do if drowsiness occurs after taking the drug?

Drowsiness is a consequence of the anxiolytic effect of progesterone: its alpha metabolites have a calming effect on the nervous system. If this effect occurs, it is recommended to either switch from oral to vaginal route of administration, or take the drug orally at bedtime.

6. Are there any special considerations when administering progesterone vaginally?

Hygienic only - it is recommended to wash your hands before and after inserting the drug into the vagina.

7. Is it possible to administer micronized progesterone before and after sexual intercourse?

Since the drug is quickly absorbed into the vagina, it can be administered at any time.

8. When is the best time to administer the drug?

There is no strictly defined time for administration of this drug, however, when taken orally, micronized progesterone is preferably administered in the evening before bedtime. Your doctor will recommend the optimal time for your appointment.

9. Are allergic manifestations possible with vaginal administration of the drug?

The capsules contain a minimal amount of sunflower oil, so allergic reactions may occur in rare cases of individual intolerance to sunflower seed oil.

10. Are allergic reactions to the drug possible when taken orally?

Yes, in very rare cases an allergic reaction to the components of the drug that are included in the composition is possible.

11. Can a micronized progesterone product cause changes in body temperature?

Yes maybe. During a normal menstrual cycle without additional administration of progesterone, body temperature also increases slightly after ovulation. The increase in temperature depends on the amount of progesterone in the blood.

12. Is it possible for the capsule to fall out?

No, since the vaginal cavity is anatomically located almost horizontally. In addition, the drug is absorbed very well and quickly.

13. Can micronized progesterone be used vaginally during sports or exercise?

Sports or physical exercise are not an obstacle to the vaginal use of the drug, as it is absorbed very quickly and well.

14. What happens if the course of treatment starts too early?

If the course of treatment began in the first half of the menstrual cycle (especially before the 15th day), a shortening of the menstrual cycle or the appearance of spotting may occur. Such manifestations are characteristic of all progestogens. In this case, it is recommended to postpone the start of treatment to a later day of the cycle (for example, to the 19th).

15. For what diseases can the use of the drug cause undesirable effects?

The drug should be used with caution in diseases of the cardiovascular system, arterial hypertension, chronic renal failure, diabetes mellitus, bronchial asthma, epilepsy, migraine, depression, hyperlipoproteinemia, mild to moderate liver dysfunction, photosensitivity.

The drug should also be used with caution in the second and third trimesters of pregnancy and lactation.

16. Is it possible to use micronized progesterone during breastfeeding?

Progesterone passes into breast milk, so the use of the drug is contraindicated during breastfeeding.

Contraindications

The drug is classified as group B, which means relatively safe drugs. However, its full effect on the body has not yet been studied. Today, absolute contraindications for taking it in any form are:

porphyria;
incomplete miscarriage;
sensitivity to the components of the drug;
bleeding for unknown reasons;
malignant neoplasms of the genital organs or mammary glands (even suspicions of them).

In these cases, you should not take the drug under any circumstances. In addition, there are contraindications for taking Utrozhestan orally. Among them:

liver failure;
severe liver disease;
thromboembolism;
acute phlebitis;
tendency to thrombosis.

In such situations , the doctor may prescribe the use of the drug as a suppository. Be that as it may, use it carefully, under the careful supervision of a specialist.

Despite all the possible side effects, Utrozhestan helps to cope with very dangerous conditions not only during pregnancy, but also before and after it.

What to do if you missed taking utrozhestan during pregnancy