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Pregnant. Suffered Miscarriages. Suggested Progesterone Supplements, Duphaston And Susten. Eyes Rotating And No Sleep. Help?
Question: Hello Doctor,
Im XXXXXXX 29 years from hyderabad and recently confirmed as pegnant. Hcg level is around 500. I suffered couple of miscarriages earlier so doc advised progesterone supplements duphaston and susten daily 2 times. At night I feel my eyes are rotating and unable to dleep due to that.. is that due to high progesterone? ? Please help.
Im XXXXXXX 29 years from hyderabad and recently confirmed as pegnant. Hcg level is around 500. I suffered couple of miscarriages earlier so doc advised progesterone supplements duphaston and susten daily 2 times. At night I feel my eyes are rotating and unable to dleep due to that.. is that due to high progesterone? ? Please help.
Brief Answer:
It can be due to progesterone supplements.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The inability to sleep at night could be due to anxiety or increased levels of progesterone. This is one of the side effects of the progesterone supplementation.
The purpose of progesterone - dydrogesterone/ duphaston and susten during the first trimester is to "mimic" the function of something called the corpus luteum. It is a cyst that produces progesterone during early pregnancy that helps to 'maintain' the pregnancy until it reaches a certain point where it can survive on its own. This is usually about 10-12 weeks. This is usually given in patients with a history of recurrent miscarriages.
The nutritional supplements and life style modifications that will help in reducing anxiety and having a healthy baby include-
1. A high protein diet- XXXXXXX in pulses, cereals, eggs, fish, etc.
2. A high calcium intake- like milk, milk products, eggs, bajra, ragi, etc.
3. Eat fiber XXXXXXX fresh fruits and green leafy vegetables and avoid foods which are not easily digestible and fatty foods
4. Have six small meals instead of 3 large meals
5. Drink plenty of fluids
6. Go for regular Brisk walks for 30 to 40 minutes daily.
7. Take regular folic acid and DHA supplements as prescribed by your gynecologist.
8. Avoid caffeine or tea specially in the evenings.
Do not have undue stress / anxiety, as that will negatively impact your fetus.
Take care, and enjoy your pregnancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
It can be due to progesterone supplements.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The inability to sleep at night could be due to anxiety or increased levels of progesterone. This is one of the side effects of the progesterone supplementation.
The purpose of progesterone - dydrogesterone/ duphaston and susten during the first trimester is to "mimic" the function of something called the corpus luteum. It is a cyst that produces progesterone during early pregnancy that helps to 'maintain' the pregnancy until it reaches a certain point where it can survive on its own. This is usually about 10-12 weeks. This is usually given in patients with a history of recurrent miscarriages.
The nutritional supplements and life style modifications that will help in reducing anxiety and having a healthy baby include-
1. A high protein diet- XXXXXXX in pulses, cereals, eggs, fish, etc.
2. A high calcium intake- like milk, milk products, eggs, bajra, ragi, etc.
3. Eat fiber XXXXXXX fresh fruits and green leafy vegetables and avoid foods which are not easily digestible and fatty foods
4. Have six small meals instead of 3 large meals
5. Drink plenty of fluids
6. Go for regular Brisk walks for 30 to 40 minutes daily.
7. Take regular folic acid and DHA supplements as prescribed by your gynecologist.
8. Avoid caffeine or tea specially in the evenings.
Do not have undue stress / anxiety, as that will negatively impact your fetus.
Take care, and enjoy your pregnancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
These symptoms are normal.
Detailed Answer:
Hello.
Thanks for writing again.
The symptoms that you have are like giddiness. The heaviness in the head and giddiness are the normal symptoms during the early pregnancy due to the hormonal changes in the body. Please do not worry and take adequate rest. If there is associated nausea then you can get doxylamine prescribed from your obstetrician for relief.
Hope my answer is helpful.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Regards
These symptoms are normal.
Detailed Answer:
Hello.
Thanks for writing again.
The symptoms that you have are like giddiness. The heaviness in the head and giddiness are the normal symptoms during the early pregnancy due to the hormonal changes in the body. Please do not worry and take adequate rest. If there is associated nausea then you can get doxylamine prescribed from your obstetrician for relief.
Hope my answer is helpful.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
A USG scan will help in confirming the progress
Detailed Answer:
Hello.
The gradually increasing levels of HCG are suggestive of a viable pregnancy. Even if the levels double in 4 days, there is nothing to worry. Usually the levels double in 48-72 hours.
An ultrasound scan will help in confirming the proper progress of the g.sac growth and heart beat appearance.
Please do keep me informed regarding the progress.
Regards.
A USG scan will help in confirming the progress
Detailed Answer:
Hello.
The gradually increasing levels of HCG are suggestive of a viable pregnancy. Even if the levels double in 4 days, there is nothing to worry. Usually the levels double in 48-72 hours.
An ultrasound scan will help in confirming the proper progress of the g.sac growth and heart beat appearance.
Please do keep me informed regarding the progress.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi madam,
I had some bleeding on 9th night and we have done scan which has shown it as ectopic :( I I am attaching reports for reference. I don't feel any pain though. Please advise whether to go with methotrexate or laproscopy. My hcg yesterday was 850. Please advise asap as I need to take decision in couple of hours. And also concerned about pouch of XXXXXXX fluid. Thanks in advance.
I had some bleeding on 9th night and we have done scan which has shown it as ectopic :( I I am attaching reports for reference. I don't feel any pain though. Please advise whether to go with methotrexate or laproscopy. My hcg yesterday was 850. Please advise asap as I need to take decision in couple of hours. And also concerned about pouch of XXXXXXX fluid. Thanks in advance.
Brief Answer:
Laparoscopic removal is the best for you.
Detailed Answer:
Hello.
I have seen the report attached.
It was sad to know that it has been diagnosed as an ectopic pregnancy. Since the pregnancy is intact it is best to get it removed laparoscopically. Even after the methotrexate treatment, the chances of success are not 100%.
The surgery may be needed if there is a rupture.
The mild amount of fluid in the pouch of XXXXXXX could be due to a reactionary fluid collection.
Please do not wait and go for laparoscopy.
Regards.
Laparoscopic removal is the best for you.
Detailed Answer:
Hello.
I have seen the report attached.
It was sad to know that it has been diagnosed as an ectopic pregnancy. Since the pregnancy is intact it is best to get it removed laparoscopically. Even after the methotrexate treatment, the chances of success are not 100%.
The surgery may be needed if there is a rupture.
The mild amount of fluid in the pouch of XXXXXXX could be due to a reactionary fluid collection.
Please do not wait and go for laparoscopy.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for the suggestion mam.. my only concern is loosing the tube reducing the chances. I have been trying to concieve for 3 years now. Had undergone 5 iui in which one was successful n resultrd in miscarriage. This time it was normal but ectopic. Please consider n advice
Brief Answer:
Still I think the surgery is best for you.
Detailed Answer:
I know there are chances of losing a tube on surgery but since there is considerable amount of fluid also present in the abdomen, we cannot take the risk of a rupture.
With methotrexate, the chances of rupture will be present.
You can discuss this with your treating doctor who will be the best judge for you.
Even if the tube is removed, the chances of conception are still present. Please do not worry.
Still I think the surgery is best for you.
Detailed Answer:
I know there are chances of losing a tube on surgery but since there is considerable amount of fluid also present in the abdomen, we cannot take the risk of a rupture.
With methotrexate, the chances of rupture will be present.
You can discuss this with your treating doctor who will be the best judge for you.
Even if the tube is removed, the chances of conception are still present. Please do not worry.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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