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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Susten For Uterine Bleeding During 9th Week Of Pregnancy?

Hi. I am in my ninth week of pregnancy and the recent scan showed some uterine bleeding. My doctor has prescribed susten 100 but I am wary of taking the same after having read about the possible side effects on the baby and me. I have had a normal and healthy pregnancy earlier with no medical history. Please advise.
Mon, 10 Mar 2014
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General & Family Physician,  's  Response
Hi and welcome to HCM. progesterone (such as Susten) is not approved for use during pregnancy in any advanced country such as US, UK etc. Some authorities in the past used to recommend its use in recurrent miscarriage or threatened abortion but now there is now no evidence of any benefit from such practice and recommend against the use in early pregnancy unless there is proven deficiency. Susten is given only in women likely to have / proven progesterone (luteal phase) deficiency. One problem with this medicine is that female baby may suffer from hirsutism (unwanted hair on face, chest etc). Therefore if at all progsterones have to be given when there is documented deficiency, it is preferable to give dydrogesterone (sold as Duphaston) or medroxyprogesterone (sold as Meprate). I suggest you to consult your doctor regarding this and ask him politely about this, if his answer is convincing you can continue using this drug. All the best

Regards
Dr Santosh

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Is It Safe To Take Susten For Uterine Bleeding During 9th Week Of Pregnancy?

Hi and welcome to HCM. progesterone (such as Susten) is not approved for use during pregnancy in any advanced country such as US, UK etc. Some authorities in the past used to recommend its use in recurrent miscarriage or threatened abortion but now there is now no evidence of any benefit from such practice and recommend against the use in early pregnancy unless there is proven deficiency. Susten is given only in women likely to have / proven progesterone (luteal phase) deficiency. One problem with this medicine is that female baby may suffer from hirsutism (unwanted hair on face, chest etc). Therefore if at all progsterones have to be given when there is documented deficiency, it is preferable to give dydrogesterone (sold as Duphaston) or medroxyprogesterone (sold as Meprate). I suggest you to consult your doctor regarding this and ask him politely about this, if his answer is convincing you can continue using this drug. All the best Regards Dr Santosh