Progesterone is a value that every pregnant woman is very concerned about, and the progesterone level can directly determine the condition of the fetus. If a pregnant woman's progesterone level is low, it is very dangerous and may lead to fetal malformation or miscarriage. If a pregnant woman's progesterone level is low, she must take timely measures to reduce the level of progesterone. This can be done through dietary supplements or oral supplements. In short, the low progesterone level must be improved immediately. Here I will introduce some normal values of progesterone. Normal progesterone values: Follicular phase: 0.31-1.52 Luteal phase: 5.16-18.56 Menopause: less than 0.08-0.78 Pregnancy: 1st-3rd week: 4.7-50.7 4th-6th week: 19.4-95.3. Under normal circumstances after pregnancy, the progesterone value should be: 63.4-94.5 during early pregnancy, 95-150 during mid-pregnancy; and 150-1500 during late pregnancy. 1. Early pregnancy bleeding and embryo atrophy In the early stages of pregnancy, there is often bloody vaginal discharge or vaginal bleeding, sometimes accompanied by mild lower abdominal pain. This condition is called "threatened abortion." Clinically, about 1/4 of early pregnancies may experience bleeding, which may be caused by physiological implantation bleeding or pathological cervical lesions. Especially if there is bleeding after sexual intercourse, it is necessary to confirm whether there are cervical polyps or cervical bleeding. Most bleeding will last for several days or even weeks. The doctor will advise the patient to rest in bed and stop sexual intercourse. If necessary, the patient will be given progesterone or the cervical lesions will be treated. If the fetal heartbeat is still not seen during ultrasound examination at 6-7 weeks of pregnancy, it is suspected that it is an "atrophic embryonic sac". About 60% of embryonic atrophy is caused by chromosomal abnormalities in the fertilized egg or problems with the fertilized egg itself. Therefore, this is not caused by the carelessness of the expectant father and mother, but the result of natural selection. When encountering such a situation, both parents should first accept it calmly and cooperate with the doctor to take appropriate measures. This is the correct attitude. Because the probability of miscarriage due to natural factors is as high as 15%-20%. 2. Incomplete cervical occlusion This situation often occurs in the second trimester of pregnancy, and the main causes are congenital cervical malformations and acquired cervical injuries. Congenital causes account for about 30%-50%, including when the mother takes drugs such as DES during pregnancy. Acquired causes are mostly related to artificial abortion or cervical cone resection in the early stages of cervical cancer. The main treatment for incompetent cervix is McDonald's cervical suture at 14 to 16 weeks of pregnancy, but the possible side effects of the surgery are rupture of membranes, bleeding or infection. 3. Antepartum hemorrhage It refers to vaginal bleeding after 28 weeks of pregnancy. There are four main reasons for this: (1) Placental abnormalities: Placenta previa and placental abruption are the most common. (2) Cervical and vaginal diseases: such as cervical erosion, uterine polyps or cervical cancer. In addition, vaginal trauma or foreign body insertion can also cause bleeding. (3) Hematuria caused by urinary tract infection. (4) Hematological diseases, such as abnormal coagulation function. If prenatal bleeding occurs, you should see a doctor as soon as possible to find out the cause of the bleeding. Ultrasound can determine whether there is placenta previa. If it is confirmed that there is no placenta previa, further diagnosis should be made to determine whether there is cervical or vaginal disease. In addition, urine examination and coagulation function tests can also provide further information. In some special cases, such as early placental abruption, if the conditions for cesarean section are met, it is better to give birth as soon as possible. The progesterone level in early pregnancy fluctuates between 10,000 and 100,000. Pregnant women in early pregnancy can know their condition through these parameters. This way, progesterone can be supplemented in a more timely manner to avoid low progesterone levels. In addition to progesterone, folic acid and hcg are also two very important things during pregnancy. If folic acid is not supplemented enough, it will directly affect the fetus. |
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