Increasingly, in recent years, women face various problems during pregnancy. One of the popular diagnoses is habitual miscarriage. This means that the representative of the weaker sex can not give birth to a child due to miscarriages, a missed pregnancy, and so on. Often, pathology occurs due to a lack of hormones, in particular progesterone. To fill the deficiency of this substance can modern medicines.
That is Utrozhestan. To start taking this tool, as well as to refuse it, you need only on the recommendation of a specialist. Today's article will tell you how to cancel "Utrozhestan" during pregnancy. The scheme will be presented later.
What is the medicine for?
Before you know what the withdrawal plan for Utrozhestan looks like during pregnancy (after IVF or natural conception), you need to get acquainted with the drug itself. Medication "Utrozhestan" is a progestational 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 attachment of the fetal egg, maintains the uterus in a normal tone, prevents pregnancy from aborting due to contraction of the myometrium, 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 scheme of cancellation of "Utrozhestan" during pregnancy always depends on the dose of the drug. According to the instructions, the drug can be administered into the vagina or taken orally. The first option is more preferable for doctors, as it reduces the risks of side effects. Please note that the medication is not prescribed for severe liver failure, the patient’s tendency to thrombophlebitis, as well as for some diseases of the nervous system.
Dosage and duration of use are always set by the doctor individually. A medication can be prescribed to prevent miscarriage (after ovulation) or to treat self-abortion that has begun. Instructions for use recommend the use of 200-400 milligrams of the drug per day. This portion is divided into 2 receptions. But gynecologists can prescribe a different dosage.
The scheme of cancellation of "Utrozhestan" during pregnancy in case of interruption
Often, 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 has occurred, then at the discretion of the doctor and according to the results of the analysis, the amount of Utrozhestan can be doubled.
When the pregnancy ends unsuccessfully and a miscarriage occurs, the medication is canceled. This action can provoke an independent exit of the fetal egg from the uterus. In this case, the woman will not need curettage. The drug is canceled only if the termination of pregnancy is confirmed by reliable facts (analyzes, ultrasound, patient’s well-being). There are no special rules. Just stop using the pills.
The standard scheme of cancellation "Utrozhestan-200"
During pregnancy with a diagnosis of “habitual miscarriage”, the drug is prescribed from the time of delay in a dosage of 200 milligrams. The patient will have to take the medication for a long time. At about 13-16 weeks of gestation, the placenta takes responsibility for progesterone and the maintenance of the vital functions of the embryo.
From this moment, the need to use Utrozhestan disappears. Therefore, you can gradually abandon the drug. This should only be done in conjunction with a doctor. The doctor will prescribe a scheme that will look something like this:
- 13th week - 100 mg in the morning and in the evening;
- 14th week - 100 mg in the evening;
- 15th week - 100 mg in the evenings every other day;
- 16th week - cancel the drug completely.
Taking the drug and its cancellation in case of threat of interruption
If the patient has a threat of miscarriage, which is manifested by pain in the lower abdomen, spotting and other symptoms, then the medication is prescribed in a larger dosage. Doctors increase the portion of the 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 scheme of cancellation of "Utrozhestan" during pregnancy in this case looks like this:
- 13 weeks - 200 mg in the 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 exclude capsules.
Artificial insemination and progesterone
The situation is different when using assisted reproductive technologies. The IVF procedure is quite expensive and difficult for the patient’s body. Therefore, doctors are reinsured and prescribe the drug "Utrozhestan" in large doses immediately after embryo transfer. This tactic helps 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 the middle of the term. By week 20-21, the cancellation scheme is completed. "Utrozhestan" during pregnancy, according to doctors, does not happen 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 in the morning and evening;
- 18 weeks - 100 mg in the morning and 200 in the evening;
- 19 weeks - 100 mg in the morning and evening;
- 20 weeks - 100 mg in the evening;
- 21 weeks - the drug was canceled.
In what cases, after a dose reduction, is it again raised?
The scheme of cancellation of "Utrozhestan" during pregnancy is selected depending on the condition of the patient. Previously, the gynecologist appoints an ultrasound and a blood test to determine the level of progesterone. After receiving the results, the doctor decides whether to start lowering the dose of the drug, or wait again. As you can see, in all situations, the portion of the medication decreases gradually. A sharp restriction of the drug or its complete abolition can provoke an abortion.
During dose reduction, it is necessary to carefully monitor the condition of the woman. Due to the large flow of patients, the gynecologist is not always able to control the well-being of the future mother. Therefore, responsibility falls entirely on your shoulders. If suddenly you feel worse: back and lower abdominal pains begin, brown or pink discharge appears, then you need to return the previously established dose of the medication. A few weeks after the normalization of well-being, the scheme of canceling Utrozhestan is repeated. During pregnancy at the same time, sedatives and sedatives may be recommended to the patient.
Reviews and recommendations
Representatives of the weaker sex say that the scheme of canceling Utrozhestan is almost always the same. During pregnancy, dose reduction is smooth. At first, the daily servings 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 reduced by half in the morning and left in full for evening use. Next week, the first portion of the medicine is completely abandoned and only the second is used.
The cancellation of Utrozhestan during IVF pregnancy is performed especially carefully. The scheme is prescribed by the gynecologist always individually, with the obligatory taking into account the characteristics of the body and the number of implanted embryos.
Summarize
The article presented you with information about the scheme for canceling Utrozhestan during pregnancy (600, 400, 200 or 800 mg). While reducing the portion of the medication, monitor your sensations. In most cases, cancellation occurs without negative consequences. But if you have any questions or concerns, consult your doctor. Good luck!