Can I skip progesterone injections if the fetal heartbeat and yolk sac are present?

Dec 03, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Whether to proceed with progesterone injections when fetal heartbeat and embryonic bud are present should be determined based on the mother's physical condition and the fetus's development. If the embryo is currently stable and there are no signs of threatened miscarriage, injections may not be necessary. However, if the pregnant woman has a weak constitution and the fetus is unstable, showing signs of threatened miscarriage, progesterone injections are usually recommended to reduce the risk of miscarriage.

Generally speaking, whether progesterone needs to be administered when fetal heartbeat and fetal pole are present depends on the mother's physical condition and the development of the fetus. If the embryo is stable and there is no risk of threatened miscarriage, progesterone injection may not be necessary. However, if the embryo is unstable and there are signs of threatened miscarriage, progesterone injections are often required promptly to support the pregnancy. If any discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:

If the pregnant woman is in good physical condition without symptoms of threatened miscarriage such as abdominal pain or vaginal bleeding, and the embryo develops well with all indicators normal, progesterone injection generally is not needed. However, regular monitoring and prenatal examinations should be conducted to keep track of the fetus's development at all times.

If only fetal heartbeat and fetal pole are detected but other fetal indicators are abnormal, and if the pregnant woman has a weak constitution, poor immunity, symptoms of threatened miscarriage such as abdominal pain, a feeling of pressure in the lower abdomen, or vaginal bleeding, progesterone injections should be given promptly under a doctor's guidance. Progesterone is a type of pregnancy hormone; after injection, it can inhibit uterine contractions, maintain embryonic stability, and prevent miscarriage.

Before receiving progesterone injections, it is recommended to consult a doctor first and follow their advice to determine whether the injection is appropriate. Meanwhile, pregnant women should also pay attention to maintaining a reasonable weight gain during pregnancy, avoiding either rapid or insufficient weight increase.