Patient: Description of illness (onset, main symptoms, hospital visited, etc.): Female 31 years old Last menstruation on June 24 Pregnancy on July 17 Intercourse on July 30 B-HCG 500.8 IU/L Progesterone 20.87 ng/ml August 2 B-HCG 1755 IU/L Progesterone 16.27 ng/ml Now her body is still normal, just a little bit of back pain. No redness. The doctor said that the progesterone is decreasing and there is a possibility of pre-miscarriage. He prescribed progesterone capsules and fetus protection capsules. He said to go home and rest, and to take a blood test in a week. Please help me to see if this is okay. Is the progesterone very low. Doctor: There is no obvious impropriety in the treatment. If there is no vaginal bleeding and obvious lower abdominal pain, do not take progesterone capsules or progesterone injections for 6-8 hours before the next blood test (Dextran tablets have no effect on the blood test results because their structure is different from that of ordinary progesterone, which cannot be detected in the blood), otherwise the real results of the test will be affected. Otherwise, the true result of the test will be affected. If it is convenient, you can come to our hospital in the Department of Gynecology, which has more experience in preserving fetus. Patient: Okay, thank you, Dr. Gao. Next time when the blood test report comes out, if there is any problem, I will come to the hospital to keep the baby. Thank you! Also, Dr. Gao, what do I need to pay attention to during this period? Is it necessary for me to take progesterone injection now? (I heard that the injection is more effective) Doctor: If the nausea and vomiting is not obvious, oral intake is fine, after all, it is more convenient than injections. If you don’t have a history of bad pregnancy and delivery, you don’t need to pay too much attention if you don’t have abdominal pain and vaginal bleeding. Generally do not eat spicy and hot (beef and mutton, etc.). Don’t have sex and avoid straining. Avoid washing your hair, bathing, and feet with overheated water, just simply rinse and avoid scratching. If there is bleeding or if there is fluid in the uterine cavity (dark areas of fluid) on ultrasound, try to rest in bed and do not wash your hair or bathe for the time being. Patient: Hello, Dr. Gao. I had another blood test today. The results are: B-HCG 5982.0 IU/L, progesterone 31.36 ng/ml on August 6. Is this indicator still good? Should I continue to take progesterone capsules and fetus protection capsules? When can I have an ultrasound like this? Doctor: HCG is not high enough, it’s not growing fast enough. You can have an ultrasound now, but it’s only for the intrauterine and ectopic, and it will take half a month to see the embryo and heartbeat. Patient: Dr. Gao, I had another blood test today, August 10, B-HCG 17876.0 IU/L, progesterone 21.63 ng/ml. Progesterone is dropping again, and the doctor prescribed a 10-day progesterone injection. Dr. Gao, is it dangerous for the progesterone to drop like this? Is it okay for me to come to the Chinese hospital to keep the pregnancy? When are your clinic hours? Is it okay to come to the hospital for fetal preservation? Doctor: Click here to see my clinic hours, no symptoms can be treated without hospitalization. Come to our Chinese medicine and gynecology department for combined Chinese and Western medicine treatment.