Patient: I had my period on July 25 and had intercourse on August 4 (without contraception). I did not want to try to conceive this month, but from August 10 to 22, I used 11 vaginal tablets of ciprofloxacin hydrochloride (0.2g per tablet in ciprofloxacin). The embryonic sac is 1.9cm in the middle of the uterine cavity and the yolk sac and the embryonic bud are seen inside. The embryonic sac is about 1.8*1.8*0.9 cm liquid dark area in the uterine cavity next to the embryonic sac. The echogenicity of the uterine region is homogeneous. The right ovary is normal in size with no difference in echogenicity. The left ovary is 6.6*4.0*6.1 cm with cystic separation and thick fluid, strong echogenicity is seen on the wall of the cyst, no blood flow inside, but blood flow is seen on the septum. Other tests: CA125 was 714.1 (reference value less than 35u/ml), progesterone was 32.61nmol/l, estradiol was more than 1000.0pg/ml, chorionic gonadotropin was 67575iu/l. The progesterone level was 93.6 nmol/l and the chorionic gonadotropin level was 108158 iu/l on day 52. Today is the 60th day. I am taking 40mg of progesterone and 2 oral dydrogesterone tablets every day. Since I am back home to keep my baby and can’t go to the hospital, I would like to ask you online if I can reduce my intake of exogenous progesterone now? If not, when can I start to reduce it? How can I reduce it? Thank you for your answer! Will progesterone injections have a bad effect on the fetus? Doctor: First of all, ciprofloxacin is not used during pregnancy, and your use of it happens to be teratogenic sensitive period, and it is good that it is not used orally, so the prognosis is difficult to say. Secondly, your early progesterone level is low, which means that the corpus luteum itself does not provide much, so it is best to start gradually reducing the dosage after 11 weeks. Patient: Thank you very much for your answer. If ciprofloxacin is bad for the fetus, how many months can I find out? This is a question that I am very worried about. Doctor: Do a sugar screening at around 16 weeks and a 3D ultrasound at around 24 weeks, in addition to amniocentesis can be considered. Patient: Hello Dr. Ma! I am now 18 weeks pregnant and went to the hospital for my delivery and the ultrasound showed a 3*2 cm bleeding inside the uterine cavity near the opening of the uterus. Today I went to the hospital for a checkup and the doctor prescribed me progesterone capsules and Pregnancy Health Oral Liquid. I am already in my fifth month, why am I still bleeding and what usually causes it? I also heard that 3D ultrasound only provides 3D imaging for clinical and maternal understanding of the test results, and does not improve the detection rate of abnormalities, is this true? I heard from my doctor that a 2-dimensional color ultrasound is sufficient for screening. Because I used ciprofloxacin in early pregnancy, I am very worried about the health of the fetus, I hope Dr. Ma can give me an answer, is it the same to do 2D and 3D? Doctor: 3-D is three-dimensional and looks more comprehensive. Of course, 3D cannot rule out all diseases. You need to have a gynecological examination if you keep bleeding, and if there is a tendency for infection, antibiotic treatment is recommended. Patient: Hello Dr. Ma! I had a small lump in my left and right armpit when I was more than 3 months pregnant, and it hurt for a few days, but then it stopped hurting and I left it alone. Now that I am 22 weeks pregnant, I stretched my arms last night and found a big lump under my right armpit, almost the size of a quail’s egg, but not round and not painful, and the right side of my back, above my waist, is also swollen and painful these days, is there a relationship between the two, should it matter? I asked my mother to look at it, but there is no color change, so it’s not a side breast, right? Thank you very much for your answer! Doctor: Generally, it is not a big problem, but if the pain and swelling are severe, please come to the hospital for a checkup. Patient: abdominal pain in early pregnancy, ultrasound showed blood in the uterine cavity, pre-eclampsia. 45 days-90 days progesterone injection 40mg/d, currently 23 weeks, at 19 weeks delivery height 19cm, abdominal circumference 81cm, weight 57kg; now 23 weeks uterine height 20cm, abdominal circumference 85cm, weight 59kg. I had an ultrasound at 19 weeks and the fetal femur length was 3.0 and the biparietal neck was 4.3, both within the normal range. I would like to ask Dr. Ma, is it common that my weight and height are not increasing clinically? Is there something wrong with my nutrition? I have an appointment for a 3D ultrasound on January 18, what should I do if the fetus is small? Thank you very much for your professional answer! Patient: Dr. Ma, hello! I gave birth to a baby girl on April 29, 2012 and my baby is very healthy. I would like to ask you about my placenta, which is coarse and dry on the surface, and the ultrasound examination on the third day after delivery: the uterine cavity is separated by 2.0 cm, with a 2.0 cm wide strip of strong echogenicity in the cavity and no blood flow, and the lower part of the uterine cavity is 5.2*3.6*2.7 flocculent strong echogenicity with no blood flow. After I was discharged from the hospital, I have been taking motherwort, and my discharge was more or less frequent. Ultrasound review 23 days after delivery: 1.5 cm cavity separation, 5.0*3.1*1.5 flocculent echogenicity, no significant blood flow. I want to ask if I need to clean the uterus now? Or do I need to drink a few more courses of motherwort beforehand? If the uterine cavity is still not cleared after a few courses, do I still need to have an operation to remove the uterus? What is the harm if I don’t do it? Is there anything I can do to promote the discharge of the milk? I would like to hear your advice, thank you very much for your answer! Doctor: Congratulations on a healthy baby! You do have a flocculent echo in your uterine cavity, but the good thing is that the blood flow is not obvious, so I suggest you can skip the purging for now. However, Yi Mu Cao alone may not be enough. You can visit the TCM gynecology department in the hospital and get some herbs that promote the drainage of malodex and the recovery of the uterus, which are very effective.