Patient Question: Illness: IVF twice, pelvic adhesions Description: Hello doctor! I have done IVF twice, one failed and one biochemical at 13 days, on June 1, 2013, I had a tubal angiogram and passed both sides, but my pelvic adhesions were serious and my fallopian tubes were deformed, I did IVF at the end of May 2014, after biochemical, I got my period on June 12, after that I never got my period until August 5, I had a white belt strain, on August 6 I monitored my follicles 1.8*1.7cm, on August 7 I ovulated and had intercourse that night. On August 16, I went to the hospital for examination on the 9th day of ovulation: b-hcg: 16.6miu/ml, on August 18, the 11th day of ovulation: b-hcg: 83.02miu/ml, progesterone: 42.99ng/ml, estradiol: 266.7pg/ml, on August 20, the 13th day of ovulation: b-hcg; 240.7miu/ml I have been taking three tablets of Daphne North per day since my test on August 16 and would like help with: 1. Is it considered normal? 2.Progesterone is lower in the third test than the second test, do I need to keep the baby? 3. I read on the internet that hcg doubling is good and the chance of ectopic pregnancy decreases, but looking at my hcg and progesterone, do you think I have a good chance of ectopic pregnancy? Thank you very much for your answer, thank you! Doctor’s reply: The lab values are within the ideal range and you do not need fertility treatment for now because the location of the pregnancy has not been determined. Your increased chance of ectopic pregnancy is based on the analysis of the medical history, not on the blood hcg and progesterone. I had a fever of 39.1 at night at 22 weeks, but I didn’t take any medication, so I cooled myself physically, but the effect was still not good. My temperature went down! But after all, I am still afraid that the medicine will affect my baby, so please ask the doctor, can I take this medicine at 22 weeks of pregnancy, I only took one 500mg tablet, will it have any adverse effect on my baby and cause malformation? Doctor’s reply: The embryo starts to differentiate and develop in the 6th week of pregnancy, and gradually forms various organs and systems, and by the 13th to 14th week of pregnancy, it has already developed and taken shape. Therefore, the use of drugs in early pregnancy may lead to fetal malformation. After 15 weeks of pregnancy, the use of drugs will not lead to fetal malformation, so you can rest assured. It is not suitable for use after 34 weeks of pregnancy. Patient’s question: Hi, Dear doctor: I have done IVF twice, one failed and one biochemical. Then I got pregnant naturally. The baby is very precious, so I am keeping the pregnancy! 23 days pregnant, went to the hospital for examination, hcg; 16.6miu/ml, the doctor told me to take Darvon, one tablet for 8 hours, three tablets a day; 25 days pregnant: progesterone: 42.99ngml; 27 days pregnant, progesterone: 32.27ngml; 29 days pregnant progesterone: 39.71ng/ml; 30 days pregnant: progesterone: 24.46ngml; 31 days pregnant: progesterone. I was going to reduce the medication from three tablets to two tablets a day, but after two days, the progesterone dropped to 20ng, so I started taking three tablets again! Three tablets of Duffetone a day until the whole of the tenth week of pregnancy, reduce the medication, first 2 tablets a day, eat 5 days, then one tablet a day, eat 5 days to reduce the medication! Eleven weeks plus three, then stop all the medication! 1, doctor, I roughly counted, since the discovery of pregnancy to stop taking a total of 9 boxes of Duffetone. I would like to ask, you see my first trimester progesterone indicators, but also ate 9 boxes of Duffetone will not have adverse effects on the baby, the chances of male baby urethral cleft? I am still very worried. (At my 20+4 screening, the doctor looked at me many times and said it was a male baby, I want to go for 4D at 24.) Thank you very much! Doctor’s reply: Thank you very much for your trust. Even if I give you a positive answer, it will not relieve your anxiety. The problem now is not whether your baby is abnormal or not, but your own problem. I said your baby is fine; you will say it is really fine, I said not 100% fine; you will ask what might be wrong, I said what might happen; you will ask will it happen to me, will it happen to my baby, I said no; you don’t believe, you will go to consult another person again. Still, I want to say thank you for your trust. A doctor can save lives, how much achievement; however, a doctor can only silently watch a life pass away, how much helplessness there is. You are only in your 20s, still as young as a flower, the future is long. It is often said that nine out of ten of life is not as good as it should be, not to find reasons to be pessimistic and disillusioned, but to give us the courage to face it. There is more than one choice in life, no matter what you choose, you can be wonderful. After reading the above words, you can relax, stop being anxious, stop counseling, stop doing extra tests, and just go to your regular maternity checkups! Your baby is just like everyone else, nothing special, all two eyes and one mouth; your baby is different from all other babies, he is the most special one in the world because I care for him! Haha!