instruction: hello doctor I had a medical abortion a month ago my period came 29 days after the abortion after the period I did an hug test and it was positive 37 days after abortion my hug level is 18 21 after three days the test showed 17 56 I also did an ultrasound and the doctor said I have my endometrial thickness on one spot he prescribed me duphaston to take from day 15th day to 25th day of my cycle I am scared to take it and also I am scared that maybe I have some retained products but the doctor said I am fine what should I do is it safe to take duphaston in my condition
output: hello first of all there is no harm in taking duphaston in your condition it is just a progesterone hormonal analog the same hormone is secreted from the ovaries once the egg is released after ovulation so there is nothing to worry about taking it I would like to know what was the indication for checking beta hug human chorionic gonadotropin value at 37th day post abortion when everything was fine you even got your periods pretty much on time regarding your beta hug value I would like to tell you that beta hug may be detected in maternal blood up to 6 weeks post first trimester miscarriage or medical abortion did you had a missed miscarriage or was it an unwanted pregnancy that was terminated medically and at how many weeks of gestation this is important because sometimes missed miscarriage may harbor partial molar pregnancy which goes unnoticed as biopsy or histopathological examination is not done for such cases but yes any persistence beyond weeks of abortions should be monitored carefully as these may be a hint of development of gestational trophoblastic neoplasia gun as your scan is normal and also endometrial thickness of my is also a normal finding so there is no chance of having any retained products it would be helpful if you could share the ultrasound reports pre and post abortion and the dates of the events along with the date of doing beta hug levels to have a better idea of your situation I would advise you to recheck your beta hug value again after a week please revert back to me with the necessary details I requested you so that I can guide you further serum beta hug value after a week