Discharge after Utrozhestan during pregnancy: reviews

Treatment with Utrozhestan often causes the appearance of copious vaginal secretions, which can frighten the expectant mother and cause her some discomfort. In such a situation, it is important to understand what discharge from Utrozhestan should look like during pregnancy, as well as how to identify the pathological process from the discharge. This is exactly what we will talk about in this article.

Why do pregnant women have more discharge?

Many pregnant women experience an increase in the volume of vaginal mucus. The longer the period, the greater the amount of vaginal secretion the reproductive organ will secrete.

It is mandatory that smears are routinely taken from every pregnant woman to identify microflora dysbiosis. If there is no infection, there is no reason to worry. If leucorrhoea appears in the discharged secretion, the reason for this may be the consumption of large amounts of liquid.

It is important to understand that pregnancy itself causes an increase in mucus production, and this phenomenon is not always provoked by some kind of pathology.

A fundamentally important point is that a woman should not feel itching, burning, and the external genitalia should not be swollen.

Progesterone in Utrozhestan

The hormone progesterone is critically necessary for pregnant women to bear a fetus. Insufficient production of it can lead to pathologies in the development of the fetus, and sometimes even to spontaneous abortion.

Thanks to modern medicine, women whose bodies for one reason or another have insufficient levels of progesterone have every chance of bearing and giving birth to a healthy baby. For this, gynecologists prescribe long-term treatment regimens with the natural drug Utrozhestan, which is identical in structure to the corpus luteum hormone.

This medicine entered the market quite a long time ago and has proven itself to be excellent. A minimal number of side effects, excellent effect and affordable cost are the main advantages of the drug.

Gynecologists can prescribe the drug in tablet form, but pregnant women are more often prescribed vaginal capsules.

Why is Utrozhestan prescribed during pregnancy?

Utrozhestan is one of the best drugs for replenishing progesterone levels in the body. Indications for prescribing the drug to a pregnant woman may be:

Inferiority of the corpus luteum. Congenital or acquired pathologies of this organ lead to hormonal imbalance in the body, which is dangerous not only during pregnancy, but also at any other period of a person’s life. After discovering diseases of the corpus luteum, Utrozhestan can be prescribed even before visible problems and failures appear.
The reason for prescribing the drug may be the risk of miscarriage caused by a lack of progesterone in the body. In this case, the woman is hospitalized and prescribed additional medications to maintain the pregnancy.
If there is a high probability of premature birth, prescribing Utrozhestan to a pregnant woman is the best way to get out of a dangerous situation. The drug maintains a favorable environment for the full development and preservation of the fetus until the day of birth.

Utrozhestan is produced in the form of capsules coated with a gelatin shell. They can be taken orally, like tablets, or vaginally, like suppositories. The duration of use and dosage of the medication are prescribed by the doctor and depend on the goals of treatment and the patient’s medical history.

Why is there more discharge due to capsules?

Utrozhestan is a soluble capsule containing the hormone progesterone in the inner part. The drug does not contain artificial components, because its production uses natural plant materials.

Gynecologists prescribe pregnant women to insert capsules into the vagina 1 to 2 times a day. During therapy, vaginal secretions may increase. This phenomenon occurs for several reasons:

The secretions are dissolved by the peanut oil contained in Utrozhestan.
There is an individual reaction of the body to the drug.
The capsule shell gets into the secretion.

This condition should not cause anxiety. It is necessary to take into account the fact that the hormone is very quickly absorbed through the vagina into the bloodstream, helping to safely carry a pregnancy.

The nature of discharge during treatment

The use of Utrozhestan capsules can cause various types of leucorrhoea in expectant mothers:

white thin or thick discharge;
brown or yellowish;
mucous and watery discharge during pregnancy.

Regardless of the nature of the vaginal secretion, it is always necessary to give a competent assessment of the secreted mucus. If a woman is not bothered by discharge after Utrozhestan during pregnancy, then there is no reason to worry.

A secretion that is not accompanied by additional symptoms is considered normal.

If you have some signs, you should seek help from a doctor:

Vaginal secretion has a thick consistency and contains a curd-like discharge with flakes. Often the cause of this phenomenon is thrush, which is a potential threat to the fetus.
Greenish and thick discharge indicates the progression of the infectious process in the vagina and requires immediate initiation of therapy.
Yellow bright discharge. Such stains on underwear often indicate the presence of a small amount of blood on underwear.
Brown discharge after taking Utrozhestan indicates a threat of termination of pregnancy - it is possible that placental abruption is beginning.
Pink discharge is not a good sign, indicating a threat to pregnancy. This condition does not tolerate delay, because pinkish mucus is a harbinger that bleeding may begin at any moment.
Beige and liquid. Such a secretion may indicate leakage of amniotic fluid.

Usually, when using Utrozhestan, women observe an increase in secretion. In this case, there are no complaints about the deterioration of the general condition. This symptom is normal.

An important nuance: white and profuse discharge is usually caused by developing thrush. Such a disease must be promptly recognized and treated.

The situation cannot be delayed if the gynecologist diagnoses a threat to the fertilized egg due to insufficient production of natural hormone. In this case, the efforts of specialists are aimed at maintaining pregnancy, so an increase in the dosage of Utrozhestan is required.

Sometimes specialists may resort to installing a special ring - a pessary - to maintain pregnancy. This occurs when the cervix opens several fingers. The amount of discharge with a pessary and the use of Utrozhestan may also change: a foreign body causes irritation of the cervix, which affects the nature of the mucus that it can secrete.

Highlights of different shades

Vaginal secretion from Utrozhestan suppositories during pregnancy is not always the norm. During use of the drug, pathological discharge may occur:

Beige discharge. White and beige discharge from Utrozhestan is normal. But provided that they are not accompanied by an unpleasant odor and do not have a cheesy consistency. A change in the nature of the secretion indicates a vaginal infection (candidiasis).
Yellow discharge. Yellow profuse discharge after Utrozhestan, which appears mainly within a few hours after administration of the capsules, is normal. If a woman has an inflammatory or infectious disease, then she feels itching of the genitals and pain in the lower abdomen. Yellowish discharge is characteristic of frequent use of the drug and implies release of the capsule shell.
Pink discharge. If there is an inflammatory process in the genital organs, the secretion becomes pink or streaks of blood appear. Such discharge during pregnancy requires urgent consultation with a doctor.
Brown, bloody discharge. If a woman from Utrozhestan observes brown discharge with abdominal pain, then immediate hospitalization is required. Blood during pregnancy indicates a threat of miscarriage.
Gray, dark discharge. If the secretion is gray, then you should take smears to check the state of the vaginal microflora. This shade is characteristic of infectious diseases.
Green. They signal about STDs, chlamydia and other infectious diseases. Accompanied by itching and burning, pain may occur.

When taking the drug, there may be watery discharge of various shades. Utrozhestan itself does not provoke inflammation or miscarriage. And the appearance of unhealthy secretions is not associated with the start of treatment.

Dosage of Utrozhestan

In the early stages of pregnancy, the drug is strictly contraindicated, but starting from the 2nd trimester it is often prescribed for use under the strict supervision of a gynecologist.

The capsule is inserted deep into the vagina at a dosage of 200 mg. Typically, this dose does not cause a significant increase in secretion. In most cases, the woman does not notice any changes.

In more severe cases, the drug is prescribed in higher dosages. An increase in the daily volume is permissible up to 600–800 mg, which is divided into several doses. During pregnancy, Utrozhestan is usually used topically - it is injected deeply, right up to the cervix. With such doses, the discharge becomes significantly larger, for this reason gynecologists recommend using panty liners.

After the course, if positive dynamics are noted, a dose reduction is allowed. Only a specialist can discontinue the drug based on the examination.

What color and what kind of discharge after morning pregnancy during pregnancy

Discharge from utrozhestan can be liquid in structure and consistency, often like water.
A variant of the norm is creamy, beige or yellow vaginal secretions. The texture and colors may vary depending on the general health of the pregnant woman. If the discharge becomes green, has an unpleasant odor, or is too white with a cheesy consistency, then the condition indicates the presence of a pathological disease. You should consult a doctor for diagnosis and subsequent treatment. Bloody or brown secretions are associated with a lack of functioning of the placenta; excessive bleeding leads to immediate hospitalization of the patient. The medication has virtually no side effects; dizziness or confusion is extremely rare. For diabetes mellitus and cardiovascular diseases, utrozhestan is prescribed only under the supervision of medical specialists, with extreme caution. If there is a lack of functioning of the liver and biliary tract, then taking Utrozhestan should be discontinued.

It is not recommended to stop taking the drug on your own, since after abrupt withdrawal of utrozhestan, the risk of miscarriage or premature birth increases. The doctor will independently begin to gradually reduce the dosage, starting from 600-800 mg.

Side effects of Utrozhestan

The appearance of side effects during treatment occurs even despite the relative safety of the drug.

A pregnant woman may complain of the following symptoms:

excessive fatigue;
nausea;
headache;
problems with the functioning of the gastrointestinal tract.

Sometimes a woman suffers from burning and itching of the vagina after inserting the capsule. If these sensations are insignificant, then there is no reason to worry and contact your doctor. If there is a brownish smudge on your underwear, you should be wary: this is a clear sign of an incorrectly selected dosage of hormones. It is imperative to notify the observing specialist about this, since the pregnancy is at risk.

Discharge with a brown tint is not uncommon in pregnant women. Mucus of this color may occur periodically throughout the entire 9 months. The factors for this phenomenon must be established.

Smell from discharge while taking Utrozhestan during pregnancy

As we said above, a large dosage has a direct effect on increasing the amount of secretion, which is why the woman is forced to endure discomfort. However, this is not all the troubles that may arise during the treatment period.

Some patients complain of a change in the smell of the discharge - it is very unpleasant. In such a situation, it is better to play it safe and see a doctor unscheduled. Very often, the cause of the appearance of a rotten odor is the development of an infectious process, and at the initial stage a woman may not suspect anything, because there is no clear clinical picture of the disease. However, the unpleasant aroma itself should already cause concern.

Opinion of gynecologists

For many expectant mothers, using Utrozhestan during pregnancy is the only chance to bear a healthy child.

It is worth understanding that in no case should you self-medicate with this drug: all kinds of reviews from pregnant women about the use of the drug should not become a reason for self-prescription. Reviews on the Internet do not always contain the truth, so you cannot naively believe all the recommendations of ordinary people. Only the doctor, based on the collected medical history, decides on the advisability of prescribing hormonal drugs.

All pregnant women need to systematically monitor the discharge: normal leucorrhoea will never bother you and cause itching, redness of the genitals, and pain. A change in the consistency and color of vaginal secretions, as well as the presence of blood spots, is an alarming signal. In such a situation, you cannot wait for a convenient day to visit a doctor. Remember that only in your hands is the life and health of the baby, who is still so defenseless, so at the first sign of a malfunction in the body, immediately seek qualified medical help!

The hormone progesterone is extremely necessary for the female body during pregnancy. Its deficiency can cause miscarriage or abnormal fetal development. This is why doctors prescribe appropriate medications to increase progesterone levels, for example Utrozhestan. But often women are frightened by the discharge from Utrozhestan during pregnancy, which becomes more abundant or slightly changes its color. Here it is important to know what normal leucorrhoea looks like, and what vaginal secretion is considered pathological and is not associated with taking a hormonal drug.

Reasons for the appearance of discharge after morning pregnancy

Heavy discharge after morning pregnancy during pregnancy is the norm, since progesterone affects secretory function in this way. The situation is explained by the following aspects:

suppositories for the mucous membrane are a foreign object, therefore, through strong secretions, the body tries to bring them out;
after use, the capsule dissolves in the vagina, which leads to an abundance of secretions;
peanut butter, one of the ingredients of the drug, somewhat thins vaginal mucus.

Utrozhestan and discharge during pregnancy should not cause discomfort. Itching, burning, a radical change in the color of vaginal secretions and the appearance of a specific odor indicate the development of pathology.

Treatment with the drug is accompanied by the appearance of profuse leucorrhoea. The cause is the drug itself. The increase in the volume of vaginal secretion is due to several factors:

the body perceives the capsule shell as a foreign body and seeks to get rid of it through the active production of vaginal mucus;
the liquefaction of leucorrhoea occurs due to the additional components present in the composition of the product, in particular peanut oil;
a sharp increase in progesterone levels in the body.

When using Utrozhestan, white discharge is observed, as well as leucorrhoea that is watery in consistency. This is considered the norm, but only if they do not contain foreign impurities and do not cause discomfort.

Brown discharge may be a sign of problems with the development of gestation, in particular, indicate the onset of spontaneous miscarriage. If it is not possible to stop the development of the pathological process, the doctor decides to cleanse after a miscarriage.

If a woman has yellow discharge, but no other pathological symptoms are observed, then this is acceptable.

The effect of the drug Utrozhestan on leucorrhoea

Utrozhestan is a natural progesterone that comes in the form of a soluble capsule. It consists exclusively of natural ingredients that, when taken correctly, do not harm the mother and her child.

Using the drug, a woman may notice that the discharge from Utrozhestan during pregnancy has changed or its quantity has increased. There are the following reasons for this phenomenon when taking progesterone:

This is how the mucous membrane reacts to a foreign object in the vagina;
content in the vaginal secretion of a disintegrated capsule shell;
diluting vaginal secretion with the contents of the capsule (peanut oil);
increase in progesterone levels.

Of course, when using the product, the discharge should not contain any characteristic clots or traces of pus. After all, this will already indicate disorders and pathologies of the reproductive system. But ordinary leucorrhoea, even slightly beige discharge, is considered normal.

Even if a woman does not administer Utrozhestan vaginally, but takes progesterone orally, she may notice increased vaginal secretion, which should not cause anxiety during pregnancy.

Reasons for a large amount of secretion during pregnancy

During gestation, the white discharge increases in volume, depending on the specific period of pregnancy. And there are reasons for this:

increased formation of vaginal secretions due to hormonal changes;
large blood flow to the vaginal area;
formation of a mucus plug.

An increase and thinning of vaginal secretions during pregnancy is considered normal. But here it is important to remember that the presence of burning, itching and redness is no longer considered normal and requires medical supervision.

Utrozhestan is a natural progesterone that comes in the form of a soluble capsule. It consists exclusively of natural ingredients that, when taken correctly, do not harm the mother and her child.

This is how the mucous membrane reacts to a foreign object in the vagina;
content in the vaginal secretion of a disintegrated capsule shell;
diluting vaginal secretion with the contents of the capsule (peanut oil);
increase in progesterone levels.

Even if a woman does not administer Utrozhestan vaginally, but takes progesterone orally, she may notice increased vaginal secretion, which should not cause anxiety during pregnancy.

Increased levels of vaginal leucorrhoea are very common when taking progesterone, but they may include the following:

white;
yellowish;
slightly pink or unsaturated brownish tint (spotting);
beige.

Such vaginal secretion is considered normal, but in any case it is necessary to pay attention to its quantity. Minor discharge while taking Utrozhestan should not cause concern, but a sharp increase in fluid requires immediate discussion with a gynecologist. The same goes for color and smell.

When assessing leucorrhoea, you need to pay attention to color, consistency and smell. The following leucorrhoea require special attention:

Curdled. Very thick, reminiscent of cottage cheese. Most often they indicate candidiasis, rarely other pathologies (ureaplamosis, mycoplasmosis and chlamydia).
Rich yellows. Yellow discharge indicates blood entering the vaginal secretion or indicates an inflammatory process.
Reddish. Bloody discharge may indicate a lack of progesterone, so after consulting a doctor, you need to increase the dose of the drug. But sometimes more serious reasons lie in bloody leucorrhoea: detachment of the ovum, ectopic pregnancy.
Dark red or brown. In large quantities, vaginal secretion with this color may indicate a threat of miscarriage.
Liquid discharge. Watery discharge may be normal, but if it actually looks like water, and there is too much of it, then there is a high probability of rupture of amniotic fluid.
Leucorrhoea of a greenish hue. Such leucorrhoea occurs against the background of infectious diseases. This requires serious treatment to avoid complications and infection of the fetus.

As you can see, discharge after Utrozhestan during pregnancy can be very diverse, but their change is not always associated specifically with the use of capsules with natural progesterone. Most often, the total amount of secretion increases, but the woman does not experience other discomfort (itching, burning, various pains). If you have doubts that it was the drug that caused the pathological secretion, then go to the article describing all possible secretions during pregnancy.

Indications for urgent contact with a gynecologist are:

blood in secretion;
black or brown discharge;
severe pain in the lower abdomen;
nagging pain in the lower back.

The doctor will conduct an examination, take a smear for bacterial culture, and also check the reproductive system for inflammatory processes. It is worth noting that brown or other pathological discharge from Utrozhestan may be associated with the following factors:

incorrect dose of the drug;
individual intolerance and other contraindications.

But most often, pathological leucorrhoea is caused by other reasons, which, in the absence of treatment, remain even after discontinuation of the capsules:

ectopic pregnancy;
infectious diseases;
violation of vaginal microflora;
risk of miscarriage;
rupture of amniotic fluid.

It is also worth paying attention to the treatment of pathologies that cause a sharp increase, as well as changes in the nature of vaginal secretion. Doctors often prescribe Terzhinan along with Utrozhestan to eliminate harmful bacteria and fungi. But this drug is contraindicated in the first trimester, and its use is allowed only from the second trimester under strict medical supervision. Find out more about the consequences of taking the drug and about discharge after using Terzhinan from the article at the link.

Pregnant women tend to worry very much about their health, so they react to the slightest changes, including the nature of vaginal secretion. But it is worth remembering that Utrozhestan has been used in gynecology for a long time and, when taken correctly, does not have a negative effect on the body, so its use cannot cause pathological secretion.

Based on materials from mesyachnyedni.ru

For happy moms and dads

Normal discharge from Utrozhestan

Increased levels of vaginal leucorrhoea are very common when taking progesterone, but they may include the following:

white;
yellowish;
slightly pink or unsaturated brownish tint (spotting);
beige.

Pathological leucorrhoea

When assessing leucorrhoea, you need to pay attention to color, consistency and smell. The following leucorrhoea require special attention:

Curdled. Very thick, reminiscent of cottage cheese. Most often they indicate candidiasis, rarely other pathologies (ureaplamosis, mycoplasmosis and chlamydia).
Rich yellows. Yellow discharge indicates blood entering the vaginal secretion or indicates an inflammatory process.
Reddish. Bloody discharge may indicate a lack of progesterone, so after consulting a doctor, you need to increase the dose of the drug. But sometimes more serious reasons lie in bloody leucorrhoea: detachment of the ovum, ectopic pregnancy.
Dark red or brown. In large quantities, vaginal secretion with this color may indicate a threat of miscarriage.
Liquid discharge. Watery discharge may be normal, but if it actually looks like water, and there is too much of it, then there is a high probability of rupture of amniotic fluid.
Leucorrhoea of a greenish hue. Such leucorrhoea occurs against the background of infectious diseases. This requires serious treatment to avoid complications and infection of the fetus.

Physiological discharge in women

Discharge after Utrozhestan during pregnancy in most cases is associated with a physiological feature of the body’s condition. An increase in vaginal secretion is associated with several reasons:

hormonal changes in the body;
protection of mucous membranes and fertilized egg from infection;
increased pressure on the cervix;
formation of a mucus plug.

During pregnancy, the secretion is liquid, not abundant, but does not cause discomfort to the woman. It is colorless or white, odorless and itchy.

When the drug is introduced into the vagina, the liquid discharge intensifies, becomes abundant and may change color. This happens for three reasons:

reaction of the mucous membrane to the drug;
exit of the disintegrating shell of Utrozhestan;
removal of peanut oil, which is the basis of the drug.

During pregnancy, Utrozhestan does not harm the mother and child. This is an absolutely safe drug, available for use in any trimester. Many women use it throughout the entire period of pregnancy. The medication has virtually no contraindications or side effects. In rare cases, individual intolerance to the components is possible. A special feature of using the medication is that it has no effect on the liver. The active component is absorbed into the vaginal walls, bypassing the gastrointestinal tract.

When should you contact a gynecologist?

Indications for urgent contact with a gynecologist are:

blood in secretion;
black or brown discharge;
severe pain in the lower abdomen;
nagging pain in the lower back.

incorrect dose of the drug;
individual intolerance and other contraindications.

But most often, pathological leucorrhoea is caused by other reasons, which, in the absence of treatment, remain even after discontinuation of the capsules:

ectopic pregnancy;
infectious diseases;
violation of vaginal microflora;
risk of miscarriage;
rupture of amniotic fluid.

"Utrozhestan" is one of the hormonal drugs often prescribed during pregnancy. It is prescribed to expectant mothers with the threat of abortion if it is caused by a lack of progesterone. Since the main ingredient of the medicine is this hormone, the use of Utrozhestan helps eliminate its deficiency, which helps maintain pregnancy. After inserting the capsule into the vagina, almost all expectant mothers note the appearance of discharge. In most cases this is normal, but sometimes it can be a sign of various health problems.

Signs of normality and violation

Normal mucus during treatment with Utrozhestan has the following characteristics:

the consistency can be either thick or liquid;
normal color is white, slightly yellow, beige.

Vaginal discharge that falls within this framework is absolutely normal.

You should immediately consult a doctor if you have:

bloody discharge while taking Utrozhestan;
black or brown clots in the secretion;
nagging pain in the lower abdomen.

The gynecologist will conduct an examination on the chair, listen to complaints, take a smear to determine the microflora and refer you for an ultrasound.

https://www.youtube.com/watch?v=ytcopyrightru

You should know that a change in the color of vaginal mucus from the use of a hormonal drug can be caused by:

excessive dosage;
allergic reaction.

In most cases, pathological mucus is secreted in the vagina for other reasons, which do not disappear even after discontinuation of the drug:

Inflammatory pathologies.
Infectious diseases.
Vaginosis.
Ectopic pregnancy.
Risk of miscarriage.
Leakage of amniotic fluid.

The treatment of diseases that are the root cause of changes in the quantity and consistency of vaginal secretions deserves close attention. So, specialists often prescribe Utrozhestan together with Terzhinan, which can increase discharge. This is done to combat bacteria and fungi.

Features of the medicine

"Utrozhestan" is a Belgian medicine from the group of gestagens. The drug is presented in capsules with a yellowish gelatin shell and oily contents. They can be swallowed, but more often during pregnancy, Utrozhestan is prescribed vaginally , since this method of administration (capsules are administered as vaginal suppositories) in many cases avoids various side effects.

One capsule contains 100 or 200 mg of progesterone. This ingredient is micronized and fully corresponds to the natural hormone secreted by the corpus luteum. Its task is to prepare the uterine mucosa for the implantation of the fertilized egg, as well as to reduce the contractility and excitability of the muscular lining of the uterus, so that pregnancy develops normally.

The most common reason for using Utrozhestan in pregnant women, as noted above, is the threat of miscarriage. The drug is also in demand in preparation for pregnancy, if its onset is prevented by a lack of progesterone or some kind of uterine disease (for example, fibroids or endometriosis). In later stages, the medicine is prescribed to prevent premature onset of labor.

The method of use and dosage of Utrozhestan for a particular woman should be determined by her attending physician. Most often, the daily dose of the hormone is divided into two doses: before bed and in the morning. The duration of treatment is also selected individually, and withdrawal must be gradual. Possible side effects of the capsules include drowsiness, bloating, chest discomfort, nausea, dizziness and other symptoms.

The medication is contraindicated in cases of thrombosis, porphyria, lactation, hypersensitivity to its components and severe liver diseases.

Description of the drug

Utrozhestan is one of those drugs that can affect the abundance, consistency, and color of vaginal secretion. The greatest changes occur with vaginal use of capsules, which is due to several reasons:

When dissolved, the capsule shell may slightly stain the leucorrhoea.
Another component of the drug that affects the color of secretion is peanut oil, which is included in the composition. It can give the discharge a yellowish or light brown tint.
The capsule can be perceived by the body as a foreign body, which sometimes makes secretion more abundant than before taking the drug. In addition, the discharge may become thinner.
The nature of the discharge may change due to a sharp increase in the level of progesterone in the body.

Utrozhestan is also prescribed to normalize the cycle, treat some benign diseases of the reproductive system, and support the second phase of the cycle. In this case, women are naturally interested in the question of what is the likelihood of pregnancy while taking Utrozhestan or its analogue, Duphaston, and what further actions should be taken if pregnancy does occur.

To understand this, special attention should be paid to the mechanism of operation of the drug, indications and contraindications, as well as methods of administration and its withdrawal.

The active ingredient is natural progesterone, the chemical formula of which has been improved to facilitate absorption from the gastrointestinal tract or vagina. It belongs to the group of gestagenic agents. Progestogen (synonymous with progesterone) is a hormone that produces the corpus luteum, which forms after ovulation at the site of egg maturation.

The hormone prepares the endometrium (inner covering) of the uterus for the introduction of a fertilized egg into it, reduces the contractile activity of the uterus, thereby helping to maintain pregnancy. It also has an effect on the mammary glands, stimulating preparation for lactation.

Absorption of the drug occurs quickly both from the gastrointestinal tract and from the vagina. The main difference is that with intravaginal administration, progesterone quickly accumulates in the uterus and the local effect is more pronounced. If the administration of the drug exceeds 200 mg per day, then the concentration of the hormone in the blood corresponds to the first trimester of pregnancy.

Utrozhestan during pregnancy and other periods is prescribed only if there is a deficiency of progesterone in the body. There are differences in indications for taking the drug orally and vaginally.

Utrozhestan is used orally for:

infertility due to insufficiency of the second phase of the cycle;
cycle disruption due to lack of ovulation;
mastopathy;
severe premenstrual syndrome (PMS);
premenopause;
replacement therapy in women after menopause.

Utrozhestan as vaginal suppositories is prescribed for:

replacement therapy and “support” therapy in in vitro fertilization (IVF) protocols;
early onset of menopause;
infertility due to insufficiency of the second phase of the cycle;
prevention of spontaneous abortions and premature births in women at risk;
threat of miscarriage;
habitual abortion due to low progesterone levels.

Please note that Utrozhestan can only be used intravaginally during pregnancy. The drug cannot be used during breastfeeding, because it passes into breast milk and will affect the baby's hormonal levels.

The drug is available in special gelatin capsules containing 100 or 200 mg of natural micronized progesterone. Auxiliary elements are vegetable oil and soy lecithin.

Capsules can be used for oral and vaginal administration depending on the indications. Packages usually contain 7, 14 or 30 capsules, depending on the manufacturer and dosage.

An analogue of Utrozhestan, Duphaston, is available in tablets for oral administration; unlike Utrozhestan, it contains a synthetic analogue of gestagen.

Utrozhestan can be prescribed by an obstetrician-gynecologist to prevent miscarriage if a woman is at risk of miscarriage or has a low level of her own progesterone according to the results of a blood test. The drug can be urgently prescribed if there is a threat of miscarriage in order to prevent it.

Women are at risk if:

in the past there were spontaneous abortions in the first trimester of pregnancy associated with a lack of gestagen;
an in vitro fertilization procedure was performed;
there was infertility due to luteal phase deficiency;
the woman was taking Duphaston or Utrozhestan at the time of conception;
there has been a previous premature birth in the second trimester of pregnancy;
there is shortening of the cervix in the present.

But each pregnancy is individual, so the question of prescribing the drug should be decided by the attending gynecologist, taking into account the woman’s medical history, concomitant diseases, age and other important factors.

Cancellation of Utrozhestan during pregnancy is a long process; you should not suddenly stop taking the drug, since a drop in progesterone levels can provoke a spontaneous miscarriage. Dosage reduction usually lasts 1-1.5 months. Only a doctor can determine the time when you need to start reducing the dose.

During the withdrawal period, the patient should monitor her well-being - note the amount and nature of discharge while taking Utrozhestan during pregnancy, the presence of pain or a feeling of petrification in the lower abdomen, nagging pain in the lower back or sacrum. If bloody discharge occurs, as well as brown or black color, pain, then you need to urgently go to the hospital.

Often women find themselves in a situation where a hormone is prescribed to support the second phase of the cycle. While taking it, pregnancy occurs, but the woman does not yet know about it and cancels the drug in order to induce another menstruation. This can cause a miscarriage or frozen pregnancy, which is a disadvantage of the drug.

About 50% of early miscarriages occur due to genetic disorders and infectious diseases.

Therefore, the prescription of the drug is justified only in case of proven progesterone deficiency in the current pregnancy or multiple miscarriages due to progesterone deficiency in the past.

During pregnancy, Utrozhestan is used intravaginally: the capsule is inserted deep into the vagina, after toileting the external genitalia.

Mode of application:

During a threatened abortion or for the prevention of habitual abortion, the dose of utrozhestan is from 200 to 400 mg per day. It is divided into 2 doses. Should be taken daily in the 1st and 2nd trimesters. By the end of the 2nd trimester, the drug is gradually discontinued.
With IVF, the dose is determined individually. Start taking it from the day of hCG injection and continue until the end of the 2nd trimester. The maximum dose is 600 mg, divided into 3 doses per day. This dose is achieved gradually according to an individual scheme, and the drug is also gradually discontinued.
Prophylactic use in women at risk of premature birth (shortened cervix, unfavorable medical history) - from the 22nd to the 34th week at a dose of 200 mg once a day at night.

In all cases, the doctor may change the dosage, because it depends on the level of hormones of a particular patient and the problems that exist. You should not skip doses of the drug or stop taking it yourself.

Side effects usually occur when taking the drug orally, and with intravaginal administration, only local allergic reactions to the components of the capsule are observed - burning, itching, oily vaginal discharge.

However, some women complain of drowsiness, dizziness and increased toxicosis. Despite unconfirmed data, you need to keep in mind such systemic side effects.

Contraindications:

intolerance to components;
thrombosis, thrombophlebitis, strokes, myocardial infarction in the present or past;
incomplete abortion;
breast or reproductive system cancer, as well as suspected cancer;
porphyria;
bleeding from the vagina with an unknown cause.

The drug should be taken with caution in case of renal and liver failure. Before prescribing, assess the magnitude of the risk and possible benefit. During admission, it is necessary to monitor the biochemical analysis of blood and urine.

Thus, Utrozhestan is an indispensable drug for miscarriage due to a lack of progesterone. Unfortunately, many doctors prescribe it without sufficient reason. If you have doubts about whether the drug has been prescribed correctly, it is recommended to see another doctor.

If the appointments are confirmed, then it will be necessary to take Utrozhestan daily for quite a long time, despite the high price of the drug. Fortunately, it very rarely causes side effects when administered intravaginally. The drug is considered safe for the fetus, although studies are still being conducted.

Composition of "Utrozhestan": progesterone 100 or 200 mcg, sunflower oil, lecithin, glycerin, titanium dioxide, gelatin. Utrozhestan is used for the following conditions:

hormone replacement therapy for menopausal disorders;
infertility caused by insufficiency of the corpus luteum;
fibrocystic mastopathy;
threat of premature birth;
threat of recurrent miscarriage.

Many women have learned the joy of motherhood thanks to taking Utrozhestan. This drug contains an analogue of a natural female hormone of plant origin. It is sometimes taken up to 36 weeks of pregnancy. It does not interact with other drugs and does not disrupt the production of progesterone by the woman’s corpus luteum or the fetal placenta, but only complements them.

It is prescribed orally or intravaginally in a dose of 100 to 800 mg. per day. "Utrozhestan" must be inserted vaginally deeply and after its administration you need to lie down for 40 minutes to an hour to achieve the required therapeutic effect. The advantage of this method of administration is that the drug reaches its target in the shortest possible way.

Why and how does the use of the drug change the discharge?

“Utrozhestan” has a certain effect both on the abundance of vaginal secretions (leucorrhea), and on its color and consistency, because:

the mucous membrane “perceives” the medication as something foreign and “responds” with more abundant secretion;
the capsule dissolves and slightly changes the color of the discharge;
the vegetable oil contained in the contents can also change the shade of the whites;
the level of progesterone increases, which additionally affects the nature of the discharge, increasing its volume.

What discharge is normal?

In the absence of diseases, the secretion while taking Utrozhestan will slightly change its color and become yellowish, beige or white. An unexpressed pink color or a brownish tint is also normal if there are no other warning symptoms. The consistency of the secretion can be either slimy and thick, or more watery and liquefied.

Any strong deviations (very thick secretion, profuse liquid leucorrhoea, the appearance of impurities, change in odor) should be the reason for contacting a specialist.

What should not be the discharge after capsules?

A woman who uses Utrozhestan while expecting a baby should be wary of the following changes in vaginal secretion:

The discharge is too abundant, there is a lot of it, it is liquid, like water. Even if the secretion is watery, transparent and without foreign impurities, but its amount causes discomfort in the woman, it is worth contacting your doctor to exclude the possibility of a hidden infection or leakage of amniotic fluid.

The leucorrhoea acquired a pronounced pink tint. Most often, this is a sign of insufficient progesterone dosage, so if bright pink discharge appears, you should inform your gynecologist about this to increase the dose of the drug. In some cases, such a change also indicates more dangerous problems, such as placental abruption.

The expectant mother began to experience white and very thick discharge, which is called cheesy due to the presence of white grains or flakes. Such a change in secretion often indicates infection with candida fungi (thrush), which requires immediate treatment. The woman also begins to experience itching and redness of the genitals. In addition to thrush, other infections, such as those caused by mycoplasma or chlamydia, can lead to the appearance of white flaky discharge.

The discharge has a yellow, mustard or greenish color. It is characteristic of a bacterial infection and should also be a reason to immediately consult a doctor. Typically, such discharge also has an unpleasant odor and a sticky consistency. If the disease occurs latently (without fever or other disturbing symptoms), it is dangerous for the baby. The doctor will conduct additional research and prescribe appropriate treatment so that the microbes do not harm the child.

The secretion has turned bright red or brown. Such a change confirms the threat of miscarriage and may indicate detachment of the ovum and the onset of abortion. If the discharge has acquired this color, the woman should immediately seek medical help.

Hospitalization and timely treatment will help maintain pregnancy.

Reviews

Most pregnant women who used Utrozhestan during pregnancy noted a slight increase in the total amount of discharge and a slight change in their color. In their reviews, they indicate that with a normal reaction to the capsule, discomfort, swelling, itching, redness and other alarming changes do not occur.

If, during the use of the drug, doubts arose about the normal reaction of vaginal secretions, expectant mothers turned to their doctor. The consultation helped them determine whether the discharge was affected only by taking Utrozhestan or whether an infection was added.