Why are pregnant women prescribed utrogestan 200mg capsules. Possible schemes for drug treatment. Side effects and special instructions

Nine months of pregnancy is a big test of the strength of the female body. In this period future mother cares, first of all, about the health of the child, therefore, does not abuse the intake of various medications. But some of them are simply necessary, since the successful resolution of the burden depends on them. Utrozhestan is one of them.

What is Utrozhestan?

Utrozhestan is one of the hormonal drugs.

Qualities:

normalization of the production of secret endometrium;
elimination of excitability of the uterine muscles;
assisting the uterine membrane in the transition from one period to another, as a result of which the fertilized cell fully develops.

The drug is capsules and suppositories.

When and why is Utrozhestan prescribed during pregnancy?

Utrozhestan is prescribed when a woman, for health reasons, can lose a child. In the case when it passes without complications, the hormone progesterone is first produced by the ovaries, then by the placenta. Progesterone is responsible for the formation of the fetus. Utrozhestan is a synthetic analogue of a hormone specially designed to compensate for the lack of progesterone in pregnant women. The main advantage of this medication is that it does not change the health of the unborn baby in any way. With its regular consumption, the amount of hormones in expectant mothers does not increase, but is replenished.

In addition, Utrozhestan is prescribed in such cases:

Cycle breaking.
Severe PMS.
Fibrocystic mastopathy.
premenopausal phase.
climax period.
In the absence of ovaries, a course of replacement therapy.
endocrine infertility.
Prevention of endomitriosis.

Dosage of Utrozhestan during pregnancy

The drug is prescribed by the attending physician, the dosage is determined individually. Usually, the remedy is prescribed in the first trimester of pregnancy, a little less often in the second. This is due to the fact that during given period recombination occurs between the ovaries and the placenta, which begins to produce progesterone.

Expectant mothers are prescribed Utrozhestan 200 mg twice a day - one hour after meals and before bedtime. In the first trimester of pregnancy, it is better to use the drug intravaginally, since in this case it is quickly absorbed into the bloodstream, which delivers the drug directly to the uterus without contact with the liver.

The duration of treatment depends on the diagnosis. It often happens that the lack of progesterone in the body manifests itself even before conception. Therefore, many doctors prescribe Utrozhestan only when planning a family in order to prevent possible miscarriage.

Contraindications

In taking Utrozhestan, care must be taken, because in some cases it is either contraindicated or can lead to serious complications.

Pregnant women are at risk:

Having kidney failure.
They have various tumors.
Get rid of liver problems.
Suffer from varicose veins veins;
Are undergoing therapy diabetes, asthma, diseases of the central nervous system.

Side effect when taking Utrozhestan

When using the drug by the oral method, it is possible discomfort: drowsiness, dizziness, itching. Therefore, any future mommy she is obliged to carefully monitor her well-being, and also the reaction of her body to Utrozhestan. After all, one of the women in labor may have an individual intolerance to the drug or one of its components. Or the prescribed dosage is too high.

Many women dream of having children, but not everyone succeeds. Often pregnancy does not occur or it happens, but a miscarriage occurs due to an insufficient amount of progesterone in the body. Produced by the ovaries in sufficient quantities, it helps to preserve the embryo and contributes to its normal development. With a lack of progesterone, doctors prescribe the drug "Utrozhestan", placing high hopes on it. In this case, the woman bears and gives birth to a child without any problems. As evidenced by numerous reviews, "Utrozhestan" during pregnancy is very effective.

Purpose and form of release

"Utrozhestan" is a medicinal product consisting of natural micronized progesterone hormone. Most often, doctors prescribe it during pregnancy so that there is no miscarriage or premature birth. Also use "Utrozhestan" when the feedback on his admission during this period is only positive. In addition, with the help of it, diseases that occur against the background of a lack of progesterone are treated. This is fibrocystic mastopathy, menstrual irregularities. The drug is prescribed to women during menopause to eliminate the climatic syndrome.

"Utrozhestan" is produced in capsules that can be used orally or topically, as vaginal suppositories(therefore, capsules are sometimes called suppositories, in fact, there is only one form of release of the drug). They contain 100 and 200 mg of the active substance, which is micronized natural progesterone, which is well absorbed into the bloodstream. Excipients are peanut butter, gelatin, soy lecithin, titanium dioxide, glycerol. Candles "Utrozhestan" are very effective during pregnancy. Reviews of patients and doctors testify to this.

Indications for use

The use of the drug leads to the following positive aspects:

normal endometrium begins to form;
increases the concentration of insulin;
glycogen in the liver begins to accumulate intensively;
the excitability and contractility of the muscles of the uterus and fallopian tubes decreases;
the uterine mucosa enters the secretory phase.

"Utrozhestan" is used to treat diseases that have arisen against the background of an insufficient amount of progesterone in the body.

Oral administration is indicated in the following cases:

V complex therapy infertility caused by insufficiency;
if the menstrual cycle is disturbed;
to relieve symptoms during menopause;
removal of tension syndrome before the onset of menstruation;
For complex treatment fibrocystic mastopathy.

with a lack of progesterone;
to maintain the luteal phase;
as a prevention of the formation of uterine fibroids and endometriosis;
so that a miscarriage does not occur;
with infertility associated with a lack of lutein;
as a result of premature menopause.

Mode of application

When taken orally, if a woman is planning a pregnancy, "Utrozhestan" is taken 2 times a day. In some cases, the doctor may increase the dose to 400 mg per day. For the treatment of fibrocystic mastopathy, as well as premenstrual syndrome the dosage is 400 mg per day, the duration of treatment is 10 days.

With intravaginal use, if a woman is completely absent of progesterone, the drug is used for at least 3 months. The dosage is selected by the doctor in each individual case. If it exists in the first and second trimester of pregnancy, "Utrozhestan" is used twice a day, injected deep into the vagina.

special instructions

Do not use the drug as a means of contraception, as it does not have a contraceptive effect. When applied in the first half of the menstrual cycle (before ovulation), a shortening of the cycle or bleeding may occur.

If arose uterine bleeding, then "Utrozhestan" is not recommended to be taken until the cause of such a pathology is clarified.

If the following symptoms occur, the drug should be stopped as soon as possible:

double vision;
damage to the vessels of the retina;
unbearable headache;
vision loss;
thrombosis of veins and arteries;
migraine.

In this case, you should immediately consult a doctor.

"Utrozhestan" during pregnancy

The reviews of most women taking this drug during pregnancy are positive, as it contributes to the successful bearing of a child. It is allowed to be taken in the first and second trimester, up to the 27th week. After this period, it should be used with caution and only if there is evidence for this.

The drug helps prevent miscarriage and prevents premature birth, especially if a woman is diagnosed with complete ovarian dysfunction or a lack of progesterone. Moreover, there is a high probability that pregnancy will occur after Utrozhestan. Reviews eloquently testify to this.

Indications for taking the drug if pregnancy is only planned

In what cases should I take "Utrozhestan" when planning a pregnancy? The doctors' comments indicate that the indication for taking the drug is It is characterized by low body temperature in the period following ovulation, and various menstrual irregularities. Such a violation in the work of the body occurs quite often. That is why, in order to prevent a miscarriage, Utrozhestan candles are prescribed during pregnancy. Reviews of women indicate that they are quite effective.

Also an indication for taking artificial progesterone during pregnancy planning is the prevention of endometriosis. In this state of the body, a very strong growth of the uterine mucosa occurs or it begins to penetrate into the deeper layers of the tissue. Most often, endometriosis is observed in women aged 30 to 45 years with a short menstrual cycle, who have impaired metabolism, whose estrogen levels are significantly elevated, and who constantly use intrauterine contraceptives.

Because of this disease, pregnancy can be expected for a very long time, because with endometriosis, cysts begin to form on the wall of the uterus, in the ovaries, inside the fallopian tubes. All this leads to a decrease in the patency of the tubes, the work of the ovaries is disrupted, and the implantation of the embryo into the uterine wall is significantly more difficult. That is why doctors prescribe "Utrozhestan" when planning a pregnancy. Feedback from women on this issue is also positive.

The drug normalizes the menstrual cycle, creates right conditions in order for the fetal egg to be fixed in the uterus, and in case of a threatened miscarriage, it helps to maintain the pregnancy.

Contraindications and side effects of the drug during planning

A woman who dreams of becoming pregnant should know that although this drug helps to fulfill the dream of having a child, its use is possible only as directed by a doctor. "Utrozhestan" may have the following contraindications:

thrombophlebitis;
liver disease;
malignant tumors;
phlebeurysm.

Very rarely, side effects occur when using the drug "Utrozhestan" (candles). Reviews when planning pregnancy about this drug indicate that drowsiness and dizziness may occur, which are of a short duration. But you should be careful while driving, because a small impact on the central nervous system adversely affects the reaction rate when driving.

Indications for taking the drug during pregnancy

As numerous reviews show, "Utrozhestan" during pregnancy is of great benefit. At healthy women the progesterone produced begins to build up the endometrium, while the uterine mucosa thickens and enriches blood vessels and the embryo receives sufficient oxygen and nutrients.

For women with progesterone deficiency, the drug is prescribed to prevent miscarriage. In addition, it is prescribed if it exists due to an increase in the tone of the uterus. Medicine contributes to its reduction, allowing a woman to carry a child normally.

Contraindications of the drug during pregnancy

"Utrozhestan" can not be taken in the following cases:

vaginal bleeding of unknown origin;
porphyria;
intolerance or allergic reactions on the components of the drug;
incomplete miscarriage;
tumors of the genital organs or mammary glands, which are malignant in nature;
thromboembolism;
tendency to develop blood clots;
severe liver disease.

These contraindications are considered absolute, that is, it is strictly forbidden to take the drug if they are available.

There is nothing worse for a woman than losing her unborn, but that's enough developed child. But miscarriages are a fairly common occurrence, both in the first weeks of pregnancy and in the 3rd trimester. One of the reasons for this situation is the lack of progesterone. This hormone is necessary to maintain the good condition of both the fetus and the mother. It is produced throughout pregnancy in enhanced quantities, but sometimes this is not enough. In this case, doctors prescribe Utrozhestan during pregnancy to their patients.

Progesterone is produced first in the ovaries, then in the placenta itself. It must be present in a woman's body in order to be able to conceive a child. If it is not enough, the uterus will not be able to adapt the fetus to itself, it will reject it even at the stage of a fertilized egg. The same will happen if there is not enough progesterone at some stage of pregnancy. Therefore, an analogue of progesterone, such as Utrozhestan, is so necessary.

No one doubts its benefits: when a child is in danger, there is no time to think about possible minor side effects. However, does Utrozhestan really save the baby's life? And how does it even work? To understand what risk you are taking by taking this medicine during pregnancy, you need to understand what kind of drug it is.

Compound

Utrozhestan is a synthetic analogue of the hormone progesterone. Unfortunately, it is not easy to make up for the lack of this hormone during pregnancy, since it is not directly perceived by the body from the outside and is not digested in the stomach. But scientists solved this problem by creating micronized progesterone - these are hormone molecules surrounded by peanut butter. So it is easier to digest, and it is not rejected by the body.

The composition of the medicine includes:

Progesterone (micronized or natural)
Peanut butter
soy lecithin
Gelatin
Glycerol

Since there are no substances here that can react negatively with other drugs, Utrozhestan during pregnancy can be safely taken in combination with any drug that your doctor prescribes.

Influence at various stages

Deficiency and excess of progesterone different stages Pregnancy threatens a woman with different consequences. Therefore, taking medicine in the 1st trimester or in the 3rd is a completely different thing.

In the 1st trimester of pregnancy, unlike the 3rd, uterine activity is not so dangerous, because it cannot cause premature birth. It is much more dangerous that the egg, and then the small fetus, will simply be rejected by the body. In addition, it is at this time that the redistribution of functions between the ovary and the placenta occurs. And any violation at this stage is dangerous. Therefore, doctors safely prescribe Utrozhestan to their patients.

For the same reasons, it is safe to take the drug in the 2nd trimester of pregnancy, but it is better not to do this in the 3rd. Hormone deficiency is not so dangerous. It cannot cause miscarriage or premature birth. But taking a medication that affects the hormonal background can lead to disastrous results. In the 3rd trimester, an excess of progesterone is much more dangerous and less predictable than a lack. And it is not easy to control the level of progesterone when taking Utrozhestan.

Action

Utrozhestan, entering the body, does not replace progesterone, but only supplements its volume. But in addition, it stimulates protein lipase, increases fat stores. But not the fat that all girls are afraid of, but the one that is a store of energy and strength during pregnancy.

The drug increases the utilization of glucose, promotes lactation, activates the activity of the mammary glands, which is especially useful in the 3rd trimester. Utrozhestan also relaxes the nervous system, allows the body to relax and unwind.

Advantages over other drugs

Unlike many drugs, Utrozhestan during pregnancy does not affect weight and mass. After taking it, swelling and swelling do not appear.

Contrary to popular belief, not all drugs enter the child's body. Even in the 3rd trimester, this progesterone analogue does not reach the fetus. Therefore, you can not worry that it will harm the baby.

Utrozhestan relaxes the uterus, reducing uterine activity. So the uterus can adjust to the fetus without rejecting it.

Contraindications

Although the composition of the drug does not include many components, it is still a medicine. And he has contraindications:

Thrombosis and thrombophlebitis.
Transferred malignant tumors or diseases of the genital organs, mammary glands and uterus.
Unusual bleeding or discharge from the genitals.
Liver dysfunction, liver failure.
Varicose and cardiovascular diseases.
Diabetes.
Bronchial asthma.
Diseases, transferred or still ongoing, of the central nervous system.

Be careful. The doctor should observe you throughout the duration of the drug. Especially in the 3rd trimester, when any change can cause premature birth. See your doctor as often as possible to predict problems before they occur.

Side effects

There are no serious direct side effects of the drug. The main ones are drowsiness, distraction, dizziness. Therefore, try not to take Utrozhestan before leaving home, at work or in transport.

Another side effect is liver disease. They develop if Utrozhestan is taken during the 3rd trimester during pregnancy.

The most dangerous when taking the drug is an excess of progesterone. This can result in indigestion. Then the baby will not receive enough energy and will not be able to grow well. As a result, he may be underdeveloped if this happened in the 1st trimester, be born weakened if in the 3rd.

Application

You can take Utrozhestan in 2 ways:

In the form of capsules through the mouth
In the form of suppositories by insertion into the vagina

The second method is the safest and most effective, as it reduces the likelihood of side effects. Of course, in the 3rd trimester, when the stomach interferes, it is much more convenient to use pills, but the digestive system may not respond very well to the drug.

Some women, when planning a pregnancy, face the problem of bearing a child, which can threaten miscarriage, and often now many are reported about their infertility, that is, the inability to become pregnant. It is in such cases that experts prescribe Utrozhestan, before using which you need to carefully listen and study the reviews and recommendations of doctors. The drug is based on such an active substance as progesterone. In another way, it is called the "hormone of pregnancy", which begins to be produced immediately after the body becomes pregnant.

Why is Utrozhestan prescribed during pregnancy

The drug is prescribed to stimulate and change hormonal background women planning pregnancy or already in the position. Utrozhestan acts as an analogue of progesterone, only it has a synthetic origin.

This drug performs two vital functions:

Helps a woman during conception;
Promotes a trouble-free gestation process.

The production of progesterone is especially high when a woman is menstruating, and in the absence of pregnancy, its level begins to decrease due to uselessness. Under the influence of this hormone in a pregnant woman, menstruation stops and the uterus begins to grow.

Thus, Utrozhestan is prescribed in the following cases:

Prevention of the risk of miscarriage;
Restoration and stabilization of hormonal levels;
Lack of progesterone when there is a threat of interruption;
During pregnancy planning;
In the event of bleeding or brownish discharge.

A lack of progesterone is signaled by bloating, prolonged and painful menstrual cycles, bleeding between periods, and less natural lubrication is produced during intercourse, etc. In the first trimester, Utrozhestan ensures the transition and transformation of the internal mucous membrane of the uterus (endometrium) into the state that is required for normal development fetus. In addition, this drug reduces the tone of the uterus and the number of contractions of the uterine muscles and tubes.

Candles Utrozhestan

Issued medicinal product in the form of capsules, which can be taken as tablets, and as candles. In the early stages, experts recommend using Utrozhestan vaginally, that is, as suppositories. Due to which, the risk of abortion is prevented much more effectively and faster and the intensity of uterine contractions decreases.

Capsules are available in two forms:

100 mg;
200 mg.

Depending on the amount of progesterone they contain. The capsules have a yellowish gelatin shell, inside which is a homogeneous white oily suspension.

In addition to the main component - progesterone - Utrozhestan contains a number of auxiliary components:

soy lecithin;
titanium dioxide;
Peanut butter;
Gelatin;
Glycerol.

Intravaginal administration of Utrozhestan is prescribed in the following situations. When is hormone therapy required if menopause has begun ahead of time, for the prevention of habitual or threatened abortion, which may be caused by a lack of progesterone. Restoration of a lack of progesterone in the absence or disruption of the ovaries.

If there is a threat of miscarriage due to progestin deficiency, this drug is also effective.

It is prescribed during preparation for in vitro fertilization to maintain the luteal stage and as a prevention of uterine fibroids, mastopathy or endometriosis, as well as infertility associated with a lack of lutein. In addition, vaginal administration of the drug becomes necessary when oral administration of capsules is limited or impossible. And also if, when taking the medicine as a tablet, a migraine begins in a pregnant woman, dizziness and drowsiness appear.

Tablets Utrozhestan

Round capsules of 100 mg are presented in the form of a package with blisters of 14-15 pieces, and blisters with oval capsules of 200 g each include 7 pieces. 100 mg capsules of 28-30 pieces in a pack cost about 370-450 rubles, and 200 mg capsules of 14 pieces cost about 370-420 rubles.

The use of Utrozhestan orally as tablets is prescribed for the following reasons:

Failures of the cycle of menstruation, anovulation or violation of the process of ovulation.
Menopause, when the drug is included in complex hormonal therapy.
Infertility due to luteal insufficiency.
The appearance of symptoms of mastopathy of fibrocystic origin.
during premenstrual syndrome.

During pregnancy planning, women can be given a frightening diagnosis - infertility resulting from a lack of progesterone in the body. Since if there is required amount of this hormone, the body is able to prepare for imminent motherhood.

Note: why take Utrozhestan

The impact of Utrozhestan on the female body as a whole is not negative, because it does not act as a substitute for natural hormones, but only replenishes the missing hormones that ensure the normal process of pregnancy. At the end of the treatment course, almost every woman found out that she was pregnant.

When taking the drug in the female body, various changes occur.:

Glucose is rapidly excreted from the body;
The volume of produced gonadotropins in the pituitary gland increases;
Stimulation of lactation processes is noted;
There is an accumulation of glycogen in the liver;
There is a decrease in azotemia, due to an increase in the amount of nitrogen excreted from the body along with urine.

Vaginal use of capsules has effects only when utrogestan locally affects the uterus itself, its tubes or the ovaries. While the need for oral administration of the drug arises in the case of complex impact on organ systems and individual organs.

Contraindications and side effects and Utrozhestan

The treatment regimen and dosage of the drug for pregnant women is prescribed by the attending physician, it is he who determines how correctly, for a long time and how much a particular patient needs to drink the medicine. You need to understand that with the wrong reception from Utrozhestan, there will be no benefit, but only harm.

In addition, side effects may occur during treatment.:

Allergy in the form of skin rash and itching;
Reducing the duration of menstruation;
When taken orally, drowsiness, dizziness, or frequent pain may occur;
The appearance of jaundice due to cholestasis;
The occurrence of bleeding between menstrual cycles.

Such consequences may indicate that an overdose has occurred, so it becomes necessary to stop or cancel the drug, after discussing this with your doctor. But a negative reaction to the drug occurs in isolated cases.

In addition, taking Utrozhestan has a number of contraindications.:

Porfiria;
Thromboembolism;
Bronchial asthma;
Varicose veins;
Liver or kidney failure;
Allergy to individual components of the drug;
The risk of thrombosis;
Diseases of cardio-vascular system;
Unknown vaginal bleeding;
Phlebitis of an acute nature;
Diabetes;
Incomplete miscarriage, etc.

These contraindications imply a complete ban on taking Utrozhestan when planning pregnancy, during gestation, and also during breastfeeding. However, the drug itself cannot cause a violation of the development of the child or the gestation process.