Thanks for posting your query at DoctorSpring.com
Can you please upload the ultrasound scan report ?
If the placenta was low lying, it would definitely show on the ultrasound scan.
Actually all the 3 treatment protocols are accepted for bleeding in the first trimester.
Bleeding in the first trimester is equivalent to a threatened miscarriage, and HCG, Duphaston and Proluton Depot are all 3 given to control and prevent it.
SO you can continue with your main doctor and take the Proluton Depot and the Duphaston, but the other doctor was not wrong in offering HCG either.
BUt progesterone is a must in the form of Duphaston and Proluton Deport.
HCG can be added , but if your main doctor omits that, no major harm done.
So please follow the advice of your main treating doctor.
Ask her to take rest.
Avoid intercourse, stress, shopping sprees, standing or walking or straining herself for prolonged periods etc.
And upload the ultrasound if possible.
All the best
Please feel free to discuss further.
Patient replied :
Hi Doctor, thank you for the detailed response. I have uploaded the ultrasound that we have (uploaded twice by mistake).
How long do you think weekly shots of Proluton and Duphaston tablets will be required before my wife can stop them?
I need to look at the scan report please , not just the images.
Can you please upload the typed report ?
She would have to continue them atleast till 14 - 16 weeks, provided the bleeding stops.
Progesterone in the form of Duphaston or natural micronized progesterone ( Susten / Naturogest ) can continue until the third trimester.