Susten 100 Capsule (progesterone) should be applied vaginally as directed by your doctor. Do not swallow it unless specifically instructed. Follow your doctor?s instructions for dosage and timing, insert the capsule gently into the vagina using the applicator, and remain lying down for a few minutes to allow absorption. Wash your hands before and after use and keep the vaginal area clean and dry.

Repeated miscarriage in early pregnancy can happen for several reasons, and in many cases, it is not caused by anything the mother did wrong. Early pregnancy loss is commonly related to problems in the baby's chromosome development, which may stop normal growth of the fetus. Other possible causes include hormonal imbalance, thyroid problems, uncontrolled diabetes, low progesterone levels, infections, severe stress, obesity, uterine abnormalities, autoimmune conditions, or blood-clotting disorders. Sometimes bleeding may begin first, while in other cases the pregnancy stops growing and is detected later on ultrasound, as happened in your second pregnancy. Since you have had two early pregnancy losses, it would be helpful to consult a gynaecologist for a detailed evaluation before planning another pregnancy. Your doctor may suggest tests such as thyroid function tests, blood sugar testing, hormone evaluation, ultrasound of the uterus, and sometimes special blood tests or genetic evaluation if needed. Many women who experience repeated miscarriages are still able to have a healthy pregnancy later with proper monitoring and treatment. Before trying again, maintain a healthy diet, take folic acid as advised, avoid smoking or alcohol, control stress, and attend regular medical follow-up from the beginning of pregnancy. If you become pregnant again, early scanning and close observation by your doctor may help improve pregnancy care and reassurance.

Hormonal imbalance can present with a wide range of symptoms depending on which hormone is affected. Common signs include irregular or heavy periods, unexplained weight gain or loss, acne or skin changes, hair thinning or loss, mood swings, depression or anxiety, sleep disturbances, persistent fatigue, low libido, and digestive issues. Some people may also experience frequent headaches, increased hunger or cravings, and fertility problems. Because these symptoms overlap with many other health conditions, blood tests and medical evaluation are usually required to identify the specific imbalance. Treatment is then tailored to the underlying cause.

Multi-follicular ovaries mean your ovaries have several small follicles, which are fluid-filled sacs that can sometimes prevent regular ovulation. This can lead to irregular periods, missed cycles, or difficulty conceiving. However, in some women, it may be a normal variation. Since causes can vary, it is essential to consult a gynaecologist who can check hormone levels and review your ultrasound. Based on the results, your doctor can suggest the best management plan, which may include lifestyle changes, medications to regulate periods, or fertility guidance if needed.