You wrote:

"List of pre-existing conditions: depression; previous pregnancy (13 years ago) required a regiment of progesterone shots to accelerate the Hcg levels to continue the pregnancy beyond the 12th week. Prior to that live birth, I had three miscarriages at around 10-12 weeks gestation.

List of other diseases, conditions, or injuries and their treatment: recent back, shoulder and neck injury which required three cortisone shots to trigger point areas approximately three weeks ago. Also have had depression for the last 9 years and regularly taken anti-depressants.

Diagnosis that has been suggested: neck, back and shoulder strain/sprain
Current medical status: receiving physical therapy three times a week for shoulder, back and neck injury

Current medical treatment: Celexa 20 mgs daily for depression Cortisone shots (three) intramuscular"

In response to all of your queries, you can first take a home pregnancy test to confirm or exclude pregnancy. Cortisone is a hormone normally present in the body so it can’t cause any damage to the embryo.

The other drug you’ve taken, Celexa or citalopram, belongs to Category C of pregnancy medications which means that animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans. However, potential benefits for Category C durgs may warrant use of the drug in pregnant women despite potential risks. This means that you may take Celexa only if it is absolutely necessary. I don’t see such need in your case.