What could cause a mild bleeding during pregnancy?

Question

Hello doctor,

My period is delayed and I took pregnancy test after seven days and it was positive. On 9th day that is four days ago I had slight bleeding with brown blood and till now bleeding continues with mix of little and medium flow. Doctor recommended me not to continue with the pregnancy. Kindly suggest which tests I should take. Ultrasound is not possible presently as suggested by doctor. Earlier I was suffering from PCOD. I am really worried. Shall I continue with the pregnancy or not? Please help.

Answer 1

Hello,

Welcome to icliniq.com.

This is a threatened miscarriage as it would be termed medically as the pregnancy test is positive. But,ultrasound is not contraindicated as it is necessary to localize the pregnancy and rule out ectopic pregnancy as well which can have similar presentation with bleeding along with pain abdomen. So, get an ultrasound done. If there is a gestational sac seen inside uterus then you can be placed on Progesterone support, hCG injections (human chorionic gonadotropin) to allow placental cytotrophoblastic invasion into endometrium thereby supporting pregnancy and also absolute bed rest should be followed. But, there is absolutely no indication of termination at present when even fetal pole has not arrived. The decision can be taken if the pregnancy does not grow till nine weeks.

Answer 2

Hi,

Welcome back to icliniq.com.

You can go for a transvaginal and pelvic ultrasound both today itself with an aim to localize pregnancy which is very important. An ectopic pregnancy could be an emergency.