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What can cause bleeding for 15 days during pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had a positive pregnancy test. My progesterone level was 3.6. The first hCG level was 23, and the second was 30. I have been experiencing bleeding or spotting for 15 days. What could be the reason?

Please help.

Hello,

Welcome to icliniq.com.

I understand your concern.

However, you did not mention the date of your last menstrual period or when your pregnancy test came back positive. Also, have you had any previous history of miscarriage? Your progesterone levels are still very low, and although your hCG (human chorionic gonadotropin) levels are positive, they are not rising as expected. This raises concerns about the progression of the pregnancy. Based on your symptoms and test results, here are a few important recommendations:

  1. Take complete bed rest. Avoid heavy work, physical strain, or exercise.
  2. Stay well-hydrated.
  3. Tablet Dydrogesterone 10 mg. Take one tablet in the morning and one in the evening until the sixth month of pregnancy.
  4. Tablet Folic acid along with Zinc (5 mg + 20 mg). Take one tablet in the afternoon for three months.
  5. Tablet Pyridoxine along with Doxylamine (10 mg + 10 mg). Take one tablet in the morning and one in the evening on an empty stomach; continue as needed. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

Since you are still experiencing spotting, avoid sexual intercourse. This could be a threatened miscarriage, and it is important to follow the above precautions strictly. Please stay safe and hopeful. Repeat your hCG test after one week, and let me know the result so we can reassess and guide you further.

Kind regards.

Medically reviewed byiCliniq medical review team

Published At August 10, 2025
Reviewed AtAugust 10, 2025

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