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Q. Pregnancy test positive. On the 9th day had slight bleeding, why?


 

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.


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Can the lower abdomen pain be due to ovulation?
I am hyperthyroid and have polycystic ovaries. I have menstrual irregularity. Please help.
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Dr. Sameer Kumar
MBBS., MS (OBS/GYNAE)., FMAS., DMAS., FELLOWSHIP IS ASSISTED REPRODUCTIVE TECHNIQUES
Infertility, Obstetrics And Gynaecology

Hello,

Welcome to icliniq.com.

  • 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 supporthCG 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.

Revert back after the ultrasound abdomen to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

 

Hi doctor,

Thank you for the reply. When can I go ahead with the ultrasound?

 

Dr. Sameer Kumar
MBBS., MS (OBS/GYNAE)., FMAS., DMAS., FELLOWSHIP IS ASSISTED REPRODUCTIVE TECHNIQUES
Infertility, Obstetrics And Gynaecology

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.

Revert back after the tests to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

 
 
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Answer: Hello, Welcome to icliniq.com. I have checked the reports (attachment removed to protect patient identity). Though the follicles in the left lower side are those of an ovarian follicle, I am afraid it cannot be commented up on accurately with serum beta-hcg (human chorionic gonadotropin) le...  Read Full »
 
 

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