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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Severe Cramping With Dark Blood Clot Indicate A Miscarriage?

Did I have a miscarriage? I would have been 4 weeks. I had brown spotting the first day, with severe cramping. The next few days I had bright red blood with lots of dark clotting. Now I am having gray and pink discharge. I am 18 years old. I have not been pregnant before that I know of. This is the first time this has happened to me. I have not been to a doctor but I did experience pregnancy like symptoms.
posted on Tue, 4 Feb 2014
Twitter Wed, 5 Feb 2014 Answered on
Twitter Thu, 6 Feb 2014 Last reviewed on
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OBGYN,  's  Response
Hello
Thanks for writing to us with your health concern.
Any kind of menstrual bleeding that deviates from the normal could be a miscarriage.
Right now, if you have already miscarried, even a pregnancy test would not be reliable.
Please go for a pelvic transvaginal ultrasound scan - that will tell you if you miscarried.
Also, the altered bleeding could be due to - anxiety, stress, weight gain, late nights, erratic eating habits.
A cervical erosion or polyp or uterine fibroid also can present this way.
T o know the cause please have a formal gynecological check up - per vaginum and per speculum internal evaluation plus a scan.
Also, hormonal levels - FSH, LH, TSH, Prolactin.
ANxiety, weight gain, late nights, erratic eating habits - all these too can cause irregular bleeding.
Do not worry too much.
All the best.
Take care.
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General & Family Physician,  Dr. Salaja Surekha S's  Response
Symptoms you have mentioned are similar to that of miscarriage, but as you haven't confirmed pregnancy with HCG test i would suggest you to go for ultrasound scan to find any fetal remnants and wait for your next period.
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Does Severe Cramping With Dark Blood Clot Indicate A Miscarriage?

Hello Thanks for writing to us with your health concern. Any kind of menstrual bleeding that deviates from the normal could be a miscarriage. Right now, if you have already miscarried, even a pregnancy test would not be reliable. Please go for a pelvic transvaginal ultrasound scan - that will tell you if you miscarried. Also, the altered bleeding could be due to - anxiety, stress, weight gain, late nights, erratic eating habits. A cervical erosion or polyp or uterine fibroid also can present this way. T o know the cause please have a formal gynecological check up - per vaginum and per speculum internal evaluation plus a scan. Also, hormonal levels - FSH, LH, TSH, Prolactin. ANxiety, weight gain, late nights, erratic eating habits - all these too can cause irregular bleeding. Do not worry too much. All the best. Take care.