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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spotting During Pregnancy?

hi my girlfriend is 21 and 3 half weeks pregnant 2 nights ago she went to the toilet and a spot of fresh blood came out yesterday she went to her doctor she had a full examination the dr said she was ok anything heaver come back but this morning the same as happened just a spot of blood whats happening
posted on Thu, 13 Mar 2014
Twitter Thu, 11 Feb 2016 Answered on
Twitter Fri, 12 Feb 2016 Last reviewed on
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General & Family Physician,  's  Response
HI,
Thanks for the query. I understand your concern.
Bleeding in early pregnancy can be due to-
-A normal thing around expected day of menses .. due to implantation,It usually lasts for 1-3 days & is scanty.
- Hormone deficiency in early pregnancy results in bleeding.. which can turn in abortion.
- sometimes bleeding along with pain in either side of midline in abdomen, may suggest ectopic pegnancy,
- chemical pregnancy ( blighted ovum usually starts bleeding & get aborted.
* So when the bleeding is with symptoms like cramping/ increasing in quantity day by day & spotting exceeds 2-3 days.. it's advisable to get a full pregnancy check up along with USG abdomen/ repeated HCG level estimations to come to a definite conclusion about the cause.
At 3 weeks pregnancy pregnancy can not be noted in USG .so normal practice is to start with progesterone supplements & bed rest.. followed by USG at 5 weeks & decide about continuation of the hormone.
Thanks.
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What Causes Spotting During Pregnancy?

HI, Thanks for the query. I understand your concern. Bleeding in early pregnancy can be due to- -A normal thing around expected day of menses .. due to implantation,It usually lasts for 1-3 days & is scanty. - Hormone deficiency in early pregnancy results in bleeding.. which can turn in abortion. - sometimes bleeding along with pain in either side of midline in abdomen, may suggest ectopic pegnancy, - chemical pregnancy ( blighted ovum usually starts bleeding & get aborted. * So when the bleeding is with symptoms like cramping/ increasing in quantity day by day & spotting exceeds 2-3 days.. it s advisable to get a full pregnancy check up along with USG abdomen/ repeated HCG level estimations to come to a definite conclusion about the cause. At 3 weeks pregnancy pregnancy can not be noted in USG .so normal practice is to start with progesterone supplements & bed rest.. followed by USG at 5 weeks & decide about continuation of the hormone. Thanks.