Hello,

Thanks for writing to us. I am trying to solve your problem.

Sometimes above clinical features (clotted element & abdominal cramp) may be confused with early sign of miscarriage if you were involved in unprotected sex around ovulation time (14 days prior to expected due date) or in between fertile days. Otherwise it seems to be normal period with two consecutive negative pregnancy tests. Maintenance of the genital hygiene is the key thing.

Here, you should undergo one blood test for beta HCG level & Trans Vaginal Sonography (TVS scan) at the earliest to rule out product of conception or uterine pathology if any.

Following test reports, you can contact with your gynecologist for next line of management.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish her good health & practice safe sex in future.

Regards,
Dr Soumen

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Hello,

Thanks for follow up query.

First of all, you must confirm the site of bleeding whether it is urethral or vaginal origin after talking with your girlfriend once again.

If it is vaginal origin, then she must undergo previous mentioned tests (blood for beta HCG level & TVS scan) to exclude probability of miscarriage.

Second thing, if bleeding & clots were present in urine, then it is called hematuria in medical term. In such cases, she may need to investigate properly to rule out urinary tract or renal/ bladder pathology.

Mild hematuria is little significant and mostly associated with urinary tract infection (UTI) whether persistent hematuria/ low urine output is drastically investigated after consultation with Urologist.

Initial investigation for hematuria is urine examination- routine, microscopy and culture. Following test reports, we can decide whether she needs to go for other investigations or not. Consulting Urologist can guide her.

In case of UTI (most common occurrence), she needs to take proper antibiotic therapy (like ofloxacin etc) with anti spasmodic medication (like drotaverine etc) to get relief from abdominal cramp. Urine alkaliser & cranberry juice are also quite helpful.

In addition, some measures are to be taken like drinking plenty of water (3 lit plus), maintenance of genital hygiene with proper washing & shaving, empty bladder in time without much pressurize the bladder, wearing only clean & cotton underwear, proper cleaning of genitalia before & after each sexual activity.

Hope, above things are clarified in well manner to understand simply. If you do not have any clarifications, you can close the discussion and rate the answer.

Be well & take care of her.

Regards,
Dr Soumen.

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