Hello,

Thanks for writing to us.

I have gone through your history in details. As you did unprotected intercourse around ovulation time or fertile days, there is high chance of being pregnant.

General weakness and feeling of tiredness following sexual activity is quite common. It may be associated with hormonal imbalance & psychological factors to present above symptoms.

Normally, period due date may alter up to 7 days. But late period (3 days) followed by brown spotting & blood clots may indicate early sign of miscarriage. Sometimes, it may be mistaken with normal period bleeding.

Here, you need to undergo one blood test for beta-HCG and Trans Vaginal Sonography (TVS scan) to rule out product of conception or miscarriage if any.

In exclusion of above, other reasons are old blood clots/ endometrial tissue, irregular diet pattern, pelvic/ vaginal infection, hormonal ups & downs etc.

Following above test reports, you may need to consult with gynecologist to proceed other relevant investigations to pin point the diagnosis. Suggestive measures should be taken as applicable.

Do the following things :

1) Take healthy diet with vitamin & iron supplements.
2) Keep bowel habit regular and drink plenty of fluids/ juice.
3) Try to avoid stress by yoga or meditation regularly.
4) Maintain personal hygiene and take sound sleep.

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

For any future query, you can directly ask me by viewing this page WWW.WWWW.WW
Wish your good health & practice safe sex in future.

Regards,
Dr Soumen.

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Hello,

Thanks for your follow up query.

You can undergo blood test for beta-HCG & TVS scan at any time after 2 weeks of ovulation time or fertile days but hormonal tests should be done on 3rd day of your cycle.

Second thing, above presenting symptoms may be due to muscles spasm or indigestion problem. Premenstrual Syndrome (PMS) is another reason. It is more prevalent in 2nd half of cycle and gone away after period started.

You should follow some health tips in 2nd half of every cycle to avoid PMS like avoid taking salt/ coffee/ fast & spicy food, drink plenty water, keep bowel habit regular, avoid stress and do light exercise/ yoga.

Hope it helps for you. If you do not need any clarification, you can close the discussion & rate the answer.

Good luck. Take care yourself.

Regards,
Dr Soumen

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Hello XXXXXX,

Thanks for follow up query.

By follow through your presenting symptoms, possibility of miscarriage is quite high as you did unprotected sex around fertile days. Big boobs & other features are suggestive of that. Though you need to confirm by above mentioned tests.

Following above test reports, you should consult with gynecologist for next line management as applicable.

Hope, it clears your all confusion. You can close discussion if you do not have any other query.

Be well & stay healthy.

Regards,
Dr Soumen

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Hello XXXXXX,

Thanks for your query.

Yes, blood test for beta-hcg can rule out possible conception or miscarriage. It is more reliable than home pregnancy test.

If the blood test is positive, you may require to undergo one TVS scan to get detailed picture of miscarriage including retained bits (if any). It helps to make a decision on abortion procedure - whether you need a medical or surgical (D & C) method.

Yes, you can take iron & vitamin supplements during period or other time to combat iron deficiency anemia.

Good luck.

Regards,
Dr Soumen

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Hello,
Thanks for your follow up.

In negative pregnancy test, miscarriage or possible conception is ruled out. Therefore, you have nothing to worry regarding this.

You should take only one iron supplement tab along with some iron XXXXXXX foodstuffs to combat deficiency.

Be well & stay healthy.

Regards,
Dr Soumen

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Hello,

Thanks for your query.

In early miscarriage or conception, serum beta-HCG level is very much low and may be undetectable in blood test or home pregnancy test. Therefore, you may get a negative result on that. It is quite normal phenomena and some women do not notice or realize this type of miscarriage (slim).

Hope it clears your confusion. You can close the discussion & rate the answer.

Regards,
Dr Soumen

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