Brief Answer:
This episode may be a miscarriage
Detailed Answer:
Hello and welcome back,
The chances that it is a miscarriage are low but not zero if you have been sexually active and not used
contraception.
I am not sure about what happened 4 weeks ago, was your periods due at that time and was MISSED and then you had bleeding after 2 weeks for 7 days? In this case a miscarriage cannot be ruled out. But it will hold true for only this episode and the earlier ones are not explained by this. A blood
HCG test will help in this case if done early [ as it seems that already it is more than 7 days since the bleeding stopped so levels may have gone down].
If you have never missed your periods [ you have said that for the past year you had similar episodes but periods were regular] then chances of it being an miscarriage are very low. The only chance is a chemical
pregnancy or if the periods were confused with
implantation bleeding that occurs during periods.
I have already said that there is a condition called chemical pregnancy where miscarriage occurs before the periods are missed. So it may fall in that category. The only way to know this is by a
blood test for HCG level. If these are raised then it is likely to be a pregnancy and
abortion.
However it is rare for repeated abortions to occur and the patient not being able to recognize it. So this is the reason I am also thinking of other possibilities than abortion like fibroids, polyps etc.
A blood HCG test and
ultrasound will clear all the doubts and help determine the cause. The reason I advised a blood test at the time of symptoms is that you mentioned that the pain was 4 weeks ago then 2 weeks later bleeding for 7 days. So it seems that now since 7 days no bleeding. Hence blood test may come negative even if there was a pregnancy if the abortion was a complete one.
So kindly see a doctor, discuss all the issues and then get tests done.
Please feel free to ask if you are not able to understand some points as the explanation is fairly prolonged as the history is peculiar.
Hope this answered the query,
I am here to help if there are any more questions.
Dr Madhuri
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