
What Causes Bleeding In A 4 Weeks Pregnant Woman?

I am 4 weeks 5 days pregnant. I am bleeding from last 8 days. It started with spotting on 18 of feb which is my regular period date. I went to c my Gp on 21 of feb. she took my blood and the report showed my HCG level is 26.2 i also had an ultrasound which didnot show any sac but endometrium thickness was 19 mm. 2 days ago i passed a clot with heavy bleeding. I rushed to emergency they also tested my blood and hcg level was 89. Dr said everthing is fine and reffered me to early pregnancy unit. Now i have an appointment with them on tuesday next week. Iam really stressed about whats going on inside me.could you please give me an idea whats the reason for this?
Repeat ultrasound after 2 weeks
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Bleeding in early pregnancy can be due to threatened or missed abortion, subchorionic haemorrhage, or idiopathic( no cause is found).
If the beta hCG levels are on increasing trend, then spontaneous or missed abortion is ruled out.
You should take rest and take progesterone support in the form of tablets or injections to make the uterine environment more favourable for the pregnancy, and get a repeat ultrasound after two weeks to assess the viability of pregnancy.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN


Thank you soo much for your answer. I have some other concers as well. Is my hcg level too low for this stage. And when the gestational sac is visible. If it is sub chorionic heammorhage. Is there any treatment available?
Ectopic pregnancy is ruled out in ultrasound
Detailed Answer:
Hi dear,
Ectopic pregnancy is diagnosed in a transvaginal ultrasound.
Treatment is available for subchorionic haemorrhage in the form of progesterone tablets or injections and hCG injection.
Hope you found the answer helpful.
Regards
Dr Deepti Verma


Are these visible in 4 week ultrasound
Detailed answer below
Detailed Answer:
Hi dear, the signs of ectopic pregnancy are dizziness, pain in lower abdomen, spotting.
E Ectopic pregnancy can be visible in a transvaginal ultrasound at 4-5 weeks of pregnancy.
Regards
Dr Deepti Verma


And i have very dull periods like pain on left side of abdomen
Repeat ultrasound
Detailed Answer:
Hi dear, you should get a repeat transvaginal ultrasound after two weeks to confirm.
Regards
Dr Deepti Verma
OBGYN

Answered by

Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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