What Does Spotting In Pregnancy Indicate?

Posted on Mon, 19 May 2014

Question: Hi I need to do abortion last yr may 2013 due to not sucessful pregnancy.. on my 2nd mth plus my hcg level never increase 2x as expected.. now im pregnant for like 2 wks.. on 12th april I did pregnancy test becoz I need to extract my wisdom tooth.. next wk on the 20th april I test I was positive.. I have spotting from the 17th april till yesterday I have blood.. check with my gynae she prescribe me with duphaston 10mg daily one pill.. today is my 2nd day eating the pill n my blood flow increase..what could it be?

Answered by Dr. Aarti Abraham (14 minutes later)

Brief Answer:
MISCARRIAGE LIKELY, GO FOR TRANSVAGINAL ULTRASOUND

Detailed Answer:
Hello XXXXXXX
Thanks for writing to us with your health concern.
This sounds like an impending miscarriage.
If you have continued to bleed, then chances of a miscarriage are high.
What was the last date of your menstrual period ?
Please have an urgent ultrasound scan to confirm the well being of the baby.
All the best
Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 minutes later)

what does the duphaston pill do.. isit to stop the bleeding immediately or it takes time? my last first day of menstrual is 21 march 2014..

Answered by Dr. Aarti Abraham (7 minutes later)

Brief Answer:
AS BELOW

Detailed Answer:
Duphaston is pregnancy supportive hormone progesterone.
IT does not stop bleeding immediately, but takes time
When have you begun taking it ?
Also, based on the date of your last menstrual period, you are now 5 weeks pregnant.
AN ultrasound scan should be done.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (7 minutes later)

I start taking the pill only yesterday.. ive done an ultrasound yesterday with my gynae.. what she c is a very thick implantation.. so she prescribe me the duphaston 10mg for 14 days.. daily onces.. btw isit normal to have early pregnancy bleeding? how to see if the bleeding is more than expected..?

Answered by Dr. Aarti Abraham (47 minutes later)

Brief Answer:
AS BELOW

Detailed Answer:
It is not normal to have heavy bleeding in early pregnancy.
If the bleeding is like a proper period, then it is not normal.
Mild spotting may sometimes be normal.
Was a transvaginal scan done ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (5 minutes later)

the scan inside our viginal using the long thing? yes its done.. the bleed is not like heavy like my period.. it will come out like ending of of period.. I can say one day like one tablespoon of red blood..

Answered by Dr. Aarti Abraham (4 hours later)

Brief Answer:
AS BELOW

Detailed Answer:
If the bleeding is not heavy, then go for a review scan after a week.
Meanwhile, take rest.
Avoid stress and intercourse.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (7 minutes later)

for how long to avoid intercourse?

Answered by Dr. Aarti Abraham (2 minutes later)

Brief Answer:
AS BELOW

Detailed Answer:
Avoid intercourse till -
1. Cardiac activity is normally seen in the baby on ultrasound , your bleeding / spotting stops and the obstetrician allows intercourse.
2. The ultrasound conclusively shows that you have miscarried and the cavity is clear of all products.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (43 hours later)

can pregnant women comes period?

Answered by Dr. Aarti Abraham (6 hours later)

Brief Answer:
AS BELOW

Detailed Answer:
NO, a pregnant women cannot menstruate, unless she has miscarried.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar