Hello,
As per my surgical experience, the spotting with irregular period while trying to conceive with previous history of
miscarriage indicates
hormone imbalance or altered physiologic homeostasis. These are not consistent with
pregnancy signs and symptoms. In my clinic, after thorough clinical examination, I do recommend:
- TORCH panel evaluation
- Vaginal swab test to rule out underlying fungal or bacterial infection
-
Ultrasound of the abdomen & pelvis to evaluate condition of ovaries, uterus, fallopian tubes, adnexa showing any free fluid or so
- Blood tests for hemogram, hormone levels
In a nutshell, it is an algorithmic approach to the whole case for finding the root cause of menstrual disturbances, define strategies to fix it for
fertility aspects.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon