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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding During Pregnancy?

I had a miscarriage at the the beginning of year and had a d&c performed now I m 6 weeks pregnant and I recently went to the e/r for bleeding, they did an u/s and told me I was having a threatened abortion and to follow up with my obgyn. when I followed up he said everything look normal and my cervix was closed and my uterus was getting bigger. But I m still very concern because I m still bleeding somedays I will spot and quit bleeding. But now I having some mild bleeding and it s still to earlier to see a heart beat on the u/s. Do you have any idea what s going on?
Thu, 31 Mar 2016
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OBGYN,  's  Response
Hello,
I have gone through your query and understood the concern. It is true that you are experiencing a threatened abortion in view of the painless bleeding. Given the past history of an abortion, extra care is to be exercised. You can get a sonogram of the pelvis, preferably in the trans-vaginal route to detect the viability of the pregnancy because the fetal cardiac activity can be made out by 6 weeks through a trans-vaginal sonogram. Serial serum beta-hCG titres also help to know the progress of the pregnancy; doubling of titres every 2-3 days suggests good progress. Please take rest in bed, avoid all strenuous activity including sexual intercourse and get regular follow up. Progesterone supplements may be taken if hormone deficiency is detected. Hope your query has been clarified. Take care.
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What Causes Vaginal Bleeding During Pregnancy?

Hello, I have gone through your query and understood the concern. It is true that you are experiencing a threatened abortion in view of the painless bleeding. Given the past history of an abortion, extra care is to be exercised. You can get a sonogram of the pelvis, preferably in the trans-vaginal route to detect the viability of the pregnancy because the fetal cardiac activity can be made out by 6 weeks through a trans-vaginal sonogram. Serial serum beta-hCG titres also help to know the progress of the pregnancy; doubling of titres every 2-3 days suggests good progress. Please take rest in bed, avoid all strenuous activity including sexual intercourse and get regular follow up. Progesterone supplements may be taken if hormone deficiency is detected. Hope your query has been clarified. Take care.