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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Bleeding And Abdominal Cramping In Pregnancy Indicate?

hi i'm 6 week and 4 days pregnant. I started spotting fresh blood 2 days ago with very mild lower abdominal cramping. I was alarmed that's why I went ro Er and had my hcg level drawn (1652IU/L). I had my transvaginal ultrasound today. Radiologist pointed out the gestational sac but nothing was seen. She didn't confirm that I have miscarriage. Any suggestion?
Mon, 9 Jun 2014
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General & Family Physician,  's  Response
Hi,
In normal pregnancy bleeding/spotting needs immediate attention.
After 6 weeks 4 days amenorrhoea bleeding & pain does call concern. From your sonologist's report it seems to be a blighted ovum,a chemical pregnancy without fertilisation.So no parts of conception could be seen in USG. Hcg levels take 7-10 days to reseed after evacuation.
In such a condition bleeding &expulsion of uterine con-taints is common.
I would advise for a repeat scan for confirmation of diagnosis & surgical evacuation with a Gynaecologist's help.
Thanks
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What Could Bleeding And Abdominal Cramping In Pregnancy Indicate?

Hi, In normal pregnancy bleeding/spotting needs immediate attention. After 6 weeks 4 days amenorrhoea bleeding & pain does call concern. From your sonologist s report it seems to be a blighted ovum,a chemical pregnancy without fertilisation.So no parts of conception could be seen in USG. Hcg levels take 7-10 days to reseed after evacuation. In such a condition bleeding &expulsion of uterine con-taints is common. I would advise for a repeat scan for confirmation of diagnosis & surgical evacuation with a Gynaecologist s help. Thanks