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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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 What Are The Chances Of Pregnancy After Heavy Vaginal Bleeding?

Goodmorning doctors, The first day of my last period was 22 July 2010. I then missed my period and did an htp and it was positive. I went to the doctor and they did a qualitative and it confirmed the pregnancy. 2 days later on the 26th of August I started having lower back and abdominal cramps, I was also bleeding but it was very light with no clots..they were so bad I went to ER. I was told I was either having a miscarriage or it was an early viable preganacy. They did a sonar and it showed it ws not not an ectopic but they said they could not see anything on the sonar apart from that the pregnancy was in the uterus... That night I bled someore and changed one pad. I had 3 quantitative blood tests and the hcg levels were going down from 964 then 583 the last one on the 27th of Augyst was 468. The bleeding stopped and for 3 more days I was seeing light brown discharge when i wipe. I started to bleed again, it was like a normal period but not as heavy as what the doctor had told me to expect still with no clots but sometimes small tissue.. I bled for about 5 days and during this time all my pregnancy symptoms had gone away.. Since Tuesday 7th September I have been feeling pregnant again... I get headaches, my mouth is tasteless, I had a clear mucus like discharge and my breasts are sore sometimes. Somehow I feel I could be pregnant. I haven t been sexually active since the 10th of August. I did another home test on the Is this normal? Please help I m confused. Marian
Tue, 8 Mar 2016
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OBGYN 's  Response
Hallow Dear

Your complete history suggests that you have undergone spontaneous abortion. the facts supporting this conclusion are:
1. After confirmed pregnancy you had heavy vaginal bleeding. This bleeding was associated with pain in abdomen. Usually bleeding associated with abdominal pain results in to non-salvageable abortion - may be complete or incomplete.
2. During the bleeding phase, your hCG levels went on dropping. This was because the baby had become non-viable.
3. Subsequently you had noticed passage of some tissue. These were products of conception.
4. Since after that your bleeding went on diminishing and ultimately stopped. This suggests that your abortion was complete. Incomplete abortion would have continued to bleed.

After this abortion, you have not indulged in any sexual activity; hence the chances of fresh pregnancy does not arise.
Soreness in the breast could be due to the trailing effects of previous pregnancy on the breasts.
Still to convince yourself, please get ultrasonography done. This will clarify whether your abortion was complete or some products are still remaining inside the uterine cavity, in which case, uterine cavity will have to be evacuated completely.

I will still hold on to my view that since you did not have any sexual contact after miscarriage, there cannot be any possibility of fresh pregnancy.

Dr. Nishikant Shrotri
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 What Are The Chances Of Pregnancy After Heavy Vaginal Bleeding?

Hallow Dear Your complete history suggests that you have undergone spontaneous abortion. the facts supporting this conclusion are: 1. After confirmed pregnancy you had heavy vaginal bleeding. This bleeding was associated with pain in abdomen. Usually bleeding associated with abdominal pain results in to non-salvageable abortion - may be complete or incomplete. 2. During the bleeding phase, your hCG levels went on dropping. This was because the baby had become non-viable. 3. Subsequently you had noticed passage of some tissue. These were products of conception. 4. Since after that your bleeding went on diminishing and ultimately stopped. This suggests that your abortion was complete. Incomplete abortion would have continued to bleed. After this abortion, you have not indulged in any sexual activity; hence the chances of fresh pregnancy does not arise. Soreness in the breast could be due to the trailing effects of previous pregnancy on the breasts. Still to convince yourself, please get ultrasonography done. This will clarify whether your abortion was complete or some products are still remaining inside the uterine cavity, in which case, uterine cavity will have to be evacuated completely. I will still hold on to my view that since you did not have any sexual contact after miscarriage, there cannot be any possibility of fresh pregnancy. Dr. Nishikant Shrotri