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Avoiding miscarriage and brown discharge prior to periods - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi i had a light period on June 17 2010 it lasted about 5 days the last week i was spotting brown and just today i got my period i did an hpt test and it was negative what could this be ?
Doctor :   hi
User :   Hi do you think this is cause for concern
Doctor :   Dr. XXXXXXXX here.
Doctor :   let me read what you have typed
Doctor :   please provide your age, height, weight.
User :   30 5'5 220
Doctor :   since when you are sexually active?
User :   well 19 years old same partner my husband
Doctor :   were your periods regular and fine with bleeding before this episode?
User :   yes they were always ontime and heavy
Doctor :   do you have other symptoms like mood swings, hot flashes, nausea, abdomen cramps?
User :   nausea no cramps
Doctor :   ok
Doctor :   is there recent weight gain or weight loss in last 1-2 months time?
User :   no
Doctor :   is there change in diet in this last 1-2 months time?
User :   no
Doctor :   is there changes in stress levels in this last 1-2 months time?
User :   well i lost a baby back in january and this month would have been my due date so i have stressed about that
Doctor :   have you been over active this last 1-2 months with lots of physical activity?
User :   yes
Doctor :   ok. stress and physical activity, tend to change the bleeding pattern.
Doctor :   did you get your periods on time?
User :   yes every 30-32 days
Doctor :   was June 17th your due date for your periods?
User :   no my period was early it should have been on the 20th of june
Doctor :   ok. since your HPT came back negative, with no other symptoms except nausea
User :   well i also have breast tenderness
Doctor :   I would recommend you to have another HPT done in next 4-5 days time
User :   reallydo you think this could be a pregnacy
Doctor :   you could be pregnant again, if the HPT comes negative, get a blood beta HCG test done
Doctor :   to confirm your pregnancy
User :   okay i get scared i read on line about cervical cancer
Doctor :   HPT can come negative in first 1-2 months for few women, as the concentration of HCG hormones might be less in urine
Doctor :   it is called as false negative test
User :   wow i just thought that you could not get a negative hpt
Doctor :   cervical cancer will also present with bleeding and pain on intercourse. do you have these symptoms?
User :   no pain
Doctor :   no, you could get a false negative test in about 20-25% cases
User :   wow
User :   okay so if i start bleeding alot could this be my period you think
Doctor :   when confirmed with a blood HCG level test and ultrasound scan, about 90% come back as positive
Doctor :   if you start bleeding a lot and have clots and cramps, it could mean a miscarriage
Doctor :   do not ignore your symptoms
Doctor :   get the beta HCG blood test done soon
User :   oaky thank you
Doctor :   such that progesterone can be supplemented to avoid miscarriage chances.
Doctor :   and stop the spotting
Doctor :   have you followed what I have said?
User :   okay i wish i had that when i lost the last pregnacy at 14 weeks
User :   yes i have
Doctor :   loss of early pregnancy is usually due to lack of progesterone
Doctor :   it can be avoided by giving progesterone supplements
Doctor :   so get your pregnancy confirmed early
User :   okay thank you very much
Doctor :   and request for the supplements
Doctor :   is there anything else I can help you with?
User :   no that was it thank you for you help
Doctor :   thanks for consulting me. bye for now. all the best.
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