Since you are in the child bearing age, not using a contraception
, having a missed period, and a positive home test, most probably you are pregnant.
But the bleeding you mention is an alarm that we should rapidly document how much healthy this pregnancy
1) Have a quantitative blood test
for hCG and repeat after 24 hours to noticethe following:
- Doubling indicates most probably a healthy pregnancy.
- decreasing or plateau indicates most probably an abortion
or an extra uterine pregnancy.
2) Have a trans vaginal ultrasound
to document a health intrauterine pregnancy and exclude the possibility of ectopic (extra uterine) pregnancy.
I do not recommend any analgesia or symptomatic treatment before documenting pregnancy.
Finally I hope these words were useful to you and best wishes.
Dr. Ahmed Bahaa.