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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Spotting During First Trimester Of Pregnancy?

I am currently 4 weeks pregnant after 2 chemical pregnancies in the past 5 months (one at 4.5 weeks and one at 5.5 weeks). Last night I started to spot. It started out as a wipe of red on the TP and soon turned to brown. It has since ended lasting periodically for 24 hours. I heard that 81 mg of aspirin can help prevent miscarriage so I have taken one daily for the past 3 days. Do you think that the aspirin could have caused the spotting? Should I stop taking it? My Hcg numbers were 267 two days ago and 614 this morning. My progesterone was 41.2 two days ago. Thank you!
Mon, 2 Sep 2019
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General Surgeon,  's  Response
Hi,

I suggest you to rule out the most common causes by getting done physical examination , thyroid profile to rule out thyroid abnormalities,ultrasound to know the pregnancy status. Nothing to worry. Once the cause is treated it will subside. Early pregnancy bleeding is mostly due to deficiency of hormone progesteron, which supports maintenance /development of fetus.

About 20-25% of women have vaginal bleeding in early pregnancy. Half of them continue their pregnancy and deliver normally. Since the pain has reduced now in all probability you will continue with the pregnancy. Consult obstetrician and take progesterone to support pregnancy. Don't think about miscarriage.

If the pain / bleeding increases you need to go to the ER. If you were to have a D&C, if it is done gently it will not complicate your incompetent cervix. It does not lessen your chances of successfully trying again.

I hope this helps. If you still have any other query, you may please ask me.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Vaginal Spotting During First Trimester Of Pregnancy?

Hi, I suggest you to rule out the most common causes by getting done physical examination , thyroid profile to rule out thyroid abnormalities,ultrasound to know the pregnancy status. Nothing to worry. Once the cause is treated it will subside. Early pregnancy bleeding is mostly due to deficiency of hormone progesteron, which supports maintenance /development of fetus. About 20-25% of women have vaginal bleeding in early pregnancy. Half of them continue their pregnancy and deliver normally. Since the pain has reduced now in all probability you will continue with the pregnancy. Consult obstetrician and take progesterone to support pregnancy. Don t think about miscarriage. If the pain / bleeding increases you need to go to the ER. If you were to have a D&C, if it is done gently it will not complicate your incompetent cervix. It does not lessen your chances of successfully trying again. I hope this helps. If you still have any other query, you may please ask me. Regards, Dr. Ivan R. Rommstein, General Surgeon