Question: Hello, my wife is 6 weeks pregnant with our 5th child. She has had no problems with the other four, apart from a retroplacental hematoma with number 4, but it resolved and all children were born live and healthy. She is 38 years old, and in generally good health, of normal height and weight, but suffers from chronic gastritis, for which she takes omeprazol. She also has mild vitiligo which started about two years ago, and seems to suffer from raynaud's syndrom since about the age of 18. A few months ago she tested XXXXXXX positive, but only slightly elevated (according to the doctor. i don't know the exact levels). A week ago, after playing 1 hour of pretty vigorous tennis, after showering she began strong cramps and bleeding. we went to the emergency room, but after a while it passed, and since then there has been no more bleeding or cramping. The cramps were about a 5, and the bleeding was approx 1/2 a cup of bright, watery blood. The ultrasound showed a yolk sac of about 5.5 weeks (we thought she was a week longer than that but since this was our first month trying it's quite possible conception happened later than we had calculated). The only abnormality was the area of bleeding which was located between the cervix and the yolk sac. apart from that everything seemed ok. We are obviously concerned after reading about a higher rate of miscarriage with XXXXXXX positive people, even though the doctor said nothing to us about it. I was hoping to get some clarity, as going through the public health system here in the UK is just awful and we are getting very few answers as to what the problem could be and how to treat it.