Question: Hi. I am (or was) just shy of 5 weeks pregnant. I ovulated on XXXXXXX 24th. I had an IUI with monitoring so I am sure of the date. I had a positive pregnancy test on 7/9 (14 DPO) and a blood confirmed with a low HCG of 15.7. I had HCG tested again on 7/11 and it was 39.8. I had a third HCG test on 7/13 and it was 79. I've also been on 100 mg progesterone suppositories 2x a day since a couple days after I ovulated. I have an appointment for an ultrasound this Thursday and we were not contemplating further blood tests since the numbers were doubling, although low. The hope was that the ultrasound would provide more insight.



I have had brown spotting every day since I got my positive pregnancy test. It's varied from very light spotting to medium spotting and at for a few days was more like a very light flow. It's very light brown with small flecks of tissue. A couple times when I've wiped there's been pink or a dark red/brown but never consistently. I've also had very mild cramping on and off the entire time which seems to get a little worse in the evenings (I do have a CL cyst on my right ovary but the cramping hasn't been confined to either side, sometimes on one side, sometimes on another, sometimes right below my belly button).



Today I've had cramps that I'd rate at a medium level - substantially lighter than cramps at the start of my period. I've also been a bit constipated today so presumed that was contributing. I tried to make a bowel movement this afternoon and was not able to move much but when I wiped there was a 3 to 4 inch white/red stained tissue about 1/4 -1/2 inch thick (from my vagina - not my rectum). There was about a teaspoon or two of dark brown/red blood that followed. Since then I've been back to light spotting. My abdomen has remained tender.



I will call my doctor tomorrow but am presuming this was a miscarriage. Is there anything else it could be?



Thanks very much.