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    What causes brown vaginal discharge during 5th week of pregnancy?

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Posted on Mon, 6 Mar 2017 in Pregnancy
Question: Hi Am 5weeks pregnancy but an utrasound sees nothing except my right ovary being larger and having thick walled cyst like structure with minimal liquid adjacent to ovary , that day my b hcg was 1934 and the next day went to 3723, last monday I felt some brown discharge and my doctor gave me duphaston.
Before I was on metformin & clomid


Kindly help
doctor
Answered by Dr. Deepti Verma 33 minutes later
Brief Answer:
Diagnosis needs to be confirmed

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
The ultrasound at 5 weeks gestation should show gestational sac in the uterus.
If not seen, then it is either delayed conception or ectopic pregnancy. Brown discharge can be present in spontaneous abortion.
The thick walled structure in the ovary is most probably the corpus luteum cyst, however the ovarian ectopic pregnancy should be ruled out.
Beta hCG values should be double in 48 hours in a normal intrauterine pregnancy, and your values are just less than double.
I will suggest you to repeat the betal hCG values. If increase is more than double, then it is normal pregnancy.
If decreased than the previous values, then it suggests abortion.
If increased, but less than double, then it can be ectopic pregnancy.
I will suggest you to get a Doppler transvaginal ultrasound to rule out any ectopic pregnancy.
If ruled out, then you should get a repeat scan after 2 weeks to confirm the gestation age.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5068 Questions

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