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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Passing Of Large Tissue, Heavy Menstrual Bleeding, Mild Pain In The Abdomen And Pelvic Area Be Treated?

I m a 31-year-old female. I and my husband are planning to have a second baby. We tried last month but I got my period on the right time(mine is a 30-day cycle) but this time with heavy bleeding and passing of large tissue ( just like I had a miscarriage) and it lasted only for 3 days(I usually have it for 5 days). I didn t seek medical advice because I took a pregnancy test the day before my periods and it showed negative. Then after a day or two, I started getting a mild pain in my abdomen and in the pelvic area which is still always there. My period stopped last week. I did a pregnancy test again and it is still negative. I have had a fetal demise last year and had a surgery for that. Other than that I ve no medical problems. I delivered my first child vaginally and had no complications. Please advice what can this be and should I seek medical help.
Sat, 23 Jul 2022
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General & Family Physician 's  Response
Hi,

Home pregnancy test is not reliable when done before expected date of menses. In case you are trying for a baby and want to get possible pregnancy tested. Blood beta chorionic gonadotrophin test can be done around expected date of menses (especially with a history of fetal loss previously). The type of bleeding you had can be due to either early fetal loss or chemical pregnancy. Please be in touch with a sterility specialist for more specific advice. To get ovulation day calculated (by LAURIE test) and have unprotected sex 2 days before and after the ovulation is best way to try, provided both semen analysis and ovulation are normal.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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How Can Passing Of Large Tissue, Heavy Menstrual Bleeding, Mild Pain In The Abdomen And Pelvic Area Be Treated?

Hi, Home pregnancy test is not reliable when done before expected date of menses. In case you are trying for a baby and want to get possible pregnancy tested. Blood beta chorionic gonadotrophin test can be done around expected date of menses (especially with a history of fetal loss previously). The type of bleeding you had can be due to either early fetal loss or chemical pregnancy. Please be in touch with a sterility specialist for more specific advice. To get ovulation day calculated (by LAURIE test) and have unprotected sex 2 days before and after the ovulation is best way to try, provided both semen analysis and ovulation are normal. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician