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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spotting during early pregnancy. Ultrasound not able to detect fetus. Need to start Progesterone pill to avoid miscarriage?

I am 4 weeks and 5 days pregnancy. I have brown spotting couple times a day since three days ago. Is it a sign of misscarriage? I went for ultrasound scan today and was told it s too small to see. Should I start taking progestron pill to avoid miscarriage (I had once three years ago and this is my 2nd time pregnancy)? Thank you in advance for any suggestion.
Wed, 3 Oct 2012
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OBGYN 's  Response
hello there..

I hope you have confirmed that you are pregnant by a urine test or blood test as the gestational age of 4weeks 5days cant be seen on ultrasound. Even a transvaginal ultrasound can show pregnancy only after 5weeks.
If you havent done your pregnancy test, i advise you to do it as it might be a simple delay in your periods which has now started with brownish spotting.
Incase you have done or your pregnancy test comes positive , then you can start progesterone tabs though their efficacy in preventing a miscarriage is not yet proved completely. But there is no harm in taking them either.
Bleeding which starts so early in pregnancy may not be a good sign that pregnancy would continue.
I suggest you get your ultrasound done around 6weeks to look for the gestational sac with fetal heart and then start progesterone accordingly.
Meanwhile you should avoid sexual intercourse, heavy exercise.
Start taking folic acid tablet once daily 5mg .
Avoid smoking drinking incase you have these addictions.


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OBGYN Dr. Shanti Vennam's  Response
Hello,
Brown spotting indicates old bleeding. If there is no fresh bleeding, the problem would subside. Avoid intercourse, lifting weights and take bed rest. Consult your gynecologist immediately to see if everything is alright with your pregnancy and also if progesterone and hCG supplements are needed. Wish you good health.
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OB & GYN Specialist Dr. S Patra's  Response
hiiii,
Welcome to HCM.
You are carrying 4wks 5 days pregnancy and presents with brown spotting for 3 days.
It is probably due to early implantation (common in early wks) or Threatened type miscarriage (it is recoverable ).
USG is not able to reveal anything about fetal profile in detail before 6-8wks. So better to wait at least 2wks and repeat the scan.You may prefer TVS.
You take some measures to avoid risk of miscarriage like complete bed rest,avoid heavy work,take natural micronised progesterone (Susten or Naturogest),Folic acid,calcium and other nutrient supplements,avoid stress,take proper rest.
Always consult with your doctor if bleeding is more.
Be well.
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General & Family Physician Dr. Anand Babu M's  Response
Welcome to HealthcareMagicForum

Hi..shaiunachen.., there are many causes for antipartum hemorrhage..
you need to be clinically examined , evaluated.., investigated and treated accordingly..
consult gynecologist...

Take care..
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Spotting during early pregnancy. Ultrasound not able to detect fetus. Need to start Progesterone pill to avoid miscarriage?

hello there.. I hope you have confirmed that you are pregnant by a urine test or blood test as the gestational age of 4weeks 5days cant be seen on ultrasound. Even a transvaginal ultrasound can show pregnancy only after 5weeks. If you havent done your pregnancy test, i advise you to do it as it might be a simple delay in your periods which has now started with brownish spotting. Incase you have done or your pregnancy test comes positive , then you can start progesterone tabs though their efficacy in preventing a miscarriage is not yet proved completely. But there is no harm in taking them either. Bleeding which starts so early in pregnancy may not be a good sign that pregnancy would continue. I suggest you get your ultrasound done around 6weeks to look for the gestational sac with fetal heart and then start progesterone accordingly. Meanwhile you should avoid sexual intercourse, heavy exercise. Start taking folic acid tablet once daily 5mg . Avoid smoking drinking incase you have these addictions.