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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Brown Vaginal Spotting?

About four days ago I started having this brown spotting. At first I thought it may be my period, but it persisted in being brown and black at one point when I wiped. I took a pregnancy test two days ago, which came up negative, but the brown bleeding kept going today there is red blood when I wipe but very little on the tampon I have and it looks brown there. I m just wondering if I m pregnant or what this is? I ve had light cramps every so often, but not period level cramps. Please help.
Wed, 22 Jul 2015
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OBGYN 's  Response
Hallow, I have gone through your history.

Information about your last menstrual period would have been more useful.

Brown spotting usually denotes the old blood coming out from the uterus. Bleeding inside the vagina or from the cervix usually does not get accumulated and so is usually fresh. Brown bleeding happens many a times when the pregnancy becomes non-viable but fails to abort - known as missed abortion.

Please get ultrasonography done. It will reveal whether you are having either missed abortion or Blighted ovum (Gestational sac without embryonic pole). Either of it will require termination of pregnancy.
Menstrual bleeding getting accumulated inside the uterus can also become brown - a rare entity. Ultrasonography may reveal the cause.

In such cases, the pregnancy should be terminated without delay to avoid the complications like clotting disorders (DIC), heavy bleeding or kidney failure.

I hope you will take the required action.
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What Causes Brown Vaginal Spotting?

Hallow, I have gone through your history. Information about your last menstrual period would have been more useful. Brown spotting usually denotes the old blood coming out from the uterus. Bleeding inside the vagina or from the cervix usually does not get accumulated and so is usually fresh. Brown bleeding happens many a times when the pregnancy becomes non-viable but fails to abort - known as missed abortion. Please get ultrasonography done. It will reveal whether you are having either missed abortion or Blighted ovum (Gestational sac without embryonic pole). Either of it will require termination of pregnancy. Menstrual bleeding getting accumulated inside the uterus can also become brown - a rare entity. Ultrasonography may reveal the cause. In such cases, the pregnancy should be terminated without delay to avoid the complications like clotting disorders (DIC), heavy bleeding or kidney failure. I hope you will take the required action.