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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding During Pregnancy?

Hi. I m 8 weeks pregnant (by my last period) with my third child, I ve had all the symptoms and four positive tests. I started spotting brown Saturday and then it progressed to a full blown period and severe cramps and abdominal pain. I went in for an ultrasound and they didn t find a heartbeat but saw a misshaped gestational sac and a yolk sac. The Doctor wasn t very helpful other than saying it s a possible miscarriage. Is there anyway I could possibly be at an earlier gestational age? And if so what would cause the bleeding? Thanks!
Thu, 24 May 2018
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OBGYN,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

According to your description,

-Pregnancy is confirmed by positive urine pregnancy tests and presence of gestational sac in ultrasound.
-But as these was no fetal pole even at 8 weeks(if your dates are correct), there is possibility of blighted ovum. In which gestational sac develops in the absence of fetal pole and heartbeat.
-Usually these type of pregnancies will not continue and usually undergoes spontaneous abortion.
-So, possibly bleeding may continue and abortion will be complete in 2 to 3 days, but if bleeding continues and retained products of conception are seen in ultrasound you may need to undergo D&C.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Vaginal Bleeding During Pregnancy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to your description, -Pregnancy is confirmed by positive urine pregnancy tests and presence of gestational sac in ultrasound. -But as these was no fetal pole even at 8 weeks(if your dates are correct), there is possibility of blighted ovum. In which gestational sac develops in the absence of fetal pole and heartbeat. -Usually these type of pregnancies will not continue and usually undergoes spontaneous abortion. -So, possibly bleeding may continue and abortion will be complete in 2 to 3 days, but if bleeding continues and retained products of conception are seen in ultrasound you may need to undergo D&C. Hope I have answered your query. Let me know if I can assist you further.