Miscarriage: Symptoms and Pregnancy Testing Insights

Is it a spontaneous abortion?

Menstruation started on November 23 and again on December 28, but the flow was lighter than usual and the color was black.
On the third day, there was significant pain and the passage of a piece that resembled a blood clot but was more solid and pinkish in color, approximately the size of a five-dollar coin.
Could this be placental tissue? What can a pregnancy test detect? Thank you.

Gu, 20~29 year old female. Ask Date: 2020/01/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you are likely not pregnant.
If you're still concerned, taking a pregnancy test will provide clarity.
If the result is positive, it could indicate a miscarriage; otherwise, it would just be your menstrual period.
Wishing you good health.

Reply Date: 2020/01/03

More Info

Miscarriage, or spontaneous abortion, is a common occurrence in early pregnancy, affecting approximately 10-20% of known pregnancies. Understanding the symptoms and the implications of pregnancy testing during this time can be crucial for women experiencing unusual bleeding or pain.

From your description, it appears that you experienced a menstrual cycle on November 23 and another on December 28, which was lighter and darker in color than usual. The presence of pain and the passage of a tissue-like substance could indicate a miscarriage, especially if it occurred shortly after a missed period or if you had a positive pregnancy test prior to these symptoms. The tissue you described, which was pinkish and about the size of a five-cent coin, could potentially be placental tissue, but it is essential to consult a healthcare provider for a definitive diagnosis.

Pregnancy tests, both urine and blood tests, detect the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. In the case of a miscarriage, hCG levels may initially rise but then fall as the pregnancy ends. If you took a pregnancy test after experiencing these symptoms and it was negative, it could indicate that your body is no longer producing hCG, which is common after a miscarriage.

It is important to note that not all miscarriages present with heavy bleeding or severe pain. Some women may experience light spotting or cramping, which can be mistaken for a normal menstrual cycle. Therefore, if you suspect a miscarriage, it is crucial to seek medical attention. A healthcare provider can perform an ultrasound to check for any remaining tissue in the uterus and monitor your hCG levels through blood tests.

In terms of what to expect during this process, if a miscarriage is confirmed, your doctor may discuss options for management. Some women may pass the tissue naturally, while others may require medical intervention, such as medication to help expel the tissue or a surgical procedure known as dilation and curettage (D&C) if necessary.

Additionally, if you are concerned about future pregnancies, it is advisable to discuss any underlying health issues with your healthcare provider. Factors such as hormonal imbalances, uterine abnormalities, or clotting disorders can contribute to recurrent miscarriages.

In summary, if you are experiencing unusual bleeding and pain, it is essential to consult with a healthcare professional for a thorough evaluation. They can provide guidance on the next steps, including the need for further testing or monitoring. Understanding the signs of miscarriage and the role of pregnancy testing can help you navigate this challenging time with more clarity and support.

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