Should You Seek Medical Attention for Early Pregnancy Loss? - Obstetrics and Gynecology

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Should early miscarriage seek medical attention?


Hello, doctor.
I am five weeks pregnant (last menstrual period on February 22).
Due to taking care of my baby, I have been experiencing intermittent bleeding for about five days.
Last Saturday, I had a significant amount of bright red blood and noticed some endometrial tissue being expelled.
Should I seek medical attention immediately, or can I wait until the bleeding has stopped? Thank you.

sakura, 30~39 year old female. Ask Date: 2001/03/12

Dr. Zhan Deqin reply Obstetrics and Gynecology


Please seek medical attention immediately and do not delay treatment.

Reply Date: 2001/03/12

More Info


Experiencing bleeding during early pregnancy can be concerning, and it's important to understand the implications and when to seek medical attention. In your case, since you are five weeks pregnant and have been experiencing bleeding for about five days, including a significant amount of bright red blood, it is advisable to seek medical attention immediately.

Bleeding in early pregnancy can occur for various reasons, some of which may be benign, while others could indicate a more serious issue, such as a miscarriage or an ectopic pregnancy. The fact that you have observed a significant amount of blood and the passage of tissue (which you mentioned as the endometrial lining) raises the possibility of a miscarriage. Miscarriages are unfortunately common in the first trimester, with estimates suggesting that 10-20% of known pregnancies end in miscarriage, often due to chromosomal abnormalities in the fetus.

It is crucial to differentiate between light spotting, which can be normal, and heavy bleeding accompanied by cramping or the passage of tissue, which may indicate a miscarriage. If you are experiencing heavy bleeding, severe cramping, or any other concerning symptoms such as dizziness or fainting, you should seek emergency medical care.
In addition to the physical symptoms, emotional support is also essential during this time. Miscarriage can be a traumatic experience, and it is important to have support from healthcare providers, family, or friends.

When you visit your healthcare provider, they may perform a pelvic exam and an ultrasound to assess the situation. An ultrasound can help determine whether the pregnancy is viable and if there are any complications, such as retained tissue or an ectopic pregnancy. Blood tests may also be conducted to measure hormone levels, which can provide additional information about the status of the pregnancy.

In summary, given your symptoms of prolonged bleeding and the passage of tissue, it is strongly recommended that you seek medical attention as soon as possible. Early intervention can help manage any complications and provide you with the necessary care and support during this challenging time. Remember, it is always better to err on the side of caution when it comes to your health and the health of your pregnancy.

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