Is It Menstruation or Miscarriage? Your Symptoms

Is it a menstrual period or a miscarriage?

I would like to ask the doctor whether the following situation appears to be a menstrual period or a miscarriage.
My menstrual cycle has always been regular, but my period was three days late in November, so I went to the hospital for a urine test, and the doctor informed me of the pregnancy.
However, just four days later, I started bleeding, and it has not stopped after 12 days (the amount is very small, and the color is no longer bright red, but still has a pinkish hue)...
Is this a menstrual period (perhaps the urine test was incorrect)? Or is it a miscarriage? I really want to know...
If I go for a check-up now (counting from the start of the bleeding, today is the 20th day, and the bleeding stopped on the 17th day), will I be able to find out the answer?

Xiao Rong, 20~29 year old female. Ask Date: 2004/11/30

Dr. Lü Lizheng reply Obstetrics and Gynecology

The possibility of an error in the urine test is very low; pregnancy is likely.
Ongoing bleeding indicates a tendency for miscarriage, but it could also be a normal pregnancy or an ectopic pregnancy.
You can come to the hospital for an ultrasound or blood tests to confirm the diagnosis.
Sincerely, Lu Li-Cheng.

Reply Date: 2004/11/30

More Info

When it comes to distinguishing between menstruation and miscarriage, it is essential to consider the specific symptoms and timing of your situation. Based on your description, you had a regular menstrual cycle, which was delayed by three days before you received a positive pregnancy test. Following that, you experienced bleeding that lasted for 12 days, with the bleeding becoming lighter and changing color.
Firstly, it is important to understand that a positive urine pregnancy test indicates the presence of the hormone hCG (human chorionic gonadotropin), which is produced after a fertilized egg implants in the uterus. If you received a positive test, it suggests that you were indeed pregnant at that time. However, the subsequent bleeding raises questions about the status of the pregnancy.

In early pregnancy, some women experience light bleeding or spotting, which can be normal and may be referred to as "implantation bleeding." This typically occurs around the time your period would be due and is usually light and short-lived. However, if the bleeding is heavier or accompanied by cramping, it could indicate a miscarriage.

A miscarriage, or spontaneous abortion, is the loss of a pregnancy before the 20th week. Symptoms of a miscarriage can include:
1. Bleeding: This can range from light spotting to heavy bleeding, often with clots or tissue passing.

2. Cramping: Abdominal cramping or pain may accompany the bleeding.

3. Changes in pregnancy symptoms: If you had symptoms of pregnancy (like nausea or breast tenderness), these may diminish or disappear.

Given that you experienced bleeding for an extended period (12 days) and it was not typical of your usual menstrual cycle, it is advisable to seek medical attention. A healthcare provider can perform a transvaginal ultrasound or a blood test to measure your hCG levels. These tests can help determine whether the pregnancy is still viable or if a miscarriage has occurred.

If you stopped bleeding on the 17th day, it is crucial to follow up with your healthcare provider. They can assess your situation more accurately and provide guidance based on your specific circumstances. If you are still experiencing any symptoms or have concerns, do not hesitate to reach out for medical advice.

In summary, while it is possible that the bleeding you experienced could be related to a miscarriage, it is essential to consult with a healthcare professional for a definitive diagnosis. They can provide the necessary tests and evaluations to clarify your situation and ensure your health and well-being. Remember, early intervention and communication with your healthcare provider are key in managing any concerns during early pregnancy.

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