Signs of Miscarriage: Symptoms and When to Seek Help - Obstetrics and Gynecology

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I'm sorry to hear about your situation, and I understand how concerning it can be to experience multiple miscarriages and the uncertainty surrounding your current pregnancy. It's important to address your symptoms and seek appropriate medical advice.

Miscarriage, or spontaneous abortion, is a common occurrence in early pregnancy, affecting approximately 10-20% of known pregnancies. The signs of a potential miscarriage can vary, but some common symptoms include:
1. Vaginal Bleeding: This can range from light spotting to heavy bleeding. It's important to note that some women may experience light bleeding and still have a viable pregnancy, while others may not.

2. Abdominal Pain: Cramping or pain in the lower abdomen can be a sign of miscarriage. This pain can be similar to menstrual cramps and may be accompanied by back pain.

3. Changes in Pregnancy Symptoms: A decrease in pregnancy symptoms, such as breast tenderness or nausea, can indicate a problem. However, not all women experience these changes.

4. Fluid or Tissue Passing from the Vagina: This can be a sign of miscarriage and should be reported to a healthcare provider immediately.

In your case, you mentioned a few concerning symptoms: a downward trend in your basal body temperature, abdominal discomfort, and headaches. While a drop in body temperature can sometimes indicate a problem, it is not a definitive sign of miscarriage. The abdominal pain you're experiencing could also be related to other factors, such as hormonal changes or gastrointestinal issues, rather than a miscarriage.

Given your history of three miscarriages and your current symptoms, it is advisable to seek medical attention sooner rather than later. Here are some steps you can take:
1. Contact Your Healthcare Provider: Explain your symptoms and your concerns about the possibility of a miscarriage. They may recommend an ultrasound or blood tests to check hormone levels (such as hCG) to assess the viability of the pregnancy.

2. Monitor Your Symptoms: Keep track of any changes in your symptoms, such as the onset of bleeding or increased pain. This information can be helpful for your healthcare provider.

3. Avoid Stress: While it’s easier said than done, try to manage stress during this time. Stress can affect your overall health and well-being.

4. Rest and Hydrate: Ensure you are getting enough rest and staying hydrated, as this can help your body cope with any physical stress.

5. Seek Support: Consider talking to a counselor or joining a support group for women who have experienced miscarriage. Sharing your feelings and experiences can be beneficial.

In conclusion, while some of your symptoms may be concerning, only a healthcare professional can provide a definitive diagnosis. It’s crucial to prioritize your health and seek medical advice as soon as possible. Early intervention can make a significant difference in managing your pregnancy and addressing any complications that may arise.