How to treat vaginal bleeding in the early stages of pregnancy?

Patient's question:

I had my period on October 31st of this year. By December 12th, I confirmed I was pregnant. On December 24th, I had my first vaginal bleeding, but didn't feel any other discomfort. When I went to the hospital for a thorough check-up, the doctor couldn't identify any specific cause. The doctor estimated I had been pregnant for 59 days, but a detailed ultrasound revealed only 39 days. Based on my own calculations, I feel it's around 40 days, not less than 50 days. Could the doctor have miscalculated? Additionally, what should I pay attention to now, or what further tests should I undergo?
Previous medical history and treatment outcomes: My body is normal. My last health check-up showed everything was healthy. I am a carrier of the hepatitis B virus. What kind of help do you expect: I hope the doctor can advise me on what I should do now and what I should pay attention to.

Doctor's answer:

I'm glad to help you clarify your doubts! You have the issue of vaginal bleeding in the early stages of pregnancy. With the symptoms mentioned, it's important to be cautious and consider the possibility of threatened miscarriage.
Recommendations:
Currently, you can choose to actively pursue medication for fetal preservation treatment. If you have hepatitis B virus infection, you can regularly retest liver function and hepatitis B virus DNA. If the results are normal, treatment is not necessary. After your baby is born, you can follow the schedule for vaccination.
For severe gynecological conditions, it's recommended to seek medical attention immediately. Follow the doctor's advice for prompt treatment and avoid switching medications arbitrarily, as this may have the opposite effect.
The above advice is for reference only. I hope the answer above can help you. Thank you!

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