Can premenstrual bleeding be detected at the hospital?

Patient's question:

Already pregnant. On the evening of January 2, 2012 at 22:00, there was uterine bleeding. The hospital conducted a thorough examination and said it was threatened miscarriage, poor fetal development, and persistent uterine erosion, recommending against pregnancy preservation. It has been ongoing until now, and just now I went to another hospital to prepare for an abortion. But the thorough examination with ultrasound now confirms no gestational sac, so is it a natural miscarriage? They said to go to the Maternal and Child Health Hospital for a urine test! Can a urine test detect it? They said it's confirmed there is no intrauterine pregnancy or ectopic pregnancy... What should I do? Is it necessary to have a D&C after a natural miscarriage?

Doctor's answer:

Hello, based on your description, I don't know how many days you have been experiencing amenorrhea, what the ultrasound report said, and whether you have had progesterone and HCG tests. If the ultrasound does not reveal anything, it cannot confirm whether it is an intrauterine pregnancy or an ectopic pregnancy.
I suggest you don't worry too much. First, have a blood test to check your progesterone and HCG levels, and wait and see. Alternatively, you may have already started taking mifepristone to terminate the pregnancy.
During treatment, patients should follow a balanced diet, maintain a regular schedule, actively participate in physical exercise, and regulate their physical and mental health. It is also important to maintain personal hygiene and avoid bacterial infections due to weakened immunity.

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