What should I do if I am still bleeding after taking measures to prevent miscarriage at 5 weeks of pregnancy?

Patient's question:

Pregnancy week 5 vaginal bleeding, with medication, fetal preservation, and then seeing the doctor five days later. The ultrasound showed that the fetus was developing normally, but the fetal heartbeat was not detected yet due to the short duration. Then IV fluids and medication were administered. In addition to taking pills, there has been minor bleeding for over ten days. Why is this happening, and how can the medication be applied thoroughly?

Doctor's answer:

In the early stages of pregnancy, if progesterone levels are low, it is easy to experience vaginal bleeding again. Even after medication, if the cervix continues to thin, it may be due to a slower decline in progesterone levels. It is best to focus on taking medication injections for fetal preservation and treatment, and to rest in bed absolutely. Avoid spicy foods.
Facing gynecological problems, we should promptly implement symptomatic treatment principles and not avoid seeking medical attention. If gynecological conditions do not improve with treatment, it is important to promptly switch to an alternative treatment plan.

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