Is lower abdominal heaviness in early pregnancy a sign of miscarriage?

Patient's question:

First pregnancy, not much experience either. During the early stages of pregnancy, I felt a heavy sensation in my lower abdomen—is this a sign of miscarriage?

Doctor's answer:

In the early stages of pregnancy, you may feel a heavy and bloated sensation in your lower abdomen. It is essential to prevent threatened miscarriage in this situation, especially by avoiding sexual activity. After experiencing this again, you must undergo relevant examinations, particularly blood tests to monitor hCG and progesterone levels. If these levels decrease, it is necessary to supplement them promptly. Progesterone injections are generally effective for this purpose.

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