Is the discharge of brown foreign matter from the lower body a natural miscarriage?

Patient's question:

I am 23 years old, and I have had a few boyfriends. I have also had some miscarriages. Recently, I accidentally got pregnant again. Today, when I was using the restroom, coffee-colored discharge came out from my lower body. Is this a natural miscarriage? I don't know what color the fetus is. I have always gone to the hospital for abortions.

Doctor's answer:

After pregnancy, if there is brown discharge, it could be a sign of threatened miscarriage, or it might also indicate a natural miscarriage. However, if you haven't had a thorough examination at the hospital, it cannot be completely ruled out that it could be an ectopic pregnancy. You should now go to the hospital for a detailed examination and an ultrasound to confirm whether it is an intrauterine pregnancy. Then, arrangements can be made for further treatment. If you want to have a child, if the bleeding is confirmed to be an intrauterine pregnancy, you will need to focus on preserving the pregnancy. If it is an ectopic pregnancy, additional hospitalization may be required to determine if surgery is necessary.

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