Patient's question:
I have been taking traditional Chinese medicine for my health issues. Last week, when I went to the hospital, the doctor said I was two weeks pregnant. Yesterday, I noticed some spotting, but I didn't have any abdominal pain. Today, I still don't feel anything. Since this is my first time, I'm not sure if spotting in the early stages of pregnancy can lead to miscarriage?Doctor's answer:
At two weeks of pregnancy, I noticed vaginal bleeding, which first raises the concern of threatened miscarriage. I went to the hospital to have blood tests for hCG and progesterone. After two days, I had another hCG test to check for doubling. If the hCG doubles well, it indicates a good embryo quality, and a small amount of bleeding could be implantation bleeding. It is not recommended to force bed rest, but if the pregnancy is very precious and there has been a history of luteal phase deficiency, progesterone or dydrogesterone can be taken to support the pregnancy.