Patient's question:
The last menstrual period was on August 9th. My menstrual cycle has always been very regular, usually 31 days long. However, this time it didn't come until September 13th. A few days ago, I used a pregnancy test and it showed negative. Yesterday, my period started, but the amount was very little, similar to the last day of a regular menstrual period, and the color was dark brown.Doctor's answer:
Hello! Your current situation has not yet been confirmed as pregnancy, so you need to test first to see if you are pregnant. If the early pregnancy test paper does not detect it, it is best to check your HCG through a blood test. The delayed menstruation and significantly reduced bleeding volume compared to previous periods are very likely signs of threatened miscarriage after pregnancy. Therefore, it is absolutely crucial not to take it lightly and to test immediately. The best option is to have a blood test to check your HCG, with daily checks to see if there is a more than 60% increase. If there is a doubling increase, it can largely rule out ectopic pregnancy and may be worth considering the possibility of supporting the pregnancy. If there is no doubling increase, further careful observation will be necessary.