How to distinguish between pseudomenstruation and threatened miscarriage

Patient's question:

There is a possibility of having menstruation, which is called "false menstruation." Is there such a situation? What are the symptoms of false menstruation? I'm so worried!
Medical history and treatment effectiveness: There was inflammation, and the menstrual flow was more than before the surgery.
What kind of help do you want: How to distinguish between false menstruation and the symptoms of threatened miscarriage?

Doctor's answer:

Hello, I suggest you get an HCG test at a regular hospital. Generally, if you have a condition like uterine cold, you may experience blood clots and abdominal pain during menstruation. Moreover, if you are really pregnant, it is usually easier to detect it about 14 days after intercourse.
Advice: I recommend you get an HCG test at the hospital or an ultrasound after your period is clean. If your menstruation is different from usual, it might not be your period but rather irregular vaginal bleeding accompanied by abdominal pain. First, go to the hospital for a blood test to check for pregnancy. If it is pregnancy, then do an ultrasound to rule out ectopic pregnancy.
Advice: If you are not pregnant, consider that the timing of intercourse is close to your period, leading to upward infection and causing endometritis, which may result in increased menstrual flow and abdominal pain. Immediate, sufficient, and broad-spectrum anti-inflammatory treatment should be administered to avoid affecting future fertility.

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