What are the reasons for bleeding in the early stages of pregnancy

Patient's question:

Medical Description: Approximately 45 days pregnant. On August 13th and 14th, for two consecutive afternoons around 5 PM, there was a discharge of reddish-brown liquid, which was viscous, accompanied by nausea symptoms. The amount of blood on the underwear was about the size of a one-yuan coin. At other times, there was no nausea or bleeding.
History of Treatment and Effect: First pregnancy.
Help Needed: First, what could this condition be? Second, what tests are needed when visiting the hospital (a transvaginal ultrasound was done a week ago).

Doctor's answer:

Hello, many pregnant women experience bleeding in the early stages of pregnancy, also known as spotting. There are two types of bleeding during the early stages of pregnancy: one is physiological bleeding, which occurs when the fertilized egg implants and the villi stretch the uterine lining, breaking blood vessels in the mother's body. The other is bleeding that indicates signs of miscarriage. If the amount is small, just a little, and it stops quickly, it should not be a major problem. A visit to the hospital usually shows normal results, and some doctors may prescribe medication to support the pregnancy. You should arrange a reasonable schedule and diet. Additionally, avoid strenuous exercise. During the first three months of pregnancy and the last two months before delivery, it is best to avoid sexual intercourse with your husband. In recent days, pay attention to your usual pregnancy symptoms. If you notice that you have none of the usual symptoms, it's important to visit the hospital for another check-up. Stay calm, as a tense mindset can also affect the child.

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