Menstruation stopped for 5 days and there was a check-up showing no pregnancy, but then there was bleeding. What's going on?

Patient's question:

I haven't had my period for 5 days, so I took a pregnancy test. At the time, it showed I wasn't pregnant, but online doctors said it's only accurate around 10 days. So, could I still be pregnant? Yesterday, when I was riding a bike with my boyfriend, the road was too bumpy, and I was thrown around quite a few times on the back seat. When I got home, I noticed a very small amount of blood on my underwear. I thought it was my period finally coming, but this morning, I saw blood on my pads every day. What kind of blood is this? Doctor, did my child fall out?

Doctor's answer:

I'm glad to help you clarify this. The monitoring data results after a five-day delay in menstruation are not very accurate. It's important not to rule out the possibility of pregnancy. If pregnancy is suspected, consider the possibility of threatened miscarriage. If not pregnant, it's recommended to undergo a blood HCG test to check how you might be pregnant, or have a color Doppler ultrasound to examine the thickness of the endometrium, which can also indicate pregnancy. If not pregnant, carefully observe the differences between this bleeding and previous menstruation, such as the color and amount of blood flow, and the duration of the period.

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