What is the situation when brown discharge occurs in the early stages of pregnancy?

Patient's question:

35 days of amenorrhea, I took a test and it was positive, but this morning there was a little brown discharge, not much, what is going on?

Doctor's answer:

Is your menstrual cycle regular? If it is, a 35-day delay in menstruation should result in a strong positive on an early pregnancy test. This indicates a weak positive. Currently, there is a very small amount of spotting. It's possible that the progesterone level is low. It's essential to have blood tests for progesterone and hCG done at the hospital. You will also need to retest after three more days. The hCG levels will be checked for doubling. If the progesterone is low and the hCG does not double well, there may be a risk of threatened miscarriage.

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