Patient's question:
Hello: I am 38 days pregnant and have experienced a small amount of vaginal bleeding. I went to the hospital for a color Doppler ultrasound, which showed that the location was low and no embryonic development was observed. The doctor recommended an abortion. I want to know if it makes sense to try to save the pregnancy in this situation? First follow-up question: If an abortion is necessary, can I have a medication abortion? The doctor said that since I am already bleeding, medication abortion is not possible and I must have a surgical abortion.Doctor's answer:
Hello, based on your description, symptoms such as bleeding in the early stages of pregnancy and abdominal pain may indicate not only threatened miscarriage but also the possibility of an ectopic pregnancy. It is necessary to go to the hospital for an ultrasound examination to confirm the diagnosis. After ruling out the possibility of an ectopic pregnancy, if you decide to keep the pregnancy, you will need to undergo treatment to support fetal development. If you do not plan to keep the pregnancy, it is important to undergo surgery promptly to prevent the threatened miscarriage from progressing into a natural miscarriage, which could result in incomplete miscarriage and the need for a subsequent Dilation and Curettage (D&C), which would be more painful.You must avoid sexual intercourse for at least one month after the miscarriage. Do not consume spicy, irritating, or cold foods. Pay attention to keeping warm and follow up with your doctor. Wishing you good health!