Patient's question:
I had bleeding when I was 25 days pregnant. At first, it was very light, and I didn't pay attention, thinking it was my period. But after 10 days, the bleeding increased, and a Chinese medicine doctor diagnosed it as threatened miscarriage. I took 6 sets of traditional Chinese medicine to prevent miscarriage, but there was no significant improvement. Then I went to the hospital for treatment, received progesterone injections at a dose of 20mg once a day, totaling 10 injections. I also took Shupuybao Tai Ling three times a day, one dose of 5 pills each time, for 10 days. Additionally, I took Salbutamol Sulfate tablets three times a day, one tablet each time, for 10 days. The bleeding has decreased. Should I continue the treatment?First follow-up question: I suspect it might have been caused by anger. Should I continue the treatment?
Doctor's answer:
Hello, if there is a small amount of vaginal bleeding during pregnancy, with a volume less than a normal menstrual period, the blood may be bright red, pink, or dark brown. Sometimes it may be accompanied by symptoms such as lower back pain or abdominal discomfort, which is referred to as threatened miscarriage. Threatened miscarriage can be caused by endocrine disorders, insufficient corpus luteum function, chronic systemic diseases, trauma, or defects in the embryo itself. At this time, a gynecological examination may show that the cervical opening is not dilated, the amniotic sac is intact, and the size of the uterus is consistent with the gestational age. With rest or treatment, if the embryo is normal, the bleeding will stop, lower back pain and abdominal discomfort will disappear, and the pregnancy will continue. If the embryo has inherent defects or other factors have already damaged the embryo, the bleeding may increase, lower back pain and abdominal pain may worsen, the cervical opening may dilate, or the amniotic sac may rupture, ultimately leading to the expulsion of the embryo and the development of a miscarriage.You should go to the hospital for an ultrasound examination to determine the condition of the fetus.
It is important to maintain a balance between rest and activity, avoiding excessive fatigue. Sexual activity should be restricted, and intercourse should be avoided during the first three months. It is best to avoid heavy lifting, climbing, running, and other activities to prevent trauma. Rest quietly and maintain a balanced diet.
You can follow your doctor's advice for treatment first.