Spotting in the early stages of pregnancy, is it related to gynecological diseases?

Patient's question:

I've been pregnant for almost two months, and the spotting (brown in color) has lasted for almost two weeks without improvement. The hospital did an ultrasound and HCG test, and it showed pelvic effusion. The hospital prescribed progesterone, but after taking it, I feel it's not working. I want to ask if the continuous spotting is related to the pelvic effusion. I also had cervical erosion and urinary tract infection in the past—is this related to this as well? What should I do? Urgent! Urgent! Urgent!

Doctor's answer:

Hello, don't hurry. What is the size of the effusion detected in your ultrasound? Does it accompany lower back pain or a sensation of heaviness in the lower abdomen? Also, what is the color of your leukorrhea—white or yellow? If your progesterone level is not low, taking progesterone will be ineffective. You can have a complete blood count test to check for inflammation in your blood. If there is none, it is recommended to have a vaginal examination to determine whether the brown discharge is coming from the cervix or the uterus. Additionally, you can rule out a urinary tract infection with a urine analysis. Best wishes. If you have any further questions, please feel free to ask.

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