What are the differences between threatened miscarriage and menstruation?

Patient's question:

Just got pregnant, but there's a little bleeding.

Doctor's answer:

From your description, the key difference between threatened miscarriage and menstruation lies in the lab test results. Based solely on external symptoms, there isn't much distinction, as both involve vaginal bleeding.
Recommendation:
If your condition is suspected to be a threatened miscarriage, a blood HCG test should be performed. If the result is positive and accompanied by vaginal bleeding, it can be considered a threatened miscarriage. If the test result is negative, it can be attributed to menstruation, allowing for differentiation between the two.

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