If there is pink discharge, how should I handle it? Is it a sign of miscarriage?

Patient's question:

I have been constipated for two days. Today, on June 25th, I strained to have a bowel movement and some stool came out. When I wiped with toilet paper, pink-colored discharge came out from the vaginal opening. After wiping a few times, there was a thumb-sized pink patch on the paper. At night when I inserted the medication, there was brown discharge inside the vagina when my finger came out. I had a transfer on June 7th, and my hCG was 437 on the 18th and 7078 on the 25th. I am using progesterone soft capsules (Anqitan) for medication, but there is a lot of white medication residue coming out every day. I am worried that the medication is not being absorbed. Do I need to switch to a different injection of progesterone?

Doctor's answer:

Based on your menstrual history and the positive result of the early pregnancy test, it should be confirmed that you are pregnant. There is a small amount of brown discharge today, which is not your period, and you should be aware of the possibility of threatened miscarriage. It is recommended that you rest in bed, avoid strenuous activity, and refrain from sexual intercourse. Observe for 3-5 days, and then undergo an ultrasound examination to rule out ectopic pregnancy. If there is still bleeding after a few days, you should receive medical guidance for pregnancy preservation treatment.

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