I am pregnant for more than a month.

Pregnancy is a happy thing, and it is also a happy thing to know that you are pregnant soon. Some female friends may experience vaginal bleeding or spotting in the early stages of pregnancy. Then this is very worrying. Generally, it is not easy to have menstrual period after pregnancy, which may also be a sign of miscarriage. So, what should I do if I have a little spotting after more than a month of pregnancy?

What should I do if I have a little spotting after more than a month of pregnancy?

(1) If you find vaginal bleeding, you should go to the hospital immediately. Never choose to stay in bed on your own, as this will delay the treatment, especially in the case of ectopic pregnancy, which can be very dangerous and even lead to loss of life.

(2) If you have bleeding in early pregnancy, ask your doctor to determine the cause of the bleeding through examination and take appropriate measures.

(3) Based on the HCG and progesterone levels in the blood, it can be determined whether vaginal bleeding is caused by insufficient estrogen. When threatened miscarriage is diagnosed, you should pay attention to rest. If the bleeding is caused by the inability of estrogen to maintain the test tube embryo, you can take pregnancy-preserving drugs to maintain the pregnancy. During the period of prenatal care, the blood HCG and progesterone levels should be checked every week, and prenatal care should be given under dynamic monitoring.

(4) Appropriate B-ultrasound can determine whether the test tube embryo is inside or outside the uterine cavity. In addition, when the embryo develops to 5-6 weeks, the fetal heartbeat can be clearly seen under B-ultrasound to determine whether the fetus is alive and to provide specific guidance on how to preserve the fetus in the next step.

(5) If vaginal bleeding occurs, and vaginal examination reveals that the bleeding comes from the cervix rather than the uterine cavity, partial treatment can be carried out. First, you need to do a cervical examination, including TCT and HPV, to check for human papillomavirus infection; to check for cervical cancer. If there are polyps, remove them depending on the situation.

Early pregnancy spotting refers to the appearance of a small amount of pink discharge in the vagina within 12 weeks of pregnancy, similar to bleeding before or after the menstrual period. The bleeding may be pink, bright red, or dark brown in color. About 1/4 of pregnant women will experience varying degrees of spotting in the early stages of pregnancy, and about half of them will end up with miscarriage. If the blood appears dark brown, pregnant mothers do not need to worry too much. Dark brown blood means that bleeding has stopped, so it will be oxidized by air to brown. Just get more rest and avoid exercise. If the blood appears red, you should pay attention and go to the hospital for treatment immediately; if the female secretions are brown, it is recommended to rest in bed. Generally speaking, bleeding can be improved, but whether the blood appears brown or red, you must let your doctor know so that you can get help in time. The treatment method is to remove the hydatidiform mole through uterine wall vacuum aspiration, and then track the chorionic gonadotropin index until it is normal for 3 consecutive weeks, and then track it again every month until it is normal for more than half a year. If the index decreases and is not ideal, chemical drug treatment should also be considered. Strict contraceptive measures must be taken during the follow-up period, and plans for pregnancy can be started after one year.