What is the reason for spotting when you are pregnant?

If you see spotting in the early stages of pregnancy, the first thing you should consider is whether it is a sign of miscarriage. It could be threatened miscarriage, missed miscarriage, or incomplete miscarriage. In addition to possible signs of miscarriage, it may also be an ectopic pregnancy or a problem with the cervix. Whether it is an ectopic pregnancy or a sign of miscarriage, if bleeding occurs in the early stages of pregnancy, you must go to the hospital for examination in time.

1. Early miscarriage: It is the most common cause. Based on the amount of vaginal bleeding, the degree of lower abdominal pain, the degree of consistency between the uterus and the month of pregnancy, whether the cervix is ​​dilated, etc., it is possible to distinguish whether it is a threatened abortion, inevitable abortion, incomplete abortion or complete abortion. There are many reasons for early miscarriage, including genetic factors (such as gene abnormalities); adverse external factors; maternal factors such as systemic diseases, endocrine dysfunction and trauma, reproductive organ diseases; placental endocrine insufficiency, immune factors, etc.

2. Ectopic pregnancy: When abnormal vaginal bleeding occurs after menopause and is accompanied by sudden abdominal pain, the possibility of ectopic pregnancy should be considered. Once an ectopic pregnancy ruptures, it causes abdominal pain and intra-abdominal bleeding, often leading to rapid shock or even death of the patient. The patient should go to the hospital for further examination such as pregnancy test, B-ultrasound, posterior fornix puncture, etc. to confirm the diagnosis.

3. Hydatidiform mole: relatively rare. If intermittent vaginal bleeding occurs after menopause, accompanied by severe pregnancy reactions such as nausea and vomiting, and the uterus is abnormally enlarged, this disease should be considered and further blood HCG and B-ultrasound tests can be performed to confirm the diagnosis. Molar pregnancy can easily cause heavy bleeding, infection, uterine perforation, etc. It is often accompanied by lutein cysts. Torsion can cause severe abdominal pain and even require laparotomy. In addition, some molar pregnancies may become malignant. Therefore, if you have vaginal bleeding in early pregnancy, you should go to the hospital for diagnosis and treatment in time, find out the cause of the bleeding, and treat it symptomatically. Do not blindly preserve the fetus, otherwise, it will cause serious consequences.