Bleeding one month into pregnancy

After a woman becomes pregnant, her menstruation will stop. In this case, if bleeding occurs, it must be taken seriously. There are many reasons for bleeding one month into pregnancy, and it is difficult to judge with just one symptom. We can first understand the common factors. If it is accompanied by pain, we should go to the hospital for examination as soon as possible to avoid the consequences of miscarriage. Let’s take a look at the reasons for bleeding one month into pregnancy.

What is the cause of bleeding during pregnancy?

Bleeding during pregnancy is also a common clinical condition, which can be caused by many reasons. Bleeding during pregnancy can be divided into the following situations according to the source of bleeding:

1. Pregnancy bleeding caused by maternal conditions is mainly caused by uterine diseases or progesterone deficiency.

2. Pregnancy bleeding caused by the embryo itself is mainly due to problems with the embryo itself. If there is a problem in this regard, the situation is still not very optimistic.

3. Pregnancy bleeding caused by external stimulation. During pregnancy, the uterus and abdominal cavity themselves will be in a state of congestion and will appear very fragile. Sometimes even the slightest stimulation or slight movement can cause bleeding.

Expectant mothers should take appropriate measures according to their own conditions, seek medical treatment or observe on their own.

What to do if you have bleeding during pregnancy

If vaginal bleeding occurs one month into your pregnancy, you must seek medical attention as soon as possible.

The doctor will first assess the amount of bleeding and measure blood pressure and pulse to determine whether immediate hospitalization is needed. The patient will then be asked some relevant information, such as the date of the last menstrual period, whether the menstrual period is regular, whether she has ever experienced morning sickness and breast tenderness and whether these symptoms still exist, and whether she has symptoms of lower abdominal pain. Then further physical examination will be carried out and a preliminary judgment will be made. If necessary, an ultrasound examination and blood test for serum levels of "beta-human chorionic gonadotropin" (abbreviated as chorionic hormone) or progesterone will be arranged to help diagnose whether it is a normal intrauterine pregnancy, spontaneous abortion, ectopic pregnancy or hydatidiform mole.

Regarding the examination of chorionic villus, it is usually more valuable to compare the values ​​of two blood draws 48 hours apart. In patients with normal intrauterine pregnancy, the second value will usually be more than 66% higher than the first. If the increase is not enough or there is a decrease, it may be an ectopic pregnancy or incomplete abortion. At this time, uterine dilatation and curettage or laparoscopy should be arranged for further diagnosis.

In recent years, due to the development of vaginal ultrasound, its resolution has greatly increased, which can help doctors detect intrauterine gestational sac earlier. If an intrauterine gestational sac is found, the chance of ectopic pregnancy at the same time is very low, about only one in forty thousand. If no gestational sac is found in the uterus and the chorionic hormone is higher than 1500 IU/L, the possibility of ectopic pregnancy must be considered.