Pregnancy more than 40 days a little spotting

First, check the B-ultrasound to determine the location of pregnancy. If a woman experiences spotting around 40 days into her pregnancy, this may be due to low progesterone, which causes the test tube embryo to be impacted in the uterine cavity, leading to threatened miscarriage. It is recommended that the woman rest in bed and take progesterone capsules and other pregnancy-maintaining drugs for treatment. Pregnant women should avoid emotional excitement and excessive fatigue. At the same time, they should have a B-ultrasound examination to see if there is any possibility of uterine fluid or ectopic pregnancy. Because these two conditions may also cause signs of miscarriage in early pregnancy.

If you experience vaginal bleeding around 40 days into your pregnancy, you should seek medical attention as soon as possible to find out the cause. The cause of vaginal bleeding should be ruled out ectopic pregnancy. Ectopic pregnancy is a very serious disease and may even cause the death of pregnancy and childbirth. Therefore, the early identification, diagnosis and treatment of ectopic pregnancy are very important for pregnant women. Usually, through color Doppler ultrasound examination, the gestational sac in the uterine cavity can be seen within 40 days.

If the gestational sac is not seen and there are symptoms such as abdominal pain and bleeding, the possibility of ectopic pregnancy should be considered. If a gestational sac in the uterine cavity is seen during ultrasound examination, ectopic pregnancy can be ruled out. After ruling out ectopic pregnancy, threatened abortion should be considered and luteal copper can be used for tocolytic treatment. There are two types of solutions, oral and intramuscular, available. After one week of medication, the symptoms of threatened abortion will be alleviated or disappear.

In the 40th day of pregnancy, if you have already gone to the hospital for an ultrasound and blood test to confirm that it is an intrauterine pregnancy, you need to check the HCG and progesterone levels to see if it is a threatened abortion caused by a slightly low progesterone level. If you have only confirmed the pregnancy with a pregnancy test strip or a blood test within 40 days of pregnancy, but have not done a color ultrasound and have not confirmed the intrauterine pregnancy, you should go to the hospital for a B-ultrasound examination to confirm that it is an intrauterine pregnancy, not an ectopic pregnancy. There are also some situations, such as gestational trophoblastic disease, which may also be a symptom of pregnancy, but there is vaginal bleeding in the early stage, which needs to be identified under dynamic observation of HCG and B-ultrasound. There is vaginal bleeding in a normal pregnancy, but the progesterone level, HCG and B-ultrasound are normal. The cervix should also be checked. Some patients with cervical cancer will have vaginal bleeding in the early stages of pregnancy, which needs to be identified.