Progesterone hcg normal no abdominal pain spotting

Progesterone is a relatively important hormone in the female body, especially during pregnancy. The progesterone hcg value has a relatively important impact on the health of women and fetuses. If the progesterone level is normal during pregnancy but there is spotting, the patient must go to the hospital in time to find out the specific cause. Below, we will introduce in detail several diseases that are likely to cause spotting during pregnancy.

1. Thinning of the cervix and bleeding

Bleeding near the due date is normal for most expectant mothers. Spotting is more likely to occur near the due date because the cervix becomes thinner and softer before delivery, and produces sticky bloody secretions that are brown or bright red in color and flow out of the body through the vagina. Usually, if the amount of bleeding is small, there is no need to be hospitalized for delivery. Just continue to observe. According to statistics, labor pains will usually begin within 1 week after seeing blood.

Expectant mothers usually do not give birth immediately after spotting. If there are no other signs of labor such as contractions or water breaking, she can take a shower first and then go to the hospital for a check-up. The doctor will assess the opening of the cervix and then recommend that the mother go home to rest or go directly to the hospital to wait for delivery. If the bleeding is heavy and continues, seek medical attention immediately. Generally, spotting before delivery is caused by thinning of the cervix, but if there is heavy bleeding that does not stop, you must consider it as a problem with the placenta.

2. Placenta previa

During a normal pregnancy, the placenta is attached to the front, back or top of the uterine wall. If the placenta is attached too low, covering the internal os of the cervix and blocking the presenting part of the fetus, it is called placenta previa.

Pregnant women with placenta previa will not wait until they are close to their due date to experience bleeding symptoms. They may experience bleeding starting from the middle of pregnancy. Experts explained that because the placenta itself is very rich in blood vessels, if a pregnant mother bleeds due to placenta previa, the amount of bleeding will be the same as during menstruation or more, but most pregnant women with placenta previa can stop bleeding after resting in bed.

For a small number of pregnant women, the amount of bleeding is so heavy that it is like hemorrhage, and it may even cause uterine contractions (labor pains). This type of bleeding may not only cause severe ischemia and hypoxia to the fetus in the womb, but also put the pregnant woman herself in an extremely dangerous state, and may even lead to shock and death.

3. Placental abruption

Normally, the placenta separates after the fetus is delivered. Partial or complete separation of the placenta from the uterine wall at the implantation site before the fetus is delivered is called placental abruption. Placental abruption is a serious complication in late pregnancy. It progresses very quickly and if not treated promptly, it may endanger the lives of the mother and fetus.

Placental abruption that is usually accompanied by heavy bleeding is called external placental abruption. The main symptom is vaginal bleeding, which is heavy and dark red in color, and may be accompanied by mild abdominal pain. Usually when placental abruption occurs, the fetus is already in an extremely dangerous situation and a cesarean section or termination of pregnancy must be performed as soon as possible to ensure the safety of the mother and fetus.

Another hidden form of placental abruption usually occurs in pregnant women with severe pregnancy-induced hypertension. Symptoms include sudden, persistent abdominal or backache, with little or no vaginal bleeding.

4. Cervical polyps or cervical cancer

If there are polyps on the cervix or if you have cervical cancer, blood and discharge may also appear. Especially for patients with cervical cancer, it is not easy to detect the association between spotting and cervical cancer during pregnancy. Cervical cancer bleeding often occurs after sexual intercourse, and patients do not feel pain, so it is easily ignored.

Patients with cervical polyps will have symptoms of contact bleeding, especially after sexual intercourse, women will have vaginal bleeding, and patients with cervical polyps will have symptoms of spotting after bowel movements. Patients are more likely to have bloody leucorrhea, but the amount of bleeding is generally not much.

Cervical polyps require active treatment. If patients with cervical polyps have inflammation, they must first actively control the infection. And once patients with cervical polyps bleed, they need to cooperate with hemostatic treatment in the treatment. Moreover, further surgery is required after the inflammation is controlled and hemostasis is successful.