If there is brown discharge in the early forty days of pregnancy and menstruation is delayed for more than a week, you should first use an early pregnancy test to determine whether it is an early pregnancy. If the early pregnancy test is positive, then use an ultrasound examination to confirm whether it is an intrauterine pregnancy. It is definitely an intrauterine pregnancy, and the presence of brown discharge suggests the possibility of threatened abortion. You can give pregnancy-preserving treatment and pay attention to rest. If vaginal bleeding increases, you need to go to the hospital for medical treatment immediately. If the ultrasound examination does not show intrauterine pregnancy, ectopic pregnancy cannot be ruled out at this time and the fetus cannot be treated. Blood tests for HCG and B-ultrasound should be done regularly, and attention should be paid to abdominal pain and vaginal bleeding. Hospitalization should be required if necessary. Brown discharge at 40 days of pregnancy indicates a small amount of vaginal bleeding. Find the cause and solve it: First of all, a gynecological examination should be done. Use a speculum to expand the vaginal wall, expose the cervix, and observe the condition of the cervix. If there is cervical cyst bleeding, cervical cyst removal should be performed. If there is cervical erosion and bleeding, cervical TCT and HPV should be checked to detect cervical precancerous lesions or even cervical cancer. Secondly, an ultrasound examination should be done. If no intrauterine gestational sac is seen during the ultrasound, a blood HCG test should be done. The two should be combined closely to determine the possibility of ectopic pregnancy and take appropriate measures. If an intrauterine gestational sac is seen on B-ultrasound, it is generally considered a threatened abortion and estrogen-based tocolytic drugs should be given for tocolytic treatment. Most cases can improve. Some women also experience increased bleeding, leading to miscarriage. Of course, if the average diameter of the intrauterine gestational sac is more than 2.5-3 cm and no fetal heartbeat is seen, or if the intrauterine gestational sac has no fetal heartbeat for more than two weeks, considering that the embryo has stopped developing, there is no need to maintain the pregnancy and a uterine curettage should be performed to terminate the pregnancy. If there is brown discharge at 40 days of pregnancy, it means there is a small amount of vaginal bleeding. You need to find out the cause and solve it. You should first do an ultrasound examination. If no intrauterine gestational sac is seen on the ultrasound, you should check the blood HCG. If the blood HCG exceeds 2500-3000U/L, it is confirmed to be an ectopic pregnancy and it should be treated as an ectopic pregnancy. If an intrauterine gestational sac is seen during B-ultrasound, it is generally considered a threatened miscarriage and estrogen-based tocolytic treatment is given. Most women will have successful tocolytic treatment, but a small number of women will experience increased bleeding or miscarriage. If there is no fetal heartbeat in the intrauterine gestational sac for more than 2 weeks, or the average diameter of the intrauterine gestational sac is more than 2.5-3.0cm and there is no fetal heartbeat, considering that the embryo has stopped developing, there is no need to maintain the pregnancy. A uterine curettage and termination of pregnancy are required. A gynecological examination is also required to check for cervical cyst bleeding, cervical erosion bleeding, cervical precancerous lesions, or even cervical cancer bleeding. |
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