Q&A: I'm newly pregnant and spotting. What should I do?

by Dr. Gerard M. DiLeo

I am 31 years old and suffer from PCOS. I had an ectopic pregnancy in September. I lost my right tube whilst taking clomid second course at 50mg. Then in March concieved naturally but miscarried at 11 weeks. I have been on Clomid again for three months and my period was due today. I have had a positive pregnancy test. The line was faint but there. However, yesterday I had small brown spot and day before light brown discharge just once. I'm very confused as my breasts have been sore now for 10 days and I know from my ultrasound I ovulated from my leftside an egg of 22mm on the January 17. Can you give me any advice if the test has two lines is it definitely positive? Can I take anything to help pregnancy stay if it's there?

Bleeding with a possible pregnancy is always considered abnormal till proven otherwise. But it may be just harmless vaginitis (yeast, for instance). If you've done the pregnancy test correctly, it's usually fairly accurate. But the bleeding means you need blood work for serial HCG determinations, especially with a history of ectopic pregnancy. These tests will give a lot of good information until you're far enough along to see something meaningful on ultrasound. Don't wait.

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