They are often the body’s way of dealing with a pregnancy that was not normal. Sometimes more than one option is needed. It also may be removed by a suctioning device. The tissue may be removed by dilation and curettage (D&C). Medication may be used to help you pass the tissue. ![]() Your doctor may then recommend one or more treatment options. If some tissue stays in the uterus, bleeding often continues. The doctor may send it to a lab to be examined. If you think you have passed fetal tissue, take it to the doctor’s office. Other times the bleeding and cramping may become stronger, leading to miscarriage. Sometimes the bleeding stops and pregnancy goes on. Many women who have vaginal bleeding have little or no cramping. It happens in about 15–20% of pregnancies. Most often it occurs in the first 13 weeks. Miscarriage can occur any time in the first half of pregnancy. The following signs and symptoms may indicate a miscarriage: (1) Vaginal bleeding, (2) Cramping pain felt low in the abdomen–often more strong than menstrual cramps, (3) Tissue passing from the vagina. Bleeding does not always mean that miscarriage will happen. Miscarriage can be caused by a problem with the pregnancy. Keeping a record of spotting, bleeding, cramping, and other symptoms can be helpful for your doctor. You may also want to decrease heavy physical activity and exercise, although most women can continue work and their usual day-to-day activities. If you experience bleeding, do not have sex again until consultation with the doctor. ![]() Bleeding of the cervix may also occur during sex, or from an infection of the cervix. Spotting may occur after a vaginal ultrasound or a pelvic exam. Ultrasound may be used to find the cause of the bleeding. Your blood type also will be checked to see if you need treatment for Rh sensitization (RhoGAM). You may have more than one test because hCG levels increase throughout pregnancy. This substance is made by your body during pregnancy. A blood test may be done to measure human chorionic gonadotropin (hCG, pregnancy hormone).
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