Bleeding and pregnancy test negative. Could I be having a miscarriage?

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Last night I went to the doctor because I had a terrible migraine I felt nauseous had cold chills and was shaking. I had a period this month already and I started bleeding again today I took a pregnancy test this month and it was s faint negative. Could I be having a miscarriage?

Submitted: 4 Days
Category: Community

Expert:  Dr. John Monheit replied 4 Days.

Hello, the symptoms that you have described are probably not suggestive of a miscarriage. As you had already had you're period this month the light bleeding is probably due to hormonal disturbance. It usually occurs for about 1-2 days prior to the onset of the next menstrual cycle and generally lasts for 2 days. If it progresses more than 2 days, then it could indicate infection, inflammation, and hormonal imbalance. It is usually odorless, but if it has a foul odor, then it is suggestive of infections like chlamydia, herpes. The other causes that can result in bleeding are during miscarriage, ectopic gestation. Menstrual cycle is usually 28-day cycle. It is divided into four phases:

a)Menses phase: This usually occurs after the shedding of the uterine lining and results in next period. It generally last for 1-5 days. However it is considered normal even if women have 2-3 days of menstruation.

b)Follicular phase: Here due to estrogen levels, there is again thickening of the uterine wall. This lasts from 6-14 days.

c)Ovulation phase: This occurs on 14 th day, where there is an increase of the Luteinizing hormone resulting in release of the egg (ova)

d)Luteal phase: Here this occurs from 15-28 day cycle. The progesterone is released which prepares for pregnancy and fertilization occurs. The headache and feeling moody could be due to hormonal imbalance .You can take tablet paracetamol twice a day for 5 days after food for the headache.

It would be best to wait till the next period and if the bleeding is heavy or irregular, then you can do home pregnancy test and consult your obg-gyn doctor. Thank you.

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