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How to identify miscarraige

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It was a month or two back, when I started bleeding heavily and experiencing cramps amidst my cycle. While bleeding, heavy clots of blood came spurting out. And the blood was really bright red in color. After some days, a white sac like mass also came. It was about 3cm long and had vine red spots at one side. As soon as saw this, my thought was about a miscarriage. It was because; I have never experienced something like this before. Moreover, I was on pills at that time. I had my previous period fine, but with a lighter blood flow than it used to be. Now, can you explain to me, what was it? Is there anything else than a miscarriage? How to prevent this from happening anymore?

Category: Family Physician-GP

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Dr. John Fuller
Category: Family Physician-GP
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Expert:  Dr. John Fuller replied 4 Days.


Thank you for asking your query at DoctorSpring.

There are two possibilities here. Either it’s a mid cycle bleed (especially if you have missed one or more Oral contraceptive pills), Or this bleed can be due to a miscarriage as you suspect.
So there is the possibility that you could have miscarried. Even you take the Oral contraceptive pills regularly there is a minute chance that it can fail and you might have conceived. The passage of fresh clots and tissue might be the sign of miscarriage.
As I said midcycle bleed is also possible in this scenario. Mid cycle bleed happens when you skip one or more doses of your Oral contraceptive pills. This will remove the hormonal inhibition to the uterus and then the bleeding happens (a physiological mechanism similar to normal menstruation). Since the incident happened months ago there is no way we can find out what happened. Anyway there is nothing to be alarmed. Miscarriage is a common occurrence. Almost 1 in 7 recognized pregnancies end in miscarriage.
You may want to do a home pregnancy test to be sure that you are not pregnant at this point of time. Also I would recommend you to consider all birth control options. If you wish to stick to the OCPills , make sure that you fully complaint . Because non compliance to take the drug daily is the most common cause for failure,

Thank you
Hope this helps.

Dr. John Fuller
Category: Family Physician-GP
MD - New York Institute of Technology, New York College of Osteopathic Medicine
Internship, Family Medicine - Lutheran Medical Center
Residency, Family Medicine - The Mount Sinai Hospital
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