Is there a lot of bleeding in a threatened miscarriage?

Written by Du Rui Xia
Obstetrics
Updated on June 27, 2025
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Generally, vaginal bleeding is not heavy during a threatened miscarriage, and the abdominal pain is not severe. This typically occurs before the 28th week of pregnancy because the fetal placenta is not yet firmly connected to the mother and its function is unstable, which can easily lead to a threatened miscarriage. During the early stages of pregnancy, it is crucial for pregnant women to be particularly cautious. They should reduce physical activities, avoid vigorous exercise, abstain from sexual activity, and minimize stimulation to the uterus to maintain a cheerful mood. If one experiences unstable emotions, excessive tension, or sadness, it can disrupt normal brain activity, leading to abnormal embryo development and causing a miscarriage.

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Written by Zhang Lu
Obstetrics
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What are some medications for threatened miscarriage to stabilize the pregnancy?

When threatened miscarriage occurs, it is necessary to use medications to sustain the pregnancy. Commonly used medications include the following types: The first type is progesterone medications, which have the effects of stabilizing the uterus and suppressing the immune system; the second type is estrogen medications, which can promote the proliferation of the endometrium, providing a favorable environment for the implantation and growth of the gestational sac; third, traditional Chinese medicine formulations, which also have the effects of stabilizing the uterus, promoting the development of the gestational sac, and reducing bleeding. In addition, it is necessary to conduct examinations based on the symptoms of threatened miscarriage to determine if there are any abnormalities in coagulation indicators. If the threatened miscarriage is caused by abnormal coagulation indicators, anticoagulant medications can be used for treatment.

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Written by Zhang Lu
Obstetrics
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Intercourse during a threatened miscarriage can have what effect?

Threatened miscarriage refers to the symptoms indicating an impending miscarriage, often characterized by significant lower abdominal pain and vaginal bleeding. During a threatened miscarriage, intense activities should be avoided, appropriate rest is necessary, and sexual intercourse should also be avoided. Engaging in sexual intercourse during a threatened miscarriage can cause the following harms: First, intercourse can stimulate the uterus, causing lower abdominal pain, which can lead to uterine contractions. These contractions can stimulate the gestational sac, and in severe cases, can trigger a spontaneous miscarriage. Second, sexual activity can stimulate the vagina and alter the vaginal flora, which sometimes can lead to vaginitis. Vaginitis can spread through the cervix into the uterine cavity, sometimes causing endometritis, affecting the development of the gestational sac and in severe cases can also lead to a spontaneous miscarriage. Therefore, it is crucial not to engage in sexual intercourse when symptoms of a threatened miscarriage appear.

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Written by Du Rui Xia
Obstetrics
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How long does it take to prevent a threatened miscarriage?

During threatened miscarriage, proactive treatment to preserve the pregnancy is required. However, the duration of such treatment varies from person to person and should be based on the specific circumstances of the patient. If the patient has a history of recurrent miscarriages, in the event of a threatened miscarriage, the pregnancy should be preserved for a longer period, at least until three months into the pregnancy when the fetal development has stabilized. However, if the patient experiences light vaginal bleeding without abdominal pain, and the condition is relatively mild, approximately a week of medication may be sufficient for improvement. It is recommended that one to two weeks after the bleeding stops, a visit to the hospital should be made to perform an abdominal ultrasound to check the embryo's growth.

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Written by Du Rui Xia
Obstetrics
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What should be noted for threatened miscarriage?

After the occurrence of threatened miscarriage, it is crucial to rest, and if possible, bed rest is recommended to reduce activity. Additionally, local hygiene must be maintained, frequently changing underwear to keep the area dry and fresh, preventing bacterial infection. Intercourse should be strictly avoided during a threatened miscarriage. It is important to observe vaginal bleeding and discharge. If any tissue-like materials are expelled, they should be preserved and brought to the hospital for examination to determine the nature of the expelled material. Nutrition should be enhanced by consuming light, easily digestible foods, including fresh fruits and vegetables.

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Written by Zhang Lu
Obstetrics
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Will hCG levels drop in a threatened miscarriage?

Threatened miscarriage refers to the signs of a potential miscarriage, but this does not necessarily mean that a miscarriage will definitely occur or is inevitable. Whether HCG levels decline during a threatened miscarriage depends primarily on the cause of the threatened miscarriage and the ultimate outcome. First, if the gestational sac is developing well and it is only a mild case of threatened miscarriage, the HCG levels will not decrease and will continue to rise. Second, if the threatened miscarriage is caused by poor embryo development or embryonic arrest, the HCG levels will naturally decline. Third, if the condition of the threatened miscarriage is severe and eventually leads to a miscarriage or inevitable miscarriage, the HCG levels will also decline. Therefore, whether HCG levels decline during a threatened miscarriage largely depends on the cause and the severity of the condition.