Need pelvic exam/US: There are different causes for vaginal bleeding in a first trimester pregnant patient . It depends on the character of her bleeding (light or heavy, associated with pain or painless, intermittent or constant). The four major causes are: ectopic pregnancy; threatened or impending miscarriage; physiologic (ie, related to implantation of the pregnancy), and cervical, vaginal, or uterine pathology.
Answered 8/3/2017
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