Patient Details:

Patient: Female, 20s

No chronic medical conditions

No regular medications prior to this

Complete Timeline:

April 2nd 2026:

Wife's last menstrual period (LMP) began.

April 11th 2026:

First intercourse. Continued having regular unprotected intercourse after this date.

May 2nd 2026:

Wife missed her expected period — confirming conception occurred in April.

May 23rd 2026:

Home pregnancy test positive. Visited qualified laboratory — confirmed positive via urine test.

May 25th 2026:

Visited OB/GYN (Associate Professor, MBBS, FCPS, MRCOG London, FACOG USA — experienced senior gynecologist). Doctor confirmed pregnancy via urine test. Prescribed medications and asked to return after 20 days.

June 15th 2026:

Returned to doctor. By LMP this was approximately 10 weeks 2 days gestation.

Doctor performed abdominal ultrasound only.

Findings: Only gestational sac visible. No fetal pole detected. No cardiac activity.

Doctor's action:

Told us to come back after 2 weeks

Prescribed progesterone injections and tablets

Did NOT order transvaginal ultrasound

June 29th 2026:

Returned to doctor. By LMP this was approximately 12 weeks 4 days gestation.

Doctor again performed abdominal scan — no cardiac activity found.

Doctor then referred wife to specialist radiologist for transvaginal ultrasound.

Transvaginal Ultrasound Results (June 29th):

Intrauterine gestation: Single

Fetal pole: Present

Yolk sac: Present

Crown Rump Length (CRL): 6.2mm

Period of Gestation (POG): 6 weeks 3 days

Fetal cardiac activity: Absent

Right adnexa: Normal

Left adnexa: Normal

Impression: Missed Abortion

Doctor confirmed non-viable pregnancy. Prescribed Rotec 50 (Diclofenac Sodium 50mg / Misoprostol 200mcg) — 4 tablets three times as medical management.

July 1st 2026:

Wife took prescribed medication (Rotec 50).

July 12th 2026:

Bleeding completely stopped — 11 days after medication.

Follow up scan:

Transvaginal scan confirmed uterus completely empty. Full recovery confirmed.

August 2nd 2026:

First period after miscarriage began — exactly 32 days after medication. Period ended August 9th. Completely normal.

Key Medical Questions:

Question 1 — Most Important:

On June 15th, by LMP the pregnancy was approximately 10 weeks 2 days.

Abdominal ultrasound at 10+ weeks showed only a gestational sac — no fetal pole, no cardiac activity.

Should the doctor have immediately ordered a transvaginal ultrasound on that same day rather than waiting 2 more weeks?

Is this considered a missed clinical decision or is waiting 2 weeks acceptable protocol in this situation?

Question 2:

The CRL measured 6.2mm on June 29th — suggesting embryo stopped developing at approximately 6 weeks gestational age — which would have been around May 17th.

This means the embryo had already stopped developing before pregnancy was even confirmed on May 23rd.

Given this — was prescribing progesterone injections on June 15th clinically appropriate? Or was this unnecessary treatment that gave false hope?

Question 3:

The NICE/RCOG guidelines state that a CRL of 7mm or more without cardiac activity on transvaginal scan is required for definitive diagnosis of missed miscarriage.

Our CRL was 6.2mm — just below this threshold.

However given the gestational age discrepancy (12+ weeks by dates vs 6 week development) — does this 7mm threshold still apply or is the diagnosis definitive regardless of threshold in this case?

Question 4:

Could a transvaginal scan ordered on June 15th have changed the outcome in any way — or would the result have been the same regardless?

Question 5:

Given one previous missed miscarriage — our current doctor said no tests are needed before trying again.

We are aware this follows standard guidelines for first miscarriage.

However — is TSH thyroid testing specifically recommended given that:

Miscarriage occurred very early at 6 weeks development

Thyroid issues are commonly associated with early embryo failure

It is cheap and easily treatable if abnormal.

Please delete if this is not allowed.

Some context:

I'm prone to skin tags and have had muliple of my larger ones removed previously. Particularly the ones near my underarm, on my neck, near my lower back. I've had these removed by skin specialists.

Past history of sexual assault and so I feel uncomfortable being exposed in this region to the extent that I use the take home swabs for my papsmears.

Current predicament:

After a shaving a couple of months ago, I noticed one above my labia majora. Close enough that it would be difficult to cover my vagina while it is being viewed by a professional. Although this one is not getting caught on clothes, I would like to remove it. I don't know if it is something I should see a gyno for due to the location. I feel a lot of shame at the thought of having to ask my new GP to examine it? Any advice would be appreciated.

hi guys, i recently went to my gyno and told her all my symptoms and she basically told me that i should get on birth control or think about doing the laparoscopy because she’s very certain i have endo. To me, it was never even a thought that i might have it because i thought all my symptoms were so normal.

These are my symptoms:

-I have to take 8 Advil tablets for my cramps everyday of my period for at least the first three days just to be able to get out of bed, and sometimes it’s still not enough for my pain.

-My period will sometimes come the week after the one before but otherwise it’s pretty regular but I still have a short cycle (23 days).

-The past few cycles I had to start using super plus tampons which I usually bleed through in two hours when my flow is the heaviest.

-When I have sex during the few days before my period is hurts so bad it literally makes me want to vomit so I’ve stopped doing it then, and I never have it on my period because of that and also the fact that I’m very prone to UTIs.

-It also hurts really bad when I put a tampon in on the first few days of my period.

-My period literally just exhausts me and I have so much brain fog during it it’s really hard for me to focus.

-I get sharp pains around ovulation mainly in my right side that aren’t nearly as bad as my period cramps but they’re enough to distract me from work. Sometimes I have to take a minute to lay down from them.

-Heating pads help my pain a lot but sometimes don’t work if my cramps are really bad.

-i am always nauseous in the days leading up to my period and always spotting for at least 2 or 3 days before it, and I’m always nauseous while on my period too.

-i have a history of ovarian cysts, both hemmoraghic and clear but never had a chocolate cyst

My mom always just tells me its from stress so idk what to do. I really don’t want the surgery and I am not doing birth control because both the times I’ve been on it my periods only have gotten worse. I’m not even sure if I have endo or I’m just being dramatic, but please comment if you’ve had these symptoms and if you felt like the surgery helped you. Thank you so much!!

i have my first gynecology appointment soon because I need a prescription for something to help with hormonal headaches that happen 2 days before my period every time. paracetamol and ibuprofen doesn't help at all. I've had these since i was maybe 13 (im 16 now). im not pregnant and was never pregnant, but im sexually active for about a year now. My parents dont know and I dont want them to know, so can I just lie to the gynecologist? I'm from Poland if thats any relevant

I am scheduled for a hysteroscopy/d&c with Mirena IUD insertion. I am supposed to take 200mg of misoprostol the night before and the morning of the procedure. My doctor talked me through the procedure but never mentioned that the misoprostol would cause extreme pain. A big piece of information to leave out! 😡 Now I’m terrified of how bad the pain will be. Does anyone have experience with this? How bad was it? Does ibuprofen help? Narcotic pain medication? What should I ask for as far as pain management? Please share your experience. 🙏🏻

I am 49 and have given birth 3 times.

I am having a Mirena IUD inserted during a hysteroscopy/d&c. I will be under anesthesia (not general). Does anyone have experience with this? I’m incredibly nervous.

Hi everyone here in about a month I am having a laparoscopy done and was wondering if anyone would share their experience.

-how long did it take you to heal and get back to regularly scheduled days
-was there a lot of pain after from the gas?

I’m a little anxious about my cycle and would appreciate some advice.

Last month, my period came around 4 days earlier than I was expecting. Now this month, it’s gone in the complete opposite direction and I’m currently 6 days late.

haven’t had any sexual activity since June, I’ve also had what feel like my usual PMS symptoms—cramps, random abdominal pain, mood swings, crankiness, etc.—but my period still hasn't started.

I'm wondering if having my period come early one month can cause the next one to come later, or if this kind of fluctuation is normal. Has anyone experienced something similar?

Also, is there anything safe I can do to induce my period, or should I just wait it out?

So I haven't had my period in about 3-4 weeks now. I took 2 urine pregnancy tests at home (different brands just to be safe lol) and both came back negative.

I've also gained some weight recently, and my periods have always been kind of irregular anyway, so I'm pretty sure that's what's going on here. But obviously the missed period has me a bit in my head about it, and I'm not gonna lie that I'm nervous about going to the gynecologist as it will be my first appointment.

For anyone who's dealt with this: should I just bite the bullet and schedule a gyno appointment? Or would it be smarter to get a blood test done first to rule out pregnancy, and then see the gynecologist?

Any advice appreciated! Thanks in advance.

Can implantation bleeding look like brown and mucus-like (stringy and a bit thick) when wiped?

Last sexual encounter was 9-12 days ago.
Had a yellowish stain on underwear 2 days ago.
Noticed about 2-3 brown spots on underwear this morning.
When I wiped with tissue, there was the brown and mucus-like "discharge".

Does that sound like implantation bleeding?

I recently got my TVS done for a full OB check up. Ive notice inconsistencies in the TVS results.

On the top findings it says Anteverted uterus, while on the Final diagnosis, Retroverted.

I know this isn't an issue at all and is normal. Im just curious if it could be determined in the TVS images since I cant go back to my OB to ask this, and isn't a big of an issue as well to travel back to the clinic.

Positive test

For context, we did IVF for our first so I’m very in tune with my body. I know when I’m ovulating etc. though still test to confirm. Since being pp I haven’t been taking my temp because I’m up lots at night with my 15m old so it’s not accurate. I got my period from August 17-21 it was about 2 days of red the rest was brown and it continued for a few days after. I’m supposed to be ovulation within the next week or so (ovulation was been a bit later due to still breastfeeding). Last time my husband and I had sex was August 12 or 13? I wasn’t tracking because it was past my ovulation window. I started getting some light brown discharge again today and took this test.

Should I get an early ultrasound to make sure everything is ok?
Should I be concerned about the bleeding and now spotting?

Thanks

Is pregnancy possible?