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Pregnancy Forum > Miscarriage and Stillbirth Forum > Possible indications of a miscarriage
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Q: Possible indications of a miscarriage
asked by: DoctorQuestion on October 14th, 2009
About 4 months ago, I had sexual intercourse with my boyfriend. We were protected as far as I knew, so he came in the condom, inside me. Later that night I found the condom in the trash with a gaping hole in it.

It had been 2&1/2 weeks since my last period. I tried my best not to panic and to just wait it out. I had not gotten my period for almost 2 months after intercourse so I took a pregnancy test. The results came back positive. Two days later, I got my period worse than ever! The pain was intolerable and the bleeding was outrageous. I came to the conclusion that I miscarried.

My biggest concern now, 2 months following the miscarriage, is the pain I am getting in my lower abdomen. It's usually a continuous feeling of strain in my uterus and sometimes it progresses into a sharp stabbing pain. The research I have done tells me this is NOT normal.

What do I do about the pain? Is it at all normal? Any help would be much appreciated! Thank you.


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Dr. Goce Aleksovski , MD
replied on October 19th, 2009
Miscarriage and Stillbirth Answer A7540
The data you provided (having intercourse with condom which turned out to be have a hole four months ago, missed menstrual period for two months after the intercourse, positive pregnancy test, heavy bleeding a couple of days later, pain in the lower abdomen-continuous strain to stabbing sensation), it seems likely that you might have experienced a miscarriage.


A miscarriage at two months gestational age needs revision by a gynecologist because both the embryo and the placenta are big enough and parts might not have been expelled completely (this is especially true for the placenta).


This might lead to small but continuous bleeding (which you do not report), and uterine inflammation accompanied with pain. The uterine inflammation does not necessarily have to be related to pieces of placenta left in the uterus. Because the uterine lining is disrupted when the miscarriage occurs, it takes time for the lining to heal. During this process there is a possibility that pieces of the uterine walls might attach to each other creating adhesions. The adhesions are pieces of connective tissue that form from secretions which were not completely absorbed once the inflammation was over. This connective tissue might pull the uterine walls causing the pain.


You might want to visit a gynecologist for a physical examination, and especially a uterine examination. An ultrasound scan might also be needed to check for pieces of placenta or adhesions.




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