Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor, I am aged 31 . My First pregnancy aborted at the time of 7weeks. Now I am pregnant. My last period was oct 12th and my husband is at abroad. He will come here oct 20th and our sexual realtion will starts at oct20th. After 37 days of my period I have bleed a little then we consult a doctor and admitted there. In the 7th week (after my period 12th october)I have done a scan. Doctor tell that yolk sac seen and I am pregnant but yolk sac is only 2.7 mm and tell that it is late pregnancy and scan after 2weeks. Now I have a little dark brown or black discharge . what is the reason for this?
[|AI|]  Hello, Elderly pregnancy (>30 yrs old) is always a high risk pregnancy with various complication and miscarriage is one of them. Your LMP was Oct 20th and on 7th wk scan, it reveals yolk sac 2.7 mm & indicates late pregnancy. Dark brown/black discharge may indicate early abortion/implanted bleeding and need to confirm with USG scan after 2 wk to assess fetal development & viability.In the meantime, you take folic acid with natural micronized progesterone to prevent miscarriage somewhat but not always 100%. Avoid heavy work/long journey/stepping uneven surface, take protein rich diet, complete bed rest, avoid stress and maintain personal hygiene. Be well.