### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Age: 25 Gender: Female. I have skipped my periods and in home pregnancy test found pregnancy as positive. My last Menstural period was on Dec 16 2009. I have had white discharge until yesterday. From yesterday(13-02-2010) there is light brown mucus discharge. I have not had any sex in these months. This is my first pregnancy and there is no history of any health problems. I m really scared about this. Please help me.

### output:

Hello, I understand your anxiety. Well, there can be many reasons for bleeding, spotting during first trimester. It can be due to thyroid problems, implantation bleeding, vigorous intercourse, cervical bleeding (neck of the womb) or even due to impending miscarriage.  I suggest you the following things as the next step.1. Thyroid profile (serum TSH and Free T4)2. A clinical examination by gynecologist to ascertain there is nothing on the neck of the womb to cause bleeding. 3. Although evidence suggests bed rest may not help stop bleeding, it helps not to exert yourself.4. You may insert micronized progesterone capsules 200 mg vaginally every night before bed to keep uterus relaxed. (no evidence progesterone helps stop bleeding).5. You may get an ultrasound scan done to know baby heart (can be done with hand held Doppler device as well). If you are spotting without any reason, rest assured it may settle down in a while. But if you develop pain and bleeding increases, it may be a sign of miscarriage, and you need to see your doctor right away. Hope this helped. Take care.