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

### input:
ok i am 18 years old i had sex on june the 1st i do not have pregoo symptoms but i took an hpt on the 2nd to be on the safe side and got a negative but here is the thing i usally come on my period on the 12th but monday i started having this really bad cramps i mean horrible like someone is stabing me but it is only on my left side and i had a lil spotting and it was kinda brownish and this morning i woke up and is is fresh red blood and it has clotts in it

### output:

Hallow Dear, Doing pregnancy test on urine on 2nd June after having sex on 1st June was too early for detection of pregnancy. These tests give reliable tests when the conception is 3 weeks or more old; i.e. about 8-10 days after missed period. So you should have done it after 21st June.  You were expecting your period on 12th. It means your egg release was due on 30th May. Egg has life of 24 hours and the sperms are active for 72 hours. In short, your intercourse was on very fertile day. So it is most likely that you were pregnant. It is likely that severe abdominal pain followed by brown bleeding and then subsequently heavy bleeding is due to the abortion process. If the clots you passed contained some white clots also, it means they are products of conception. The best option for you is to undergo ultrasonography. This will reveal whether you have any products of conception still left in the uterine cavity or whether the cavity is empty. If some products are still in the cavity (incomplete abortion), you may have to undergo surgical evacuation of the uterus. If there is any evidence of blood in the pelvic cavity, you have to keep the possibility of the pregnancy outside the uterine cavity (ectopic Pregnancy) in mind. This is a very serious bleeding emergency and calls for immediate medical help with blood transfusion. So please report to your Gynecologist for appropriate diagnosis and management if required. I hope this helps you.