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

### input:
Hi! I am 24 this is my first pregnancy. I am guessing I am around 6 weeks. I had a doctor apt scheduled for tuesday (3 days from now) last night I started spotting a little bit, then I woke up at 5am bleed really bad,(clots) and cramping i am still bleeding heavy now but smaller clots, and the pain and cramps have gone away. I really dont want to go to the doctor because I dont have a personal doctor. since i am obviously miscarrying will i be okay if I dont go to the doctor?

### output:

Hello, and I hope I can help you today. Many women can miscarry naturally, meaning pass the fetus at home and have no medical consequences afterwards. However, it is important for you to know that all the tissue has actually come out of your uterus, because even a small speck of pregnancy tissue left inside you can cause you to bleed irregularly, put you at risk for uterine infection, and prevent you from being able to get pregnant again until it is removed. What I would do in your situation, is bought an over-the-counter urine pregnancy test and retest yourself right before your doctor's appointment. If your pregnancy test still comes out positive I do recommend that you follow up with the doctor. This is just to make sure that all the tissue has come out from your miscarriage and that there are no complications that will affect you in the future. Furthermore, 15% of women bleed in the first trimester of pregnancy, and even though you had a lot of bleeding there is still a possibility your pregnancy could be viable. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,