<s>[INST] Hello Dr. my wife last saw her menstral cycle in august 2010. but just last week here she started seeing some blood stains uptill now. we then went ahead to do a pregnancy self test using accurate testing kit and it was positive.pls. we need your counsel. [/INST] Hello dear, I understand your concern. In my opinion the spotting in pregnancy is seen in case of hormonal abnormalities like progesterone insufficiency, thyroid abnormalities, any excess physical strain, bleeding from cervix etc. I suggest you to get thyroid profile and ultrasound done to rule out the cause of bleeding and to know pregnancy status. Avoid physical strain, intercourse and take rest. Consult doctor.Don't worry it will subside with apt treatment. Best regards... </s>