<s>[INST] Good morning Doctor, I Ms. Tanushree das, am 30+ yrs old. I got pregnant in the month of May, as I did a Preg test in the same month and took the required precautions. In the next month too I did the preg test to confirm my pregnancy, as before this I got a miscarriage in the month of March 2009 after 6 weeks of pregnancy. As I m working I took leave from the workplace. But on 6th July 2010, I felt some sticky things coming out and hence consult with the Doctor. She prescribed me Tedenal, Follic acid, Polybion syrup and a USG done immediately. I did the same. But when my USG was done I got a pain in my lower abdomen and hence she suggested me to take complete bed rest. At the very next day, ie on 8th July I got severe pain in the lower abdomen and the blood started flowing. At midnight a pinkish sac ( very small) came out andthere is slight relief from the pain. In the next morning a big sac like structure came out with slight blood clot on it. I consult with my gynae, she toldme to wait and watch if at all any blood clot iscoming or not and wait for 3-4 weeks and get a USG. Sir, I just want to know that whether my pregnancy is still there or not. I m afraid of the USG test as it seems to be painful to me. What should I do. I don t want to happen this again and again. And one more thing I got a Progestrone injection on 8th July. Sir please help me to know whether I m still pregnant or not . what are the other precautions I should take in my future to concieve a healthy baby. Thanking you, Yours truly, Tanushree Das [/INST] HI, Thank you for the query.  - From your history, you had bleeding in early weeks of pregnancy followed by abortion. Yes it seems to be complete abortion, as the bleeding completely stopped after passing the big pink sac. (suggests expulsion of fetus.). It can be confirmed by USG abdomen.  If you feel USG is a painful experience for you, try USG scanning per abdomen is not painful at all. Only thing is you have to retain urine till bladder is distended before the scan. - Injection proton depot is a hormone preparation given to avoid abortion. But probably it was given after the harm was already made. - Precautions for next pregnancy- - get complete health check up of both partners including blood grouping/ V Chat Doctor.  Any problem found must be treated before getting next conception. With an expert gynecologist/ urologists advise.  _ Try to have good health (with no health issues) before planning for a baby.  - Take folic acid pill/ capsule vitamin E 200 mg once a day (both partners.  - Take oral contraceptive for 3 cycles before trying for a pregnancy.  After 3rd course, stop the contraception & try around ovulation day (tested by LH surge test . Home kit.)  - Get pregnancy test done after 8 days delay in period & once the pregnancy is confirmed, start with medicine like Proton depot (hormone for fetal development & continuation of pregnancy)weekly with your gynecologists advise.  - Continue hormones as advised by your doctor. Avoid stress (physical/psychological) up to 14 weeks of pregnancy.  - Have regular pregnancy check-ups This will take you to a successful motherhood!  Thanks. </s>