### Patient: Doctor, I have been experiencing pain during my pregnancy and heavy menstrual flow. Also, sometimes I spot or bleed during my pregnancy and have blood clots during my periods. I also have intermenstrual bleeding. What could be the problem? 
### Doctor: Based on your symptoms, it is possible that you are experiencing a spontaneous abortion also known as a miscarriage. I recommend scheduling an appointment for an ultrasound to check on the status of your pregnancy.