Bleeding after transvaginal ultrasound

Patient

Q: I experienced spotting one time yesterday afternoon and stopped so i went to er last night and hcg was lower than what i thought i was being 7 weeks but i also had 2 periods in December so i might not be as far along as i thought but this morning and afternoon i have been spotting more i did receive a transvaginal ultrasound can that cause bleeding afterwards?

Doctor

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