Definitely a Miscarriage??

Patient : Hi, I tested positive on 5 different hpt last week, Thursday and Friday (the 18th and 19th). I saw my doctor on Monday (the 22nd) and I am 5 weeks pregnant. However, I have had mild cramping since the time when my period was due and Monday evening I started spotting. I am still bleeding, over 48 hours now. I would call the bleeding mostly light, sometimes moderate. It is pink to red in colour. I am still having mild cramps. My hcg level on Monday was only 40. I had blood work done this morning and will find out the results tomorrow. My question is, is this definitely a miscarriage? Thanks.
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