Miscarry on birth control?

Patient : Is it possible to miscarry while on birth control when I didn't even know I was pregnant?
Symptoms:  Cramping, bleeding, clots
Doctor :   Hello, If you are sure of pregnancy after having tested for it even though you have been on birth control pills, The m ost likely cause of contraceptive failure is usually irregular pill intake or missing pills regularly which cause losing of protection. Regarding your query, yes the early pregnancy can abort with withdrawal bleed in the early months but not necessarily the pill may be the cause , but yes other hormonal imbalances and immature endometrium can cause deficient implantation and thereby abortion. You may undergo an ultrasound and a per speculum exam and if required a D&C to complete abortion and send products for histopathological exam to confirm the pregnancy . I hope i have answered your query, regards

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