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Non Emergent Causes of Vaginal Bleeding MOLAR PREGNANCY Diagnosis by U/S showing snowstorm pattern or cystic structures Treatment is surgical evacuation with close monitoring of -HCG levels IMPLANTATION BLEEDING Definition: spotting from implantation of embryo around the time of expected menses ANEMBRYONIC PREGNANCY Development of a gestational sac without embryonic structures They may present with vaginal bleeding and abdominal pain The diagnosis is confirmed with ultrasound