Hello, and thank you for your question. I will be happy to assist you. Answers are for educational purposes only.

Hi, I am sorry this process has been difficult for you so far. I will do my best to provide you with insightful and helpful information.

Given that she has had two separate negative pregnancy tests now, then she is not pregnant. This is very common for miscarriages to happen this early in the process. If it has not happened yet, I would expect her to get her period by one month after the loss. If there is any residual question about the pregnancy, then a blood test (serum quantitative BHCG) can be checked. If it is negative, then she is definitely not pregnant. If it is elevated, then she should have it repeated two days later to see which direction it is going, and if down, continue the levels until they are zero. Most miscarriages that happen this early are due to a genetic problem. Through no fault of anyone, up to 50% of early pregnancies are unable to continue because of a chromosomal abnormality that prevents the pregnancy from developing and surviving.

In regard to her weight loss and bruising, she should have some tests to see what the cause of this is. Typically you would check a complete blood count with a peripheral smear. Additionally, she should get checked for other bleeding disorders such as hemophilia and von willebrands disease. Her family doctor can do this, but also a hematologist (a specialist is blood diseases) can evaluate her.

I hope this is more helpful. Please respond if you have any questions or need any clarification and I will be happy to answer. My goal is to provide you with excellent service. Best of luck to your friend.