What should I do if I'm 6 weeks pregnant and experiencing bright red bleeding with clots?

Based on the information you’ve given, your symptoms are concerning for a possible miscarriage, especially with the bright red bleeding, passage of clots, and what you described as a fluid-filled sac. The likelihood of this increases with the fact that your β-hCG levels are relatively low for six weeks of pregnancy and nothing was seen on the ultrasound, which might indicate that the pregnancy isn’t progressing as expected. Although the absence of cramping today is a positive sign, it doesn’t rule out complications completely. Folic acid and Pregnafol are generally used to support pregnancy, but in this scenario, they’re not addressing the bleeding directly. The continuation of the bleeding and the characteristics you’ve mentioned make it important to seek immediate medical evaluation. Contact your obstetrician-gynecologist or visit an emergency care facility as soon as possible for further assessment. They might want to repeat the ultrasound or perform additional tests to determine the current state of your pregnancy and your overall health. In some cases, such bleeding might require medical or surgical management if it’s indeed a miscarriage, or to rule out other conditions like an ectopic pregnancy which requires urgent treatment. Until you can be seen, avoid heavy physical activity and pelvic exams, and ensure you’re staying hydrated. Document any further changes in your symptoms and the amount of bleeding. Quick and thorough medical evaluation helps ensure your health and safety.