What to expect at early midwife appt?

Alexis

I’ve posted about my situation before but I’ve had a consistent tightness/ full feeling in lower abdomen since 9DPO with consistent brown discharge occasionally mixed with dark red, every trip to the bathroom and I wipe. Discomfort sometimes worsen with urinating/bowel movements and even intercourse. I’ve had signs of constipation also though. I’m now about 22 DPO, discharge seems to have just about stopped as of yesterday, but the abdomen tightness has remained. I made an appt with a midwife over a week ago wondering if I had some sort of issue like cysts or endo or something, but since then I got a pretty dark/clear BFP. I called and informed them of the test and I’ll be going in this Wednesday. What do you think I can I expect at this appt? I know I’ll be pretty early, but will they do an ultrasound for the discharge/bleeding? Blood test? Day of my appt I’ll be about 5wk3days; First pregnancy!