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Bleeding during Early Pregnancy
Some women have implantation bleeding during early pregnancy. This usually occurs during the first few weeks of pregnancy. You may notice slight bleeding around the time your period was supposed to arrive. This happens because the fertilized egg is attaching to the uterine wall. Sometimes light bleeding or brown spotting will follow this. Your doctor may order tests to check your hormone levels. Often doctors will check HCG levels to see how far along you are in pregnancy. HCG levels should double approximately ever two days. Your doctor may check your levels more than once to see that they are rising appropriately. Low HCG levels can indicate a miscarriage or ectopic pregnancy. It is important to let your doctor know if you have any spotting or bleeding no matter how light it might be.
Spotting after sex
Many women will have light spotting after sex or following an internal exam at their doctors. Please let your doctor know if you have had sex prior to the time you noticed spotting.
Ectopic pregnancy
Ectopic pregnancy occurs when the fertilized egg attaches somewhere outside the uterus. About one percent of pregnancies are ectopic. The symptoms of ectopic pregnancy are spotting and pain in the abdominal area, usually on one side. Your doctor may perform an ultrasound or order HCG testing to check for an ectopic pregnancy. HCG levels may rise during an ectopic pregnancy but not rise appropriately.
Miscarriage
A miscarriage is the loss of a pregnancy before the twentieth week of pregnancy. About twenty percent of all pregnancies end in miscarriage. There are many causes for miscarriage. The most common are a result of chromosomal abnormalities, uterine anomalies, infection, or placental circulation. Signs of miscarriage are spotting or bleeding and cramping during pregnancy. If you are concerned that you are miscarrying call your doctor right away. Your doctor may perform an ultrasound. Fifty percent of women who have spotting during pregnancy do not miscarry. If during the ultrasound the doctor sees a heartbeat, your chances of miscarriage are even less. If you have an ultrasound between seven and eleven weeks of pregnancy and a heartbeat is seen, your chances of miscarrying are less than ten percent.