Not all bleeding during pregnancy automatically designate a miscarriage. Although this is a possible finding in the first trimester for about 20% of all pregnant women, there are a number of other reasons for light spotting or bleeding during the first 20 weeks of pregnancy. However, if the bleeding seems unusual, you can prefer best gynecologist in Lahore.

What is normal?

 Breakthrough bleeding:

If you were not pregnant, you may have light bleeding during your period. This is due to a delayed response to the hormones that control the menstrual cycle, resulting in one or more lightenings, leading to menstrual bleeding in some women.

 Implantation Bleeding:

From about 6-12 days to 4 weeks of pregnancy, implantation bleeding occurs while the fertilized egg attaches to the uterine wall for further development. You might mistake it for a light period instead of pregnancy.

Implantation blood is usually light pink to dark brown, does not flush into the toilet, and is light enough to not require a sanitary pad or tampon.

Cervical changes:

The cervix is ​​a hard structure that extends from the uterus to the vagina and regulates the entry of semen through a small opening. During pregnancy, the cervix becomes enlarged and tender due to increased blood flow and forms a mucus plug that prevents opening until birth.

Any vigorous contact with the now-sensitive cervix, such as intercourse or the mandatory 6-12 week internal exam, can cause light bleeding that usually clears up within 24 hours.


Yeast infections are very common during pregnancy, and can trigger a rash by inflaming and irritating the vaginal tissues. A bacterial infection or STI can also cause bleeding. In such cases, treating the underlying cause can stop the bleeding.

The Disappearing Twin:

You will only experience this phenomenon if you have undergone IVF (in-vitro fertilization) to help you conceive. In such cases, two embryos (eggs) may be implanted in the uterus, although only one develops, while the other passes out through the vagina. This is why the blood is flowing.

What is not?

Subchorionic Hemorrhage:

Sometimes bleeding can occur around the placenta (the organ that connects the baby to the wall of the uterus), resulting in light vaginal bleeding or spotting. Subchorionic hemorrhage increases the risk of preterm labor.

However, most cases resolve easily with prompt treatment and you can continue with a normal pregnancy.


Early miscarriages result from improper growth of the baby, resulting in bleeding that continues to be heavy. Bleeding from a miscarriage can include mild to severe pain in the lower back, abdominal pain or contractions, sudden loss of pregnancy symptoms, white-pink mucus, and clot-like material in vaginal tissue.

However, it’s not clear why miscarriages happen, and it’s never your fault. However, many women often dismiss early miscarriages as particularly heavy periods when the pregnancy is still undetected.

Ectopic pregnancy:

In such cases, the egg implants in the uterus, usually somewhere other than the fallopian tubes, causing them to rupture and resulting in internal bleeding. This is a potentially life-threatening complication that requires immediate removal of the incorrectly implanted egg.

Symptoms usually start early, and vaginal bleeding (dark, watery, and continuous) is often the only symptom. Other symptoms include weakness, dizziness, or fainting due to anemia.

Molar pregnancy:

While extremely rare, a molar pregnancy occurs when the egg does not develop properly, and cells from the placenta begin to grow and grow in place inside the uterus. Absence of a heartbeat during ultrasound, a rapidly growing uterus, abnormally high CG blood levels, and a grape-like mass in the uterus may also indicate this.

Some Precautions:

If you experience light spotting, wear a pad for 1-2 days to help you record the type, amount, and duration of blood for an accurate diagnosis. Also, bring any tissue that passes through your vagina for testing. Avoid intercourse and tampon use while you are bleeding.

Although most cases of vaginal bleeding or spotting during pregnancy are normal and temporary, always contact your doctor immediately if you experience bleeding.

If nothing else, it will give you peace of mind, which is essential for a healthy pregnancy. You can also book an appointment with best gynecologist in Lahore.

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