Pink spotting in the first trimester

A sensitive cervix may bleed after sex or an examination. Other explanations include infection or changes within the pregnancy that cannot be assessed safely from colour alone. Chlamydia may bring discharge, burning, or pelvic discomfort. Cervical dysplasia and cervical cancer can present with abnormal bleeding, but spotting itself does not prove either condition. The clinician will consider your dates, previous pregnancy history, bleeding pattern, and physical symptoms.

Prepare a clear description: when it started, whether it is only on wiping or reaches a liner, whether it is pink, brown, or red, and whether cramps are present. Mention one-sided pain, shoulder pain, fever, dizziness, or urinary symptoms. Assessment may include an examination, pregnancy hormone testing, blood group testing, or ultrasound.

Contact your pregnancy care team the same day for advice. Wear a liner to monitor changes, avoid tampons and douching, and pause sexual activity until you have received guidance if contact seems to trigger bleeding. Keep a symptom log and bring a list of medicines. Do not start or stop treatment based on spotting alone.

Attend emergency care for heavy bleeding, severe abdominal or one-sided pelvic pain, fainting, shoulder-tip pain, fever, or sudden weakness. Get prompt advice for a positive pregnancy test with bleeding and pain, or for symptoms that are worsening rather than settling. These features can signal a need for immediate examination.

Ask what findings would change the plan, whether you need repeat tests or an ultrasound, whether your blood group matters, and which service should handle new bleeding outside office hours.