Spotting at the beginning of pregnancy

Spotting at the beginning of pregnancy can occur for different reasons, so monitor it and seek advice about any bleeding. Brown, pink, or red staining cannot establish the cause on its own.

Hormonal changes and a more sensitive cervix may cause light bleeding, sometimes after sex or an examination. Infection may be another explanation, particularly with discharge, itching, fever, or pain when passing urine. Bleeding can also occur with miscarriage or ectopic pregnancy, which need medical assessment. A clinician may arrange an examination, blood tests over time, or ultrasound based on your symptoms and pregnancy timing.

Use a sanitary pad, record the colour and amount, and note cramps or pain. Contact your maternity service or doctor for advice, including if the bleeding stops. Avoid tampons and vaginal washes. Before taking pain relief or other medicines, check that the product is suitable in pregnancy.

Seek emergency care for severe pain, pain mainly on one side, shoulder-tip pain, fainting, dizziness, or heavy bleeding. These symptoms can reflect ectopic pregnancy or significant blood loss. Arrange prompt review for worsening cramps, fever, offensive discharge, or bleeding that does not settle.

Ask whether you need an ultrasound or repeat pregnancy hormone tests, how to monitor the bleeding, and which service to call outside office hours. Share any history of ectopic pregnancy, miscarriage, fertility treatment, or pelvic infection.