Spotting During Pregnancy

Dr. Elizabeth Pryor answers the question, Should I worry about spotting?

question mark pregnant belly Kaarsten/

I'm five and a half weeks pregnant and had quite a bit of dark red bleeding yesterday morning. I spotted brown throughout the day and it has stopped today. My hCG level today was 1309. Does that sound low?


    That level sounds normal for you gestational age. However, the most important thing is to have the same test repeated 48 hours later. For a normal pregnancy, the hCG level should double in 48 hours. That is more important than the initial hCG level itself.

    Since you have had spotting, I would recommend an ultrasound to look for the fetal sac in the uterus. Many women will experience spotting very early in pregnancy. Most of the time, the spotting is secondary to implantation bleeding. This is when the pregnancy "sets up shop" in the lining of the womb. The implantation bleeding usually will occur at four to five weeks.

      Spotting and Bleeding During Pregnancy: When to Worry


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