Is Spotting Always a Bad Sign? Facts vs Myths

Reviewed by: Dr. Fatimah Khan

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5 min read

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Apr 30, 2025

You are in early pregnancy and perhaps you've seen a bit of spotting in your underwear. Of course, that can be frightening. But don't worry, before you freak out, let's discuss what spotting really is—and more importantly, what it doesn't necessarily mean.

Here's an easy, fact-based explanation to help you see the difference between what's normal and what may require a doctor's care.

Fact: Light Spotting Can Be Completely Normal

One of the most typical causes of spotting during early pregnancy is implantation bleeding. This occurs when the fertilized egg implants itself into the uterine wall, typically around the time your period would have arrived. It's typically light brown or pink and lasts for a few hours to a couple of days.

Even at 6–10 weeks, your cervix is even more sensitive because of the added blood flow. A vaginal exam, sex, or even exercise can sometimes make you spot lightly—this is generally nothing to worry about.

Myth: Any Spotting Means You're Having a Miscarriage

It’s completely understandable to fear the worst. But here’s the truth: spotting does not always mean miscarriage. In fact, up to 25% of pregnant women experience some spotting in the first trimester, and most go on to have healthy pregnancies.

That said, if spotting turns into heavier bleeding, looks bright red, or comes with cramping or pain, it’s always best to check with your healthcare provider.

Fact: Hormones Can Lead to Early Spotting

Early in pregnancy, your body is getting used to an increase of hormones such as progesterone and estrogen. They can at times make your uterine lining overreact, particularly if your body is just getting used to not having a normal period.

Even some women have what seems like a light period early in pregnancy, particularly in the first few months. Again, pay attention to the color and quantity of bleeding and how you feel in general.

Myth: Spotting Means the Pregnancy Isn't "Sticking"

There's a common myth that if you see it, your body isn't keeping the pregnancy. That's incorrect. Most pregnancies start with a little spotting and go on to be fine. It's not an indication that your body is doing something wrong.

If you're noticing pale pink, brown, or beige discharge and are not in pain, it's generally not something to worry about. Just report it at your next check-up.

Fact: Some Infections May Cause Spotting

Spotting isn't necessarily pregnancy. Now and then a urinary tract infection (UTI), yeast infection, or bacterial vaginosis may result in light bleeding or pink discharge. These are treatable and not rare during pregnancy because of alterations in your vaginal pH and immune system.

That's why it's a good idea to inform your OB-GYN of any spotting, particularly if you also experience itching, odor, or pain while peeing.

Myth: You Should Ignore Spotting If It's Light

Although light spotting is usually harmless, it's still something you should monitor. Note:

Color (pink, red, or brown)

Amount (just a few drops or more)

Timing (when it began and how long it lasted)

Symptoms that may accompany (pain, cramps, fever)

This informs your doctor better. If in doubt, call your doctor—better safe than sorry.

Final Thoughts

Between 6–10 weeks, your body is in overdrive supporting your growing fetus. Spotting at this stage can be disconcerting, but not necessarily a sign that something is amiss. Lots of women get spotting and have perfectly healthy pregnancies.

Always tune in to your body, monitor your symptoms, and don't hesitate to call your healthcare provider. You're not alone, and you're not being anxious by asking questions—you're being informed and empowered. Breathe—you're rocking this, Mama.

References:

1. American College of Obstetricians and Gynecologists (ACOG) – "Bleeding During Pregnancy" https://www.acog.org/womens-health/faqs/bleeding-during-pregnancy​

2. Mayo Clinic – "Bleeding During Pregnancy: When to See a Doctor" https://www.mayoclinic.org/symptoms/bleeding-during-pregnancy/basics/when-to-see-doctor/sym-20050636​

3. Centers for Disease Control and Prevention (CDC) – "Signs and Symptoms of Urgent Maternal Warning Signs" https://www.cdc.gov/hearher/maternal-warning-signs/index.html