- First, hormonal changes can cause something called"breakthrough bleeding" even when you are actually pregnant. This bleeding can follow the normal hormonal ups and downs you experience in your monthly cycle. It can be very confusing, but usually the bleeding is lighter and somewhat different than an actual period. Additionally, if your progesterone is too low, your uterus may not be able to maintain the uterine lining which could be problematic in pregnancy.
- Implantation spotting is also quite common. I had bleeding with all my pregnancies. However, the spotting was usually darker in color than a normal period. If the bleeding is bright red, this could be a sign of trouble. Implantation spotting usually only lasts a few days, however, even with my successful pregnancy, I spotted the full first trimester
- Ectopic pregnancy can cause bleeding also. I also had an ectopic pregnancy and I did feel pain, even before it ruptured. Pregnancy really shouldn't be painful, so if you are experiencing pain, you should get it checked out.
- Miscarriage will of course cause bleeding. Many times the bleeding starts light and when the uterine contents are expelled, it can get quite heavy. One of my miscarriages included quite heavy bleeding which ended with the passage of some tissue. The cramping was quite severe.
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