HomeAnswersObstetrics and Gynecologyimplantation bleedingAre occasional spotting and breast tenderness signs of early pregnancy?

Does spotting after sex imply implantation bleeding?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 7, 2020
Reviewed AtApril 16, 2024

Patient's Query

Hi doctor,

I have had some on and off spotting for three to four days. It is pinkish color and then I have a little brown color when I clean myself. I have had no cramps, no pains, no nausea the only thing that I have had is my areolae are super sensitive. My last period was the last week of last month and they are usually spots and not irregular. I have taken two pregnancy test and both came back negative. I have looked online and have heard of implantation so I am wondering if this could be a really late period or possible pregnancy. My husband and I do not use protection and I am not on birth control either. The spotting is off and on, not all day, usually, I have to change pads often for my cycle but I can use a light pad for all day use with the spotting. If this seems like implantation when can I test and get a positive? How far can implantation happen? Usually, my cycle has clots in it and is super heavy and I have some pretty bad cramps, but I have not had any type of pains with this. I have one son already and did not notice this earlier.

Answered by Dr. Balakrishnan R

Hi,

Welcome to icliniq.com.

According to your information, today is a bit early to have pregnancy test positive. None of these signs predict pregnancy. Urine pregnancy test and also the serum beta HCG (human chorionic gonadotropin) is usually suggested at least one day after the expected period. Breast tenderness or pins and needle sensation is due to the progesterone hormone, which is normal before a normal period. The pink spotting can be either an excessive discharge from the cervix due to congestion. So also the brownish discharge, which is old altered blood. One more reason, if I may suggest is your weight. Your expected should be 115 to 125 lbs. This extra cholesterol can get converted into hormones altering the hormonal support to the endometrial lining. So this luteal phase defect can cause these clots, fleshy masses in periods blood with quite disturbing pain. Some leftover old blood also may be falling out now. The pain will be more if you have a cesarean section, since your last delivery, mostly your body weight has not reduced. Anyway, check your urine for pregnancy at one day after your expected periods. Use the morning first sample of urine.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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