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Pregnant and having periods


Pregnant and Period: Is It Possible?

The short answer is no. Despite all of the claims out there, it isn’t possible to have a period while you’re pregnant.

Rather, you might experience “spotting” during early pregnancy, which is usually light pink or dark brown in color.

As a rule of thumb, if there’s enough bleeding to fill a pad or tampon, then it’s a sign you’re probably not pregnant. If you’ve had a positive pregnancy test and are bleeding heavily, seek medical care.

Your period occurs every month or so in lieu of an egg becoming fertilized. Eggs are released once a month from the ovary. When they aren’t fertilized, the egg travels out of the uterus and sheds through the vagina.

Bleeding during a “normal” period often starts off light, then gets heavier and darker red. It also lightens in color and quantity toward the end of the cycle.

The differences between menstruation and being pregnant are supposed to be clear-cut: Once you’re pregnant, you don’t get periods anymore. But it isn’t always so obvious.

Some people claim they’ve gotten periods while pregnant. Fueling some of the inquiries in the “periods while pregnant” conspiracy are social media, blogs, and even television shows like “I Didn’t Know I Was Pregnant.”

Bleeding is a warning sign, but it doesn’t have to be something bad. Many people go on to have healthy babies after experiencing spotting during their first trimester. If you do bleed during pregnancy, it’s related to something else other than regular menstruation.

After all, periods only happen when you’re not pregnant. Learn about the different types of bleeding during pregnancy and when you need to call your OB-GYN.

Between 15 and 25 percent of people spot during early pregnancy. Some of the causes are:

  • implantation bleeding
  • changes in the cervix
  • infection
  • molar pregnancy (abnormal mass fertilizes instead of a fetus)
  • ectopic pregnancy (a pregnancy outside of the uterus)
  • early signs of a miscarriage

Implantation bleeding

This happens in the earliest stages of pregnancy. At this point, you likely haven’t gotten a pregnancy test yet. This type of bleeding occurs when the fertilized egg implants into the uterus, usually around the time your period would be expected.

Implantation bleeding is sometimes mistaken as a period, though the bleeding is usually light or just spotting.

Shortly after pregnancy, you might also experience spotting from cervical changes. Unless there’s an infection, this isn’t often cause for concern.

Other causes

Other types of early bleeding that can indicate an emergency medical issue include:

  • infections
  • ectopic pregnancy
  • molar pregnancy
  • miscarriage

These can also be accompanied by:

  • severe cramps or abdominal pain
  • back pain
  • faintness or losing consciousness
  • fatigue
  • shoulder pain
  • fever
  • vaginal discharge changes
  • uncontrollable nausea and vomiting

The bleeding is also much heavier, unlike spotting. It’s more like a normal period.

Bleeding beyond the first trimester often requires medical attention. Regardless of whether bleeding during the second and third trimester is light or heavy, with or without any other symptoms, you need to call your doctor for an emergency visit.

Common causes of bleeding during the rest of pregnancy include:

  • term or preterm labor or cervical dilation
  • miscarriage
  • placenta previa
  • placental abruption
  • uterine rupture (rare)
  • vasa previa (rare)

Preterm labor

This refers to any birth that happens before 37 weeks. Before preterm labor, some people experience symptoms similar to a period as well as a large amount of mucus discharge.

While cramping may also be felt, preterm labor also causes contractions. Symptoms of preterm labor might also include:

  • backache
  • a sensation of pressure in the vagina
  • changes in discharge

Placenta previa

This happens when the placenta is implanted low in the uterus and very close to, or covers, the cervix. The bleeding varies, but there are no other symptoms. Placenta previa can hinder labor and delivery.

Placental abruption

This occurs most commonly during the last few months of pregnancy. The placenta detaches from the uterus, usually causing heavy bleeding and possibly severe stomach pain and cramping. Certain health conditions, such as high blood pressure, can increase the risk of placental abruption.

Uterine rupture

A uterine rupture means that the muscle of the uterus separates or tears. This can cause uncontrolled bleeding. It occurs most commonly in those who have delivered via cesarean delivery in the past. Though rare, this type of tear happens on old scar lines along the uterus.

Many of the conditions that happen in the latter part of pregnancy cause bleeding and other symptoms similar to a period. These aren’t really menstruation, though.

It’s not possible to get your period while pregnant. You may, however, experience similar symptoms of a period during the first trimester. These include:

  • vaginal bleeding (light and short term)
  • light cramping
  • fatigue
  • irritability
  • lower back pain

The difference is that these symptoms are related to your body’s natural preparation methods for pregnancy. If any of the above symptoms are severe or don’t go away, you’re in the second or third trimester of pregnancy, or both apply, seek immediate care.

Sometimes it’s difficult to tell whether bleeding is indicative of a medical emergency or not. As a rule of thumb, if you’re bleeding at any stage of pregnancy, call your doctor right away.

Q:

What’s the earliest you can test and get a positive pregnancy result?

Anonymous patient

A:

Home pregnancy tests measure a level of a hormone called human chorionic gonadotropin (hCG) in the urine. Urine usually has less measurable hormones than blood, so urine tests may not be as accurate early in the pregnancy. Several factors can affect the accuracy of the home urine pregnancy test: the type of test or brand, error in interpreting the results, female cycle length, and interference from another diagnosis or treatment are a few examples. The best time to take a home pregnancy test is at the time of a missed menstrual cycle. However, even on the first day after a missed period, more than a third of pregnant women will have a negative home pregnancy test result. Some women report having positive results before the date of their expected menstrual cycle, though this isn’t common.

Kimberly Dishman, MSN, WHNP-BC, RNC-OBAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Having a period while pregnant: Is it possible?

Photo credit: iStock.com / LuckyBusiness

You can't have your menstrual period while pregnant, although some women do have vaginal bleeding during pregnancy. Some even report intermittent bleeding that seems like a regular period to them. But vaginal bleeding during pregnancy is not the same thing as menstruation.

Learn why spotting might be normal during pregnancy, plus why it's important to let your provider know if you have any bleeding or spotting while pregnant.

Why you can't have your period while pregnant

Menstruation only happens when you're not pregnant. Each month, your uterus grows a thick blood-rich lining in preparation for an egg to embed there. If you don't get pregnant that month, you shed this tissue and blood, and this is your menstrual period.

But once an egg embeds in the uterine lining, hormones tell the blood-rich tissue to stay intact to support the growing baby. And you won't shed it and start having your period again until your pregnancy is over.

Is spotting normal during pregnancy?

Non-period bleeding occurs during pregnancy for various reasons. It's important to know the difference between spotting and bleeding. Spotting is a few drops of blood every now and then on your underwear, but not enough to cover a panty liner. Bleeding, on the other hand, is a heavier blood flow for which you'll need a liner or pad to prevent the blood from soaking your clothes.

Some spotting in early pregnancy is normal, and happens in 15 to 25 percent of pregnancies. The cervix may bleed more easily in pregnancy because more blood vessels are developing there. Spotting may happen in the 10 to 14 days after conception when the fertilized egg implants in the lining of the uterus. This is known as "implantation bleeding."

Other reasons for spotting during pregnancy include:

  • Having sex
  • Hormone changes
  • Having a Pap smear or vaginal exam
  • Vaginitis or a sexually transmitted infection

Always call your provider if you experience bleeding or spotting during pregnancy. It could be a sign of something more serious, such as an infection, placenta problems, impending miscarriage, or an ectopic pregnancy, which can be life-threatening. (See our article on vaginal bleeding in pregnancy for a complete rundown of possible causes.)

How long will spotting last during pregnancy?

Unlike your menstrual period, spotting during pregnancy only lasts about 1 to 2 days. If this spotting is implantation bleeding, it likely occurs a few days sooner than your next expected period. It will be much lighter and not require you to change a pad. Implantation bleeding doesn't require treatment and stops on its own. Even if you just think you're having implantation bleeding, be sure to call your healthcare provider to let them know.

What to do if you're bleeding or spotting during pregnancy

Call your doctor or midwife immediately at the sign of bleeding or spotting during pregnancy – even if the bleeding has stopped. Many women who bleed a little during pregnancy go on to deliver without complications, but you may need an evaluation to rule out any serious problems. Look out for other symptoms as well:

  • Cramping or contractions
  • Pelvic or abdominal pain
  • Dizziness or fainting
  • Fever or chills
  • Signs of preterm labor, such as your water breaking

Go to the nearest emergency room if your doctor's office is closed and you can't reach your provider. If they determine your bleeding isn't serious, potential treatments may include things like relaxing and avoiding sex, travel, and rigorous exercise. It's important that you follow your provider's recommendations, to keep both yourself and your baby healthy.

Maggie Getz

Maggie Getz is a freelance writer and editor specializing in health, wellness, and motherhood. She lives in Colorado with her husband and young son and daughter. She enjoys hiking, yoga, baking (and eating said baked goods), as well as connecting with other moms.

Pregnancy and menstruation | Kotex®

The question “Am I pregnant?” probably occurred at least once to the vast majority of heterosexual women who are sexually active.

Although the absence of periods is the most noticeable early symptom of pregnancy, many women have many questions when it comes to whether menstruation is possible during pregnancy.

Is it possible to have periods during pregnancy?

No, they can't. If you have your period, it means that you are not pregnant.

Menstruation occurs only if the monthly egg that comes out of the ovaries has not been fertilized.

If the egg is not fertilized, it leaves the uterus and is excreted along with the menstrual blood through the vagina.

The difference from pregnancy seems obvious at first glance, because during pregnancy there are no periods, and if you are not pregnant and in reproductive age, then you have periods.

But some women have doubts about this, which are related to the fact that about 20-30% of pregnant women have irregular spotting, which in essence is not menstruation and differs from it: most often they have light pink or brown shade and not so abundant. Sometimes women confuse them with menstruation if they occur around the same time that menstruation is expected.

  • normal menstrual bleeding is light at first and then increases, and the blood becomes more saturated red

  • normal menstrual bleeding becomes less intense towards the end of menstruation, the color also becomes less intense

What can cause bleeding during early pregnancy?

Bloody discharge during pregnancy can be associated with many factors, each of which is a reason to urgently visit a doctor to rule out pathology.

Main causes of bleeding in the first trimester of pregnancy:

  • bleeding after attachment of the egg to the wall of the uterus

  • signs of threatened miscarriage

  • infections

  • ectopic pregnancy

Many women who experience this light bleeding go on to have normal pregnancies and give birth to healthy children, but in about a third such bleeding becomes more intense over time and eventually leads to a miscarriage.

Unfortunately, there is no way to determine at home what caused such bleeding, so whenever such light bleeding occurs during pregnancy, you should consult your gynecologist for advice to rule out the possibility of pathology.

Important: if you are pregnant and have bleeding that becomes more intense and does not stop, accompanied by pain in the abdomen and lower back, you should immediately consult a doctor.

When do periods start after pregnancy?

Both after caesarean section and after vaginal delivery, women experience vaginal bleeding.

In the first weeks after childbirth, the blood may clot and be more intense than normal periods, but then they become brown, light red and finally whitish.

This discharge is called lochia and usually lasts no more than 45 days after vaginal delivery and up to 60 days in women after caesarean section. Lochia begins immediately after childbirth, and menstruation occurs only when the level of the hormone prolactin in the woman's body drops, which causes the appearance of breast milk.

If you are not breastfeeding, your periods usually return 6-8 weeks after delivery.

If you are breastfeeding, you may not have your period for as long as you are breastfeeding your baby.

During lochia, it is recommended to use pads rather than tampons.

Abortion and menses

Many questions about menstruation also arise in women who have experienced an unplanned pregnancy and have decided to have an abortion.

How this procedure will affect the body depends on many factors, primarily on whether the abortion was medical or surgical. Bleeding after an abortion is normal, but in the truest sense of the word, menstruation is not.

Medical abortion

During a medical abortion, the doctor gives you two pills.

Usually, the first tablet is taken under the supervision of a doctor, in the clinic. After taking this pill, the endometrium of the uterus, to which the fertilized egg is attached, ceases to thicken, and pregnancy can no longer develop. Some women begin to bleed at this point.

The woman then leaves the clinic and takes the second pill at home. After taking it, the endometrium begins to separate from the walls of the uterus and exit through the vagina. Such bleeding usually begins 0.5-4 hours after taking the pill. Usually, at 4-5 hours of bleeding, it becomes more intense, then its intensity decreases, and it becomes similar to normal menstruation.

Surgical abortion

In the case of a surgical abortion, bleeding may begin immediately after the procedure, but in some women it begins after 3-5 days. Usually such bleeding is weaker than normal menstruation. Bleeding may stop or last until the next menstruation.

How long does bleeding last after an abortion?

Bleeding after any type of abortion often lasts 1-2 weeks. Most often, after this period, it becomes quite insignificant, and in some women it completely disappears until the next menstruation.

What should be the bleeding after an abortion?

Bleeding after an abortion is similar to normal menstruation, but the blood itself is often brown rather than red. After a medical abortion, it is usually more intense than after a surgical one.

You may notice blood clots and most of the time this is not a cause for concern, but if they continue to stand out against the background of heavy bleeding and continue for more than two hours, then your doctor should be contacted.

Many doctors do not recommend the use of tampons for at least two weeks after an abortion, during this period it is better to use hygienic gaskets.

First period after abortion

Abortion restarts the menstrual cycle.

Periods after it usually return to normal within 1-1.5 months after the procedure. The timing depends, among other things, on how long the pregnancy was terminated—as a rule, the longer the term, the more time it may take for the body to restore the usual level of hormones.

Menstruation during pregnancy - maternity hospital "Leleka"

Young women often wonder if pregnancy and menstruation can happen at the same time. Indeed, during pregnancy, some women experience spotting, which is mistaken for menstruation. But it's not.

Full menstruation during pregnancy cannot be. The endometrium, the layer of cells that lines the inside of the uterus and is shed during menstruation, helps the placenta develop during pregnancy and stays in the body. The cycle of monthly renewal of the endometrium during pregnancy stops.

However, spotting during pregnancy is not uncommon. Their appearance indicates that there are some malfunctions or pathological conditions in the woman's body. It can be a hormonal imbalance, a threatened miscarriage, and even an ectopic pregnancy.

Unfortunately, many young women underestimate this symptom, believing that periods during pregnancy are possible, and do not worry about discharge. They do not go to the doctor until the situation becomes critical. And in some cases, a timely reaction can save not only the unborn child, but also the life of the mother.

What causes bleeding during pregnancy

In order to understand how menstruation can start during pregnancy and what should be done, let's turn to the processes that occur in the body of a pregnant woman.

During intercourse, semen enters the vagina and then into the uterus. But fertilization may not occur immediately: spermatozoa remain active for three days. After the sex cells fuse, the fertilized egg attaches itself to the wall of the uterus. This, too, may not happen immediately, but within a few days. If these processes are delayed in time, the usual regular menstruation may begin. In this case, the egg will be fixed in the uterus, the pregnancy will develop normally. A pregnancy test will show a positive result. Alas, this rarely happens. More often, spotting is an alarming symptom.

Pregnancy and early periods

In some cases, the fertilized egg is not implanted in the uterus, but in the fallopian tube or outside the genitals. An ectopic pregnancy develops - a severe pathology that poses a serious threat to the life of the mother and excludes a favorable outcome for the fetus. In an ectopic pregnancy, spotting may indicate a ruptured fallopian tube. The walls of the fallopian tubes are only 2-3 mm thick, they are inelastic. If an embryo develops and grows in the tube, the wall breaks, internal bleeding begins. This usually happens within 3-4 weeks. In this situation, urgent surgical intervention is necessary.

With detachment of the epithelium and the threat of miscarriage, characteristic discharge may also appear. This is possible with hormonal disruptions in the body of a woman. But sometimes spontaneous abortion occurs due to some internal failures that are almost impossible to predict in advance. If a young woman leads an unhealthy lifestyle - drinking alcohol, other toxic substances, or doing a lot of physical labor - this can increase the risk of spontaneous abortion. Allocations will just mean that the process of rejection of the embryo has begun.

Sometimes the cause of discharge is the death of one of the fetuses during a multiple pregnancy. If the pregnancy is multi-ovarian, that is, several eggs were fertilized, the development of other embryos can continue. But the risk of death of other embryos in this situation is quite high.

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