Reasons for Spotting After a Positive Pregnancy Test

Seeing a positive pregnancy test can be an emotional experience – and seeing any blood afterward can be confusing or even alarming. 

Bleeding vs. Spotting During Pregnancy

Spotting means you see a small amount of blood, such as a few drops that may be pink, red, or dark brown. You might notice it on your underwear or when you wipe with toilet paper. The blood is light and does not soak a panty liner. Spotting is common in early pregnancy and is usually not a cause for concern.

Bleeding is heavier than spotting. It looks more like a steady flow of blood and is enough that you need to wear a pad or panty liner to protect your clothing. Bleeding is not the same as spotting and should be checked by a medical professional, especially during pregnancy. (1)

Light spotting after a positive result is common in early pregnancy and often not a sign of serious trouble. Still, understanding the possible causes and when to seek care can help you feel more confident.

Potential Causes for Spotting After Becoming Pregnant:

1. Implantation Bleeding

As the fertilized egg embeds into the uterine lining, tiny blood vessels may be disturbed, causing light spotting. This typically appears pink or brown and lasts a short time. Implantation bleeding is common early on and isn’t usually harmful. 

2. Cervical Irritation

Pregnancy increases blood flow to the cervix, making it more sensitive. Spotting can follow sexual activity or a pelvic exam. It’s generally light and resolves without treatment, but it’s always wise to mention it at your next visit. 

3. Hormonal Fluctuations

Hormone changes in early pregnancy can sometimes cause light spotting as your body adjusts. This can be normal but should be discussed with your care provider to rule out other causes. 

4. Infections

A vaginal or urinary tract infection can irritate tissues and lead to spotting. Prompt diagnosis and treatment are important for comfort and to reduce the risk of complications. 

5. Early Pregnancy Loss or Ectopic Pregnancy

Unfortunately, spotting may also be an early sign of miscarriage or an ectopic pregnancy—where the embryo implants outside the uterus (2). These conditions may involve heavier bleeding, pain, or dizziness, and require immediate medical attention. 

At Pregnancy Resources of Abilene, we understand early pregnancy concerns. Our experienced care team provides compassionate support, diagnostic testing, and personalized follow-up to help you navigate every step of your pregnancy journey. 

If you think you may be pregnant, or have taken a test and are now experiencing spotting, you don’t have to face the uncertainty alone. Free pregnancy testing and ultrasounds at Pregnancy Resources of Abilene in Abilene, TX provide clarity, support, and compassionate care when you need it most.

Contact Pregnancy Resources of Abilene today to schedule a confidential appointment and take the first step toward understanding your pregnancy and your options in a safe, supportive environment.