I’m four months pregnant, but I’m still spotting. Should I be worried?

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Hi. I’m four months pregnant, but I’m still spotting. Should I be worried?

It depends! I am sorry to start of with “it depends” as it really won’t help you that much. But hear me out. In some women, spotting is normal during pregnancy, especially during the first trimester. In your case, in your fourth month, I still wouldn’t be too alarmed. On the other hand, if the spotting is heavy and consistent and/or persists into your second trimester, then there is cause for worry and you should see your doctor for further examination.

There are benign reasons for spotting such as sexual intercourse, a cervical polyp or a recent internal exam. However, there are more serious reasons for spotting. If you are actively bleeding or feel pain, it might be an indication of miscarriage, ectopic pregnancy (when the embryo implants outside the uterus), infections or placental problems, especially if it continues in the second and third trimester. In this case, you should seek immediate medical attention. If you decide to visit your doctor for evaluation, she/he should perform a physical exam, an ultrasound and blood tests.

Boonsaeng Wutthiphan M.D.
OB/GYN, Women – Gynecology
Samitivej Hospital


Expecting Expats is the online resource for parents in and around Thailand.

We provide lifestyle and medical content to our visitors, with new content posted daily. Our lifestyle contributors are themselves expat moms who share their experiences and lessons learned through blog articles. We also provide medical content from our partner doctors at Samitivej Hospital in Bangkok, Thailand. Articles of interest span from before pregnancy through the toddler years and cover medical, behavioral and cognitive issues.

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