Can You Really Have a Period While Pregnant?

Let’s set the record straight: you can’t technically have your period while you’re pregnant. But yes, some women experience vaginal bleeding during this time, and it’s often mistaken for a regular menstrual cycle. However, this isn’t menstruation in the true sense.

Why Periods and Pregnancy Don’t Mix

Your typical period is your body’s way of saying, «No baby this month.» Every month, your uterus builds up a cozy, blood-rich lining to prepare for a possible pregnancy. If the egg isn’t fertilized, this lining is shed, resulting in what we call a menstrual period.

But, if a fertilized egg does settle into this lining, your body starts producing hormones to keep it intact. This means all that tissue stays put to support your developing baby. Ergo, no periods until after the baby has left the building (or uterus, to be precise).

Spotting: Is It a Cause for Concern?

Not to be confused with a period, spotting involves just a few drops—think a light smattering rather than needing a full pad. Occasional spotting is fairly common, especially in the early days of pregnancy when your body is adjusting to the new normal. Even about 15 to 25 percent of pregnant women experience some spotting!

One usual suspect for spotting is «implantation bleeding,» when the fertilized egg nestles into the uterine wall around 10 to 14 days post-fertilization. It’s a natural part of this extraordinary journey to parenthood.

Other Possible Causes of Spotting

• Engaging in sexual intercourse
• Fluctuating hormones
• Having a Pap smear or vaginal exam
• Infections, such as vaginitis or STIs

If you notice any spotting or bleeding, it’s important to contact your healthcare provider. While many cases resolve without issue, it’s wise to rule out more serious concerns like infections, placenta issues, or even complications like an ectopic pregnancy, which can be life-threatening.

What Happens If You’re Spotting?

Most spotting goes away on its own after a day or two and doesn’t warrant packing a pad. That said, even if you’re convinced it’s harmless implantation bleeding, it’s always a good call to give your healthcare team a heads up.

In Case of Bleeding or Spotting: What to Do

No matter the amount, if you encounter bleeding during pregnancy, reach out to either your doctor or a midwife ASAP. Most women who experience some bleeding go on to have healthy pregnancies, but an examination is essential to rule out bigger concerns.

Pay attention to additional symptoms:

• Cramping or contractions
• Pain in the pelvic region or abdomen
• Dizziness or feeling faint
• Running a fever or experiencing chills
• Signs of preterm labor, like water breaking

If your healthcare provider is unavailable and you have heavy bleeding or unsettling symptoms, get to an emergency room. Once there, if all seems okay, they might suggest activities like taking it easy and refraining from sex, travel, or strenuous exercise. Your health and the little one’s well-being are of utmost importance!