Vaginal bleeding or spotting in the first trimester occurs in 40% of all pregnancies. Bleeding can be a result of implantation, sexual intercourse (irritation of the cervix) or can be signs of more concerning conditions such a miscarriage or ectopic pregnancy. If your bleeding is heavy (more than a pad an hour) or having significant amount of pain then please go to the emergency room after hours. During the day, call our office and speak with one of our triage nurses. We will order a hormonal level (beta quant HCG). After review of your symptoms and hormone levels we will determine if you need an immediate (or same day) appt, repeat hormone level done in 48 hours or an ultrasound.
Click here for more reading on vaginal bleeding