Can you have implantation bleeding 2 days before period

Answer From Mary Marnach, M.D.

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Implantation bleeding
Implantation bleeding symptoms
When does implantation bleeding occur?
How long does implantation bleeding last?
How common is implantation bleeding?
How can I tell if it's implantation bleeding or my period?
When to see a doctor for bleeding in early pregnancy
How many days before period you get implantation bleeding?
Can you spot 2 days before period and be pregnant?

Implantation bleeding is defined as a small amount of light spotting or bleeding. It typically occurs about 10 to 14 days after conception. Implantation bleeding is common, and it usually isn't a sign of a problem.

Implantation bleeding is thought to happen when the fertilized egg attaches to the lining of the uterus. Implantation bleeding usually occurs around the time you would expect to have a menstrual period. However, implantation bleeding is lighter than menstrual bleeding.

Some people don't experience implantation bleeding and others don't notice it. Sometimes, implantation bleeding is mistaken for a light period. If this happens, you might not realize that you're pregnant. This can lead to mistakes when determining a baby's due date. A fetal ultrasound — typically done during the first trimester of pregnancy — can help accurately determine the baby's due date.

Implantation bleeding is light, stops on its own and doesn't require treatment. If you're concerned about any vaginal bleeding during pregnancy, contact your health care provider.

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April 19, 2022

Norwitz ER, et al. Overview of the etiology and evaluation of vaginal bleeding in pregnancy. https://www.uptodate.com/contents/search. Accessed March 23, 2022.
Moore KL, et al. Answers to clinically oriented questions. In: Before We Are Born: Essentials of Embryology and Birth Defects. 10th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed March 23, 2022.
FAQs: Bleeding during pregnancy. American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/bleeding-during-pregnancy. Accessed March 23, 2022.
American College of Obstetricians and Gynecologists. Months 1 and 2. In: Your Pregnancy and Childbirth: Month to Month. Kindle edition. 7th ed. American College of Obstetricians and Gynecologists; 2021. Accessed March 23, 2022.

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Implantation bleeding

Implantation bleeding is light bleeding that a small percentage of pregnant women have at about six to 12 days after fertilization. Here's the theory behind why it happens:

After the sperm fertilizes the egg, it starts the three- or four-day trip from the fallopian tube to your uterus. During this time, it divides into hundreds of identical cells. Meanwhile, your ovaries release estrogen that causes the lining of the uterus (the endometrium) to thicken and develop more blood vessels. The uterine lining is preparing to host the quickly growing egg that will soon become an embryo.

Once the egg enters the uterus, it's called a blastocyst, a tiny ball of several hundred cells. A day or two later, it begins burrowing into the blood-rich lining of your uterus, where it continues to grow and divide. As it burrows into the endometrium, the blastocyst may cause little blood vessels to burst, resulting in a small amount of vaginal bleeding.

Implantation bleeding symptoms

In addition to light bleeding, some women also have these other implantation symptoms:

Light cramping (less than with a normal period)
Nausea
Breast tenderness
Lower back pain
Mood swings
Headaches

Note that these symptoms are no guarantee that you're pregnant – they can also be signs of ovulation or PMS. Taking a home pregnancy test is the best way to find out if you're pregnant. (Though you may have to wait a few more days to get an accurate result.)

If you do get your period instead of a positive pregnancy test, and haven't yet scheduled a preconception visit with a midwife or doctor, now is a good time to do so.

When does implantation bleeding occur?

Implantation bleeding tends to occur during the week before you would expect your period, or about six to 12 days after conception. This is around the same time a fertilized egg would be attaching itself to the uterine lining.

How long does implantation bleeding last?

Unlike a regular menstrual period, implantation bleeding usually lasts no more than a day or two. This is the amount of time it takes for the fertilized egg to become implanted into the lining of the uterus.

How common is implantation bleeding?

By some estimates, about 15 to 25 percent of women experience implantation bleeding. Some women may think they’re having a light period when they see the spotting. They may not realize they're pregnant.

How can I tell if it's implantation bleeding or my period?

Here's how to tell whether your bleeding is more likely to be implantation bleeding or your period:

Amount of blood. Implantation bleeding is a lot lighter than a typical period. It's usually just a little spotting.
Length of time. Most women bleed for three to seven days during their period. Implantation bleeding often lasts only one to three days.
Color. Menstrual blood is usually bright red or dark red, but implantation bleeding tends to be a light pink, brown, or rust discharge.
Clotting. Many women bleed enough during their period that some of the blood clots or becomes like a gel. Implantation bleeding is too light to clot.

When to see a doctor for bleeding in early pregnancy

If you continue spotting even after a positive pregnancy test, or if you develop other symptoms (such as pelvic or abdominal pain, dizziness, or lightheadedness), call your provider immediately.

You may need an exam to make sure you don't have an ectopic pregnancy. This happens when the fertilized egg grows outside the uterus, usually in a fallopian tube. (It's possible to have an ectopic pregnancy even if you don't get a positive result on a pregnancy test.)

Bleeding or cramping in early pregnancy may also be a sign of an impending miscarriage. But many women spot in the first trimester for no apparent reason and go on to have a completely normal pregnancy.

Learn more:

Quiz: Am I pregnant?

Video: What is implantation bleeding?

How many days before period you get implantation bleeding?

When does implantation bleeding happen? So-called implantation bleeding will likely arrive earlier than your expected monthly menstrual period, usually around seven to 10 days after fertilization or conception.

Can you spot 2 days before period and be pregnant?

Implantation spotting may occur when a fertilized egg attaches to the inner uterine lining. About 15 to 25 percent of pregnant people experience bleeding in early pregnancy. If implantation spotting does occur, it will often happen a few days before your next period begins.