Is It Normal to Have Some Blood on Underwear During Early Pregnancy?

Whether it is normal for underwear to have a little blood during early pregnancy depends on the situation. If it is transient bleeding with very little blood loss, it may be normal bleeding during pregnancy; if it is persistent bleeding with accompanying symptoms, it may be abnormal.

Bleeding during early pregnancy may be caused by physiological detachment of the uterine decidua during the process of embryo implantation. It is manifested as very little blood loss that can repair itself without being persistent. The color is mostly dark brown, which is considered normal bleeding.

During early pregnancy, persistent bleeding accompanied by lower abdominal pain may be a sign of miscarriage. This is usually related to strenuous exercise, medication, or congenital malformations of the embryo. Natural miscarriages caused by defects in the embryo itself generally have no value in preserving the pregnancy. If cervical polyps are discovered during early pregnancy, they may cause bleeding. It is recommended to undergo a comprehensive examination during the preparation period for pregnancy and seek timely treatment. Since surgical removal is not possible, conservative treatment is usually adopted, which generally does not affect the fetus. Additionally, bleeding may also be caused by ectopic pregnancy, where the fertilized egg implants outside the uterus, leading to severe abdominal pain and heavy bleeding when the gestational sac ruptures.