Spotting During Pregnancy for Women with Endometriosis

So being pregnant is scary enough but to see spotting? It could make you want to faint right? I’ve done some research and many women with endometriosis have spotting during pregnancy. Women in general have some spotting during pregnancy and turn out to be perfectly normal.

The day I found out I was pregnant was after I started spotting. August 12, 2011, I started spotting. It’s the usual before my period comes so I put a pad in and got ready for my bloody galore. Didn’t think about it the rest of the afternoon. The next morning came and no additional blood. I was shocked. Immediately I took out my pregnancy tests. I had cheapie ones and those $15 expensive ones. I used a cheapie one. Positive. Another cheapie one of another brand. Positive. WHAT?! Then I whipped out, ta da, my $15 one and hoped that I don’t make a mistake or else I’ve wasted a $15 stick by not having enough pee or something. POSITIVE.

My spotting I was told was implantation bleeding. Some people never get it but I did. So it was brown and enough for a panty liner but not a pad.

Then I had no spotting for four more weeks. Week 8 came and bam, spotted some more. Freaked out and immediately went to the doctors.  Found heartbeat and that the baby was growing 2 days faster than other babies. Was totally happy. What was the spotting? Just clearing old blood and uterus making room for the baby. Went on and off for a week. Spotted 3 days total. All brown blood. No dark red.

This isn’t the case with other women. For me, I haven’t experienced any pain due to endometriosis like other women. Many people say that when you get pregnant, you won’t feel your endometriosis pains anymore. I think that’s bull shit. Just because you’re pregnant doesn’t mean your fibrins are not in  your body. They take time to go away. Plus, in the beginning of your pregnancy, you have raging hormones. With every increase in other hormones, your estrogen also increases at the beginning of pregnancy. This may cause your endometriosis to get worse before it gets better.

Until week 12 when your baby starts to regulate their own hormones, you’ll still be producing those hormones. That’s why when people say you’ll get first trimester nausea and discomfort, etc., it is your body’s way of telling you it’s trying to adjust to the imbalance of surging hormones. It’s the hormones that’s making you sick, sleepy, nauseous, or vomit.

For many other women with endometriosis, you spot through your entire pregnancy. Remember those blood clots during your periods that made you want to scream or sometimes faint and die? Well, as your uterus expands, those same fibrins and sticky material that’s making your bladder, etc. stick together is still expanding or sometimes break away. This may cause bleeding but it’s OUTSIDE the uterus. Therefore, don’t worry. Always check with your doctor though for any bright red bleeding and clotting. It may be scary but it may be just the norm for you.

Other bleeding could involve the baby implanting on a blood vessel so as the baby grows, your blood vessel may have popped. It’s totally fine.

Be sure to remain calm when you spot. If you can’t find an ob and you start to bleed more heavily, go to emergency. My sister had that case and she went to the emergency. She had a case of threatened miscarriage. She was ordered bed rest. In either case, it gives you a peace of mind to see the doctor, hear the heartbeat and make sure nothing else is wrong.

Buy a fetal doppler. Sonoline B is the one I use and it was only $50 some odd dollars. Works as a charm after 10 weeks. You can hear your baby’s heart beat everyday until you start to feel the kicking. You can monitor the baby’s heart rate and that’ll keep you calm. It’s cheap and well worth the money.

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59 Responses to Spotting During Pregnancy for Women with Endometriosis

  1. Kristin says:

    So glad I found this information – it’s really helpful!! I am 7wks and for 3 weeks now have had the brown spotting. It’s only enough to show on a pantyliner or when I wipe, but still makes me wonder what’s going on. I have never been “officially” diagnosed w/ endo, but my OB told me years ago it was highly likely due to the pain and randomness of my periods. I never had the labroscopy to confirm this. I sure want everything to go smoothly with this baby, even if it was a surprise! I am sure it’s just as you described – as I grow more tissue breaks away and causes the brown spotting issue. I thank you for the information!!

  2. JacKK says:

    Your note is really helpful – thanks. That said I’m 8 1/2 weeks pregnant and suffer with Endometriosis and PCOS. I have pretty heavy red bleeding (no clots) and have been bleeding in some form or other for 2 weeks now. I also have endometrial cramps which I haven’t had for the past 7 months whilst trying to get pregnant (I had an op 3 years ago and have been on pill until started trying). I’ve been for two vaginal scans so far and baby has heart beat. I’m fine in the mornings, but bleeding and pain gets progressively worse throughout the day so am stuck on the sofa with a hottie and paracetamol (told this is all I can take) everyday. Has anyone else had this experience? I’m very anxious and its getting harder to remain cheerful.

    • hoghugs says:

      First of all, congrats on your pregnancy. Second, please start changing your diet to help with the endo and bleeding. I do hear that bleeding gets better in the second and third trimesters due to hormones in pregnancy. Due to bleeding though, I would request an ultrasound on a weekly basis you til you are stable in the second trimester after week 15 or so or you may always be scared that your baby is going through miscarriage. Get a sonoline b doppler through the web and you can start monitoring the baby’s heartbeat at home yourself. It gave me so much comfort everyday to hear the heartbeat but home dopplers usually don’t pick up heartbeat until week 11 or 12 but to me, it was well worth the $50 or so I spent on it. Please update us on your baby progress! With diet changes and pregnancy, your endo maybe gone by the end of your pregnancy! Many uterus looks totally different after pregnancy… 

    • Stacey says:

      JacKK….I came across this website when searching for answers and your post seems to be quite on par with me. I see that you posted your comment in May. I would be most appreciate if you would update. I’m really bothered and scared. I’m 7 1/2 weeks and basically been spotting since weeks after conception. The past several days I’ve been experiencing more bright red blood. I’ve had several vag/ultra sounds, baby is supposedly well with a very strong heartbeat. I too, like you, start out fine in the morning and by the evening….. Well, like I said, would you be so kind as to give me an update!?!

      • hoghugs says:

        As long as the baby is fine, spotting doesn’t matter. I would take it easy though. Don’t lift heavy items and no strenuous workout until second trimester!

  3. Monica says:

    Thank you for this post I’m going through this now 7 weeks 5 days pregnant with endo started spotting dark brown since i got my positive hpt. I also did ivf to get pregnant. Hopefully all will be well. I searche everywere for info and your post was the most imformative.

    • ann says:

      I found out Iwas pregnant two days before I was supposse to go in for my laproscopy surgery. I am 7 weeks now and very excited! I have spotting and some bleeding and been going for a weekly ultrasound. The spotting and bleeding makes me nervous but I wear a pantyliner and I’m fine. reading your posts make me feel like I’m not alone and I will be fine. Thanks for sharing your story.

      • hoghugs says:

        Hi! Congrats on your pregnancy! Just make sure you go for more routine checkups than other women and I highly recommend a heartbeat monitor at home. You can get a cheap one called sonoline B from ebay or other websites for around $50. You can monitor your baby starting week 10 I believe. I heard heartbeat everyday. Gave me a peace of mind.

  4. Brandi says:

    I found out in Feb that I had endo. I was also preg. I had been trying for two years. Said so excited, just to find out three next day I had to have surgery, due to it being an ectopic preg. It was very painful. I had the endo removed. Got preg again 5 months later. With yet another ectopic preg. I’ve now been told if it happens again I’ll lose the only fellopian tube I have left. It’s been 3 months. And I was suppose to start 5 days ago. I have a really really light pink spotting once a day. Except for yesterday. My bf says I need to take a preg test. But I don’t know if I want to. I have pains occassionally in my right side. But not crampy our in my back like normal. Is there a chance I could be preg or is it just an abnormal per??? Opinions pls..

    • hoghugs says:

      Hi Brandi,

      There’s no way to know unless if you take a pregnancy test. Sounds like implantation bleeding or it could be a different period. If this is out of the norm, you could be pregnant. Please take a test! Find a good doctor that may be able to preserve your tube. Have you asked them why you are more prone to ectopic pregnancies?

    • sue says:

      Freeze your eggs, before you try to conceive anymore. You don’t want to take that risk if you lose another fallopean tube! Good luck

  5. Shannon Patrick says:

    I have severe endo, I had a laparotomy in dec 2012 they were able to clean me all out! I was on the Lupron shot for 6 months after the surgery… I have been trying to conceive my 2nd child since Septemeber. This month my ob put me on clomid, I did ovulate. I started to feel very tired days 7-9 after ovulation, day 11 and 12 I have some spotting it’s brown and enough to wear a panty liner. It’s mainly there when I wipe.. My breast are really sore that started about day 10 after ovulation. I am also experiencing heart burn which I had throughout my entire first pregnancy. I am also experiencing alot of abdominal cramping and feeling bloated..
    I just don’t know if this bleeding is the start of my period early, I am not due to start for another 4 days.. If its implantation bleeding or my endometriosis.. Any suggestions? I desperately want another baby my daughter is 7, and we have been trying to conceive for a total of 2 years..

    • hoghugs says:

      cant be certain whether it is implantation bleeding. I know waiting to test really stinks as we all want to know now now now whether we are pregnant but wait 3 days and do a pregnancy test…. did your flow get heavier? If it gets bright pink or red tomorrow, I would say that is probably your period, if not, it could be implantation! Good luck to you! Please let us know when you succeed! I am going to start trying 8n a couple months too!

  6. Kristen says:

    This really helped me alot , I have endometriosis and I have been trying to get pregnant for a couple months now but every time I think im pregnant , it’s just endo making me feel that way and have late periods but right now im going on probably a week of having like brown spotting , there was red blood like once but the rest is brown and is only enough for a pantyliner , do you think it’s my endo or that I could possibly finally be pregnant?

  7. Kristen says:

    Yes sometimes my period is late but I can always tell when it’s comming ( sore breasts , bloating ect. ) but not right now I just have that and it hasnt stopped for a week but it’s not enough for a pad or a tampon at all. I just am trying to figure it out because as I said many times before I thought I was pregnant when I wasnt but this has never happpened it just being brown , if it has happened it was always pink or red but light and then i got my period.

  8. Renarta Mack says:

    Your post are very helpful….im a little worried for so many reasons…Well i missed my period and today would have been the 7th day that it was late and im always regular and on time…it may last long but it always starts around the same time of the months….i have endometriosis and also endomertrin cyst on both ovaries…..well today i had this sharp pain and i passed a big clot and i had dark red blood and then brown spots was on my pad…..i usually bleed really heavy to where im changing pads or tampons like every 15 minutes, after i passed the clot i have no pain but im still spotting….its like brown and light red which is not the norm for me….i dont actually know if im pregnant or not but ive never missed a period and the way this bleeding is light and i have no pain is making me wonder if i am….should i even take a pregnancy test or is this something else?? please if u could help me out with any info i would greatly appreciate it :-)

    • hoghugs says:

      Try a pregnancy test for sure. If it is not, then get an ultrasound. The big clot could be you expelling old blood.

  9. lorra rufino says:

    hi im 34 yrs old and for 5 years we have been trying to conceive.i was diagnosed with endo but dont experience severe pain or cramping during mens cycle,however bleeding usually lasted for a week..surprisingly,i am 8 weeks pregnant now,and have been bleeding for a week ,but not heavily,panty liner will do..i had my ob check up and the babys heart beat is ok..she said my bleeding is normal because of endo,but she has to see me after a week currently on bed rest and taking duphaston 6x a day..

  10. lorra rufino says:

    by the way,before i got pregnant,i bought an e-book , pregnancy miracle by lisa olsen,and subscribe to natural fertility by heather. and importing this herbs from the U.S for my endometriosis…i have tried acupuncture and drinking vitamins with high concentration of zinc..i hope this could help women out there who have been wanting to have a baby for so long and with endo..dont loose hope..esp. with prayers,nothing is impossible!

  11. Cait says:

    Thank you for this. Never been “formally” diagnosed with endo but I have many of the symptoms and my mother was diagnosed with it so my likelihood is high. I am about 6 weeks pregnant and started off my 5th week with cramping followed a few days later by very light brownish bleeding that hasn’t stopped. I called the doc and she said I am ‘likely’ fine but we will get an ultrasound between the 6th and 7th if the bleeding doesn’t stop (which it hasn’t, will be calling tomorrow to schedule per instructions) Just occurred to me today that the endo could be the reason for bleeding even though I still “feel” pretty pregnant. I know it’s not a guarantee that endo is what’s causing my symptoms but your post helped make me hopeful for a better outcome then the one that has been in my mind. Thank you VERY much

    • Lisa says:

      I am 6 wks pregnant today. I have had spotting with light pink/brown once every other day, only when I wipe, nothing on my pantyliner. I couldn’t figure out why I am spotting. This kinda makes sense. I had endometriosis removed back in 2009. I believe it came back. I go later this week for an u/s to see if there’s a heartbeat. My numbers have been good. Fingers crossed & prayers please!

  12. StephanieMc says:

    Just reading your posts gives me so much hope! I have been ttc for 6 years now. My baby turned 6 this month and I have had Endo ever since. My new OB thinks I have incisional Endo from complications with my c-section. Unfortunately, I am divorced and my new bf has no kids. I don’t even feel right about marrying him because I’m afraid if I do I’ll be robbing him of the chance to ever have children. I have probably read thousands of web posting sites over the past years and I must say this one is the best so far. In fact, I’ve never even commented before. I had almost made up my mind that Endo was a permanent infertility sentence but to hear all of you talk about being pregnant…well I guess there’s hope after all. Like every other month for the last 6 yrs I’m just sure my symptoms are different this time and this will be my month. I guess well just have to wait and see!

  13. Janelle says:

    I am 37 & was diagnosed with endo about 10 years ago. After 12 months of trying I am now 7 wks 2 days. I have been freaking out for the last 2 wks because of spotting almost every day, the Dr didn’t seem too fussed but told me to get as much rest as I can (which is hard when you work full time). This article has helped massively. It makes it easier to beleive when I tell myself everthing is ok knowing that it most likely is just the endo. Still on count down to the 12 week scan though. :)

  14. Confused says:

    Hi …. Just a couple of questions … Do many people still get clots when pregnant ? I was sure I was pregnant … Tired sick late by 5 days etc and than some slight spotting now I have my period (I think) but I still feel so sick and I want to vomit almost all day long … How long does it take for people when endo to fall?

  15. StephanieMc says:

    ANYTHING is possible w Endo…not long aftr I posted (January 10th) I found out I was pregnant…i spotted 4 almost 2 1/2 months…sometimes heavy…once I evn passed a clot jus a lil smaller thn a quarter…im jus now starting 2 ease up on the bleeding & I’m 15wks 4days…i kno I’m not completely in the clear yet but I’m closer & closer everyday. I’m so paranoid I put myself on bed rest & refuse to go anywhere lol. It’s all worth it if I get a healthy baby. I tried for 6 yrs b4 getting pregnant so don’t ever give up!! :) I ended up ordering a big pack of ovulation n pregnancy tests off Amazon just so Id have a bunch & could take em whenever I wanted to. They are really cheap when you order em in bulk like that & it makes you feel better to be able to test whenever you want. Blessings & baby dust 2 u!!

  16. Alexis says:

    I’m 29, diagnosed with endomitriosis on April 7th. My period was due April 11th. I noticed that when I wipe I see a faint brown color. Not every time either. I did go up to feel my cervix to see if the blood was pink or red, but just a little brown if I can reach my cervix… I tested 3 days ago and it was negative. I tested on April 13th. What do u think ??

  17. Trista says:

    I was diagnosed with severe endometriosis last July after a laparoscopy. After undergoing IVF, I am now 11weeks 3days pregnant. However, I have been spotting off and on all of July. It’s driving me nuts with worry. Thank you for your article. It does provide some reassurance. I wish I could find more information on the subject.

  18. Canela says:

    Similar situation here. Light brown spotting at 12wk3d, pregnant with twins (IVF). The nurse said don’t worry about the spotting unless it turns pink/red, indicating that it was new and not old blood. I have an endometrioma on my right ovary, but never did a lap, so not sure how bad the endo is elsewhere. I always spotted before my periods – classic endo.

    • Stephanie Mc says:

      The only thing I would add to what the nurse told you was that too much spotting over time…even if it is consistently brown…can weaken your water bag (membranes) and lead to pProm (preterm premature rupture of membranes). This is what happened to me. After TTC for 6 years with endo, & finally getting pregnant, I spotted the whole time. Sometimes it was bright red but mostly it was brown. Well, my water broke at 20weeks 1day & I ended up delivering REALLY early (21weeks 4 days). My son made it, but he has a lot of health issues & ended up needing a trach because of his underdeveloped lungs. I don’t tell you any of this to scare you, but you do need to be informed and know what could happen. I wish I would have known the presence of blood could cause problems, but I found out too late. Just take it easy. You should be able to see patterns of what causes you to bleed more, etc. Avoid those activities as much as possible. I also found out orgasm caused me to bleed because of the contractions it caused in my uterus. Be careful, and if you ever need anything, please post again. How are you doing, by the way?

  19. Melissa says:

    I am currently 5 weeks pregnant. The first two were miscarriages with low beta and progesterone levels. Well this time my results are awesome but I’ve been spotting mostly brown but no cramping for a week now.. I have endometriosis and had the surgery a year ago. The nurse said I shouldn’t worry cause it’s not heavy and because it’s brown. I can’t help but me nervous because of our past with the miscarriages. Any thoughts?

    • Trista says:

      The only thing I could recommend is see if they’ll do a sonogram but at 5 weeks you wouldn’t see much; maybe just a sack. My Fertility doc wouldn’t even do a vag sonogram until about 6.5-7 weeks.

      I had spotting off and on until 14 weeks and two big gushes of bright red blood that filled the toilet. Most of the spotting was a subchorionic hematoma and once it was a clot passing but the bright red blood was unexplainable. I later found out (at about 34wks) that my uterus is probably misshapen and spotting and unexplained bleeding seem to be common with that too.

      Good luck! Try to stay positive.

      • Melissa says:

        Yes we are and praying a lot too. Thank you for your advixe . I have an ultrasound next Friday

    • Stephanie says:

      The thing I would be the most concerned about other than potential miscarriage is pProm, which is what happened to me at 20weeks 1day. This is when your water breaks early. The presence of blood, brown or red, can weaken the membranes & cause early rupture. I had mostly brown blood my whole pregnancy & only had red when I’d have sex. I too had surgery for my Endo & got pregnant just a month afterwards… After ttc for 6 years prior. I think part of my story is above, from while I was still ttc. Forget what the nurse is telling you… You know your body and you have reason for concern. Take it as easy as possible and try to avoid sex. I’ll warn that penetration isn’t the only concern as orgasm always made me bleed as well… Orgasm makes you contract like beginning labor & can cause more bleeding… Especially if you’re already seeing brown… It can even kick start labor… So take take it easy and keep us updated. Prayers!!

      • Melissa says:

        today I started bleeding/spotting red. Of course I am worried about it, but I am still praying and trying to stay positive. I called the Dr.’s office again and finally they are sending me for blood work today and sonogram tomorrow. I have told them since last week about the spotting, but no one thought anything of it. I am really worried I hope its nothing. I think its time to look for another Dr., or are all Dr.’s the same?

      • Virginia says:

        Hi Stephanie,
        Just wanted to ask how your baby is.
        Thanks for sharing your story!

      • Melissa says:

        Went to tHe dr on Friday for ultrasound. Found out its twins we are 6 weeks 3 days. She said the sacs are small and she can’t see the yolk and wanted me to go for dnc on Tuesday. I told her no way I want another ultrasound. I am scheduled on July 6. I’m not bleeding, Im not cramping my boobs hurt and I’m nauseous . I’m praying to God she is wrong and for me to look for another dr. I think it’s too early to assume and my uterus tilts back. twins do not run in our families either, we just figured we were being blessed because we already had two miscarriage Anyone have experience in this?

      • Trista says:

        Hi Melissa,

        How did your second ultrasound go?

      • Melissa says:

        Not so good. One of the sacs is almost completely gone and the other there is still no yolk. I went for bw and it read 117.000+. I g9 for bw again on Monday to see if they are lowering are getting higher. She was checking for molar pregnancy but right now doesn’t see any evidence in that. Thank you for asking. This whole journey has been a nightmare thus will make miscarriage 3 if this is what happens

      • Melissa says:

        I keep reading blogs that sometimes it happens that they wont see a yolk until 10 weeks was the latest. It just a rollercoaster ride.

      • Trista says:

        I’m sorry for the bad news. :( I hope things start looking up.

      • Melissa says:

        thank you Trista

  20. Trista says:

    Unfortunately I think most doctors are the same unless you can get into a high risk OB.

  21. Stephanie says:

    You will find that most doctors are pretty callous about miscarriage until that magic “viability” number around 23 weeks… It’s not their baby and it’s pretty easy for them to dismiss it as another statistic… They seem to figure if they can’t do anything about it there’s no reason to fuss… Do you know why you’re having miscarriage? Have you been tested for MTHFR? You may need to take something like folgard with folic acid & extra b vitamins to help avoid miscarriage… Look that up online… You can basically make it yourself with the right combination of otc vitamins… Alot of women with MTHFR have to do that because many doctors won’t bother treating it

    • Melissa says:

      Never heard of MTHFR. I was suppose to go for a series of test that included blood clotting disease, lupus, chromosome abnormalities and so on, but I had gotten pregnant so I cannot go for these test. I am just praying to God that he or she will be OK and this is just cause of my endometriosis. Now is just a waiting game, I am going for blood work today and tomorrow for a sonogram. Yeah since the beginning I have noticed the Doctors are not in a rush for anything.

      • Trista says:

        Can you see a fertility specialist? My RE ordered the MTHFR test for me after my first miscarriage to make sure there were no genetic abnormalities that might prevent me from getting pregnant. It’s a lot of blood and the test takes about a week or so to get the results. I had a $100 co-pay but I think peace of mind is worth it. A friend of mine had it done and they did find something that she just had to take a daily pill for to solve the issue.

      • Melissa says:

        they had ordered a 7 test blood work, but we got pregnant and they said the test will not be accurate. I have to wait for my levels to be a 0 so they can test for blood clotting disorder, lupus, chromosome abnormalities and several others. It is just another waiting game.

  22. Stephanie says:

    I wonder why they won’t do a simple blood test for MTHFR… It’s just blood…hmmm… This may be the “blood clotting disease” they’re talking about because that’s what it does is cause clots & those clots keep the placenta from doing what it needs to do… This is the reason for the folgard… Which by the way also contains an element of baby aspirin… If you have it they usually also should treat with daily lovenox injections… In the meantime if it were me I’d start the OTC vitamin regimen until you find out you don’t need it… Just for peace of mind & so you can feel like you did everything you could in the event of a bad outcome… Taking the extra vitamins won’t hurt you if you don’t have MTHFR so why not… You need extra vitamins while pregnant anyway… Just a thought

  23. Stephanie says:
    The folgard is supposed to be IN ADDITION TO a prescription strength prenatal vitamin

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