Even after reading a dozen articles you might still feel clueless on how to detect whether you had implantation bleeding or period. Implantation bleeding or period article has a set of questions we bring at your service. Sit down and relax and answer each of these. By the end of it you’ll be able to figure out whether you had implantation bleeding or period.
The article has questions about your sexual habits and the characteristics of the bloody discharge you had. You can keep a pencil and paper to note down the conclusion you make after every answer. We tried to include all possible questions but if you have any more, do tell us in the comments section.
- What method of contraception do you use? There are various methods of contraception like IUD, birth control pills and condom. Some might use the abstinence and withdrawal method for preventing pregnancy. The rate of success is not more than 99% in any case except sterilization. If you have your tubes tied then there is no way you can be pregnant. All you need to do is simply report everything up have been experiencing to the doctor. Any other method makes you prone for getting pregnant. Condoms and birth control pills have higher chances of preventing pregnancy. But they can fail. However, if you are sure that you did take your pill or condom collected every last drop then it may be a disease. Withdrawal method and abstinence can easily fail. You can get pregnant from precum and during dry days too.
So unless you have been sterilized continue ahead to answer other questions.
Read: Can you get pregnant from precum?
- When did you have sex? Even if you did not check your ovulation before having sex you can do it now. When was the last time you had sex. If you were regular and had sex many times then continue with the quiz. There are chances that you miscalculate, it is best to check the possibility of being pregnant. If you remember the last time you had sex and how long was it before then you can figure out your ovulation. If you had sex two weeks before period then you can be pregnant. Any spotting before period after sex near ovulation can be because of implantation. Implantation is the egg embedment that happens after a week or two from sex. So if you had sex two weeks before period then what you had was implantation bleeding. If you did not have sex during the week of ovulation then you are least likely to be pregnant.
- When did the spotting start? The duration of bleeding is also important to decide whether it is implantation bleeding or period. If you are still spotting and it is the third day then you need to consult a doctor. Implantation bleeding does not last for more than two days. The blastocyst is only of 64 cells and cannot cause much damage. Implantation only results in scanty spotting and stops soon. The spotting due to implantation starts after 6 days post ovulation 6 DPO. This is because the fertilization occurs in the tubes and the zygote takes time to move down the tubes. The spotting after implantation begins when the blastocyst invades the uterine lining. This leads to the crushing of blood vessels that ooze out blood.
- What is the color of spotting? The color of bloody discharge also helps distinguish it from period. If you have brown colored spotting then chances are that you had implantation. Bright red blood is rarely because of implantation. It is when the womb has active bleeding areas. As blood stays in vagina it changes its color from red to dark brown hues. Later on you get brown spotting instead of red period. Period is more continuous and so the blood remains red in color. There can be clots of darker colors in it due to the disintegration of the lining. Implantation bleeding will not have clots.
- How heavy is the flow? Period flow reaches the maximum amount by the second day. Some women have very heavy period and soak a pad within an hour. But it eventually slows down and it is over. During the last days and before heavy flow, you get spotting during period. But later on the flow intensity changes if you are having period. Implantation bleeding will not change and continue to be light brown spotting. After a point it will reduce and finish. An early miscarriage can continue bleeding until 10 days. Ectopic pregnancy or tubal pregnancy also leads to heavy bleeding that continues for days and occurs randomly. Chemical pregnancy is the spontaneous loss of pregnancy. It also appears like normal pregnancy and later bleeds incessantly.
- How long did the bleeding last? Heavy flow for few minutes cannot be period. If you are not able to differentiate between a heavy flow and spotting then check for duration. How long does implantation bleeding last? It only lasts for few minutes or a day. If you have had spotting for more than two days then you are not having implantation. Implantation is only 48 hours long process. During this the early steps don’t cause much bleeding as the blastocyst only lies next to the uterus lining. After the first stage gets over then implantation bleeding starts.
- Was there a fluctuation in BBT? If you have been trying to get pregnant then you may be recording your basal body temperature. In that case you have another way to check implantation bleeding. If there was a very less drop in BBT then it is because of implantation dip. Implantation dip is the fall of basal body temperature after ovulation BBT rise. Later on the BBT rises up back to normal. This is the triphasic pattern of BBT during implantation that is a sign of pregnancy.
- Did you have cramping? During implantation the cramps are mild and almost negligible. You’ll feel some tugging and tickling sensation in your stomach. There can be a feeling of a downward pull. Later one the cramping will subside. You will not even realize it unless you are actively observing implantation. PMS cramps are worse and menstrual cramping is unbearable. During PMS the lining actively breaks down and the uterus prepares for period. The breaking of lining leads to cramps and pain. Similarly during ectopic pregnancy you will feel unbearable twisting and wringing pain in your stomach. Cramping getting worse is a sign that you are having some health problem. You should tell your doctor about it before taking any over the counter pain killer. They can be harmful for pregnancy if you have it.
- Are you on any medications? Medications like birth control pills or some other drugs can cause random spotting. Some women take birth control for months together. They see spotting randomly even when they are not pregnant. Few drugs can cause breakout bleeding. Fertility drugs have hormones that alter the normal cycle. When the natural makeup of body changes, it is possible that there can be spotting. When you are going to take any such medications your doctor will tell you about any such side effects. He will also tell you whether you need to stop taking the pill if you see bleeding. If you are sure that your doctor did not write down any such side effects then implantation is a possibility.
- Did you take a pregnancy test? A pregnancy test is the only method to confirm successful implantation. When to pregnancy test is another thing that you may want to ask. The pregnancy test needs a particular concentration of hCG for detecting pregnancy. Most pregnancy tests can detect hCG levels around 25 mIU/mL. After 5-6 days from implantation the body had enough hCG for early pregnancy test kits.
If you get a positive pregnancy test after implantation bleeding then it is not a false positive pregnancy test. Pregnancy symptoms confirm that you had implantation.