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Implantation Bleeding: What It Looks Like and When It Happens

Light pink or brown spotting about a week before your period can be an early sign of pregnancy. Here’s how to tell it from your period, what else it might be, and when to get help.

Implantation bleeding is light spotting that can happen when a fertilized egg attaches to the lining of the uterus, usually 6 to 12 days after ovulation, around the time your period would be due or a few days earlier. It’s typically pink or brown, very light, and lasts a few hours to two days, with no clots. Not everyone has it, and many pregnant women never notice any. Because it can look like the start of a light period, the most reliable way to know is a pregnancy test, ideally from the day your period is due.

What implantation bleeding looks like

  • Color: light pink or brown, rather than the bright or dark red of a period
  • Amount: spotting, usually just a few drops on underwear or tissue, not enough to fill a pad
  • Length: a few hours to two days
  • Texture: no clots
  • Other feelings: sometimes mild cramping. See cramps but no period.

When does implantation bleeding occur?

Implantation usually happens 6 to 12 days after ovulation. In a 28-day cycle, that’s roughly days 20 to 26, often a few days before your period is due. That timing is why it’s so easily mistaken for an early, light period. If you’re not sure when you ovulated, see how to know if you’re ovulating.

Implantation bleeding vs period

Implantation bleedingPeriod
Timing6 to 12 days after ovulation, often a few days before your periodAround the expected day
ColorLight pink or brownBright to dark red
FlowSpotting; doesn’t get heavierGets heavier over a day or two
LengthHours to 2 daysUsually 3 to 7 days
ClotsNoCan have clots
CrampsMild or noneOften stronger

Implantation bleeding vs miscarriage

Implantation bleedingMiscarriage
WhenBefore or around a missed periodUsually after a positive test, most often in the first 12 weeks
BleedingLight spotting that stays lightOften heavier, red and increasing, sometimes with clots or tissue
PainNone, or mild crampsOften stronger cramps, or back pain

A positive test followed by a late, heavier period can be a very early loss called a chemical pregnancy.

When to take a pregnancy test

Tests detect a hormone (hCG) that starts rising only after implantation. Testing too early can give a false negative.

  • For the most reliable result, test from the day your period is due.
  • If it’s negative but your period doesn’t come, test again in a few days. See a missed period with a negative test.

Other causes of light spotting

  • Ovulation spotting, around the middle of your cycle
  • After sex or a pelvic exam, from a sensitive cervix
  • Hormonal birth control, especially when starting or after missed pills
  • An infection, often with unusual discharge or itching
  • The start of a light period. See why is my period so light?

When to get help

Get urgent care for:

  • heavy bleeding, soaking a pad in an hour
  • severe pain, especially on one side
  • pain in the tip of your shoulder
  • dizziness or fainting

These can signal a pregnancy outside the womb (ectopic pregnancy), which needs emergency care.

Contact your doctor or midwife for any bleeding after a positive pregnancy test. Light spotting in early pregnancy is common and often harmless, but it’s always worth checking.

If you’re trying to conceive

Waiting to find out can be one of the hardest parts of trying. Our guide to how long it takes to get pregnant explains what’s normal at each age.

If you’ve been using Fertility Nourish, stop once pregnancy is possible or confirmed.

Reviewed October 2026. Author: Qingcai Wang, MD, PhD, founder of Five Essences. General education only; continue your medical care.

Sources: ACOG: bleeding during pregnancy; Cleveland Clinic: implantation bleeding.

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