Miscarriage at 4 Weeks

Roughly 25 percent of pregnancies end in a miscarriage before the woman starts her next period. Since these miscarriages occur before the woman has her period, she often does not realize that she is pregnant. Pregnancy can be an overwhelming and exciting experience in a woman’s life, and it can be heart breaking to realize that you have lost a child. If you are having symptoms of a miscarriage around four or five weeks, then it is likely that you lost your pregnancy. You may notice some of the following symptoms like fatigue or cramping.

miscarriageSigns of a Miscarriage at 4 Weeks

When you have a miscarriage at four weeks, there may be some obvious and less than obvious signs. You will have your period around when you normally would have, but it will be different than normal. Often, you can tell that there was a miscarriage because there will be thick clots of blood or tissue in your period.

You may also have a period that is heavier than normal. Over the course of an hour or two, you may soak an entire pad. In addition, women who have a miscarriage at four weeks may experience more severe cramping than normal. The added pressure on your body can cause your breathing to speed up.

When you have all of these symptoms, it is a sign that you may have had a miscarriage. Since a heavier period, cramping or a faster heart rate could be caused by your normal period, there is no guarantee that this is what happened. Cramps are a normal part of a miscarriage because your body is trying to shrink back to the size it was before it started to make room for the baby. If you are experiencing cramps, lie down and relax while you let them pass by. Since these symptoms could be a sign of a serious problem, you should always visit your doctor if you are concerned. A tubal pregnancy can also cause the same symptoms. Since this is a potentially life threatening condition, you should make sure to get medical help immediately if you think that you could have a tubal pregnancy.

Other Possible Symptoms

The previous symptoms are extremely likely to occur during a miscarriage, but there are other symptoms that women may commonly experience during this time. You may have intermittent bleeding, cramps or no pregnancy symptoms. Bleeding intermittently occurs when your hormone levels drop, so a test of your HCG levels in your blood could confirm a lost pregnancy.

Since hormone levels change, you may have pregnancy tests that change between positive and negative. This is extremely common for a miscarriage at four weeks. In addition, you may not experience any pregnancy symptoms after having a positive pregnancy test. Although many women do not have pregnancy symptoms yet, this is always a potential sign of a miscarriage.

Cramps will normally occur if you are having a miscarriage, but this could also be a sign that you are pregnant or having your period. It is not a definite sign, but it could be an indication that there was a miscarriage at four weeks if you are having other symptoms as well.

What Happens After a Miscarriage?

If you have had a miscarriage at four weeks, then your body will need to recover. At this point, your body can normally handle recovery without any medical help. You may need to take some pain killers to deal with the cramps, and the bleeding will normally end within a week. If you go to your doctor, they may have you take a pregnancy test to see if you have actually had a miscarriage. Remember to always go to your doctor if these symptoms continue after a week because it is a sign that your body is not healing properly or that something else is wrong.

If the bleeding does not stop within a week or two, it most likely means that you still have tissues from the pregnancy within your uterus. Sometimes, only part of the tissue is expelled properly, so this can cause the bleeding to remain. If you have had an incomplete miscarriage, then you may need to talk to your doctor about your options. Your doctor will normally try to do expectant management or medical management. If you are feeling fine otherwise and there is not an infection, the doctor may try to wait another week to see if your body can resolve the problem on your own. If your doctor believes that you meed medical treatment, they may use medication or another technique to help your body to expel the remaining tissue. When both of these options fail, your doctor may have to do a surgical intervention to remove the tissue from your uterus.

Having a miscarriage at four weeks can be a heart breaking, devastating experience. Your body has already begun to prepare for a pregnancy, and your hormones have already started to change in preparation. Once the miscarriage happens, you may feel like you are having a heavier period than normal. There may be mild plain and blood clots that are up to two centimeters in size.

Even though it is early in your pregnancy, you may have already bonded with your child. This is the majority of the reason why a miscarriage at four weeks is so devastating. If you feel depressed or lonely, reach out to your partner, friends or family for solace.


  1. Hi so my period as always been a regular 28 days but it changed January when me and my partner was trying to conceived..it came on the 25 day for two months then 6 days late this month March without no premenstrual cramps..the first day of bleeding was light red with no pain or cramps but on the second day it was unbearable in my upper and lower abdomen and a sore to touch belly button..

    • It may have been an early miscarriage, or your menstrual cycle may just be off again like it was for the last few months. You can always take a pregnancy test just to see. If you have severe pain, you may also need to go to your doctor to get checked out. Good luck and stay safe, Sam!

  2. i was taking pills and expected my period on the same day. Just this month, i thought it was my week. I had this brown spotting at first for 2 days and got heavy and still brown for almost 3days. But then after that i was still taking my pills and, i suddenly vomit. I thought it just because of my pill, but then later just a minute I vomit again.

    And thought i am pregnant. And later on just only spotting color bright red, it got heavy again. I got mild cramps, i suddenly “plop”. So i run into our bathroom to check. I saw it was a tissue like an inch size. And many small clots. So i thought i had a miscarriage. But my bleeding doesn’t stop. It almost a week. And just this moment when i do the laundry after that i always run into the bathroom to pee. I always got to pee. Even after peeing, i still want to pee. I think i got infected.
    So i did some research tonight. But still wondering.
    Why i still peeing and had spotting? Am i still pregnant? Please help me answer my question.

    • You could have had an early miscarriage, you could have an infection of some sort or you could be pregnant. If you had a miscarriage, it is important that you go to your doctor to make sure that all of the tissue was expelled properly. You did not mention what type of pills you were taking, but you should definitely tell your doctor about them. Even if it was not a miscarriage, you should go to the doctor to make sure that this was not caused by an infection or another illness. Make an appointment, see your doctor and find out what is going on with your body.

  3. Okay so I take birth control pills so my period comes at the same day every month. my first day of my last period was the 22nd of February. I had unprotected sex on the 4th of March and I had missed a few pills. Around the 12th I had felt this weird sensation like I was pregnant. I have been pregnant before so I knew I was pregnant. So a couple days ago I began to feel very exhausted. I had some brown spotting, lower back pains, and my stomach began to make weird noises and get cramped up and so I rested in bed a lot. I began to bleed red blood both dark and bright. Not ridiculously heavy like a down poor but definitely more blood than I usually bleed in a normal period. And my stomach cramps are like twisting. I have passed a lot of small clots some gooy some solid. It has just been about two days. I am okay i am not in unbearable pain i just feel like i am not pregnant anymore idk I’m just wondering am I having a miscarriage and if I will be okay to not go to the doctor as long as it does not prolong? I do not have insurance and don’t want to pay out of pocket unless I am hurt. I believe my body can do it on its own. If I take a pregnancy test will it give me my answer? When should I take one to know?

    • It is possible that you did have a miscarriage. If you experience any unusual symptoms, you should definitely go to the doctor. In the meantime, just monitor your symptoms and keep track of them. If you have a fever, it could be a sign of an infection and severe pain could be a sign of a more serious condition. Otherwise, your body may just handle the miscarriage on its own. Many women miscarry without ever realizing it because it happens before their first missed period, and the miscarriages are often carried out naturally without a problem. If you take a pregnancy test, it may not show a positive result. Once the miscarriage started, your body’s hCG levels would have started to fall. They may still be high enough to show a positive result, but they may have fallen too far for you to know for sure if your were previously pregnant or not.

  4. I believe that I had a miscarriage in October/November. I was a week late and I always have a 28 day cycle with my period last no longer than 4 days (the last day is usually just spotting). After being a week late I started bleeding, painful cramps, heavy bleeding for 7days, blood clots, towards the end I saw a silver dollar sized piece of pink human tissue. It looked like the tissue that passed after my colposcopy. Pregnancy test was never but I feel in my gut that I had a miscarriage and can’t stop thinking about it. It took 4 months for my period to return to normal

    • Thank you for sharing your experiences and insights. Your comment will help someone in the future, and we appreciate your actions. Please feel free to share more of your thoughts and feelings in the future. Have a great day, Sarah!

  5. I want to say I experienced a miscarriage, can you please help ’cause I’m not sure?. I had took a pregnancy test 3weeks after me & my boyfriend got intimate & It had came out negative so 1week later I went to my cousins birthday party & drank since the pregnancy test came out negative, but then I started bleeding a lot for like 2weeks & now I’m just spotting. I was experiencing really really bad stomach pains, drowsyness, I would want to throw up, but I couldn’t. My mom had told me I might’ve had a miscarriage & didn’t know it. She told me to get checked, but I haven’t gone to the doctors.

    • It is possible that you have experienced a miscarriage. You will want to make an appointment with a medical professional at this time. Continue to monitor your experiences so you can better answer their questions. Best of luck, Angie!

  6. I’m 4w4d pregnant with a hcg level of 17. I am currently bleeding and know it’s a miscarriage. Do I class this as a normal period as I was so early into the pregnancy?

    • If you know that you are experiencing a miscarriage, then make an appointment with a medical professional. A miscarriage is not a normal period. You should classify it as a miscarriage. Best of luck, Belinda!

  7. I am 4 weeks and 4 days I have had really light bleeding all morning and cramping into tonight. I went to get my HCG testing done and go back in 2 days to give them more blood. I just took a digital test and it came back not preganant. Please help me know if this is a misscarriage.

    • It is possible that you are having or just had a miscarriage, but there is no way to know for sure yet. If the pregnancy test came back negative, it could mean that you do not have enough hCG to consistently test positive, or it could mean that you miscarried and your hCG levels fell. The best thing that you can do is go to your doctor and get checked out right away. Call your doctor and see if he or she wants you to come in and be checked out.

  8. 5 weeks and 5 days my cramping and other symptoms have stopped. Only have a small smug of blood in week 4 after that nothing. Do you think I have miscarriaged.

    • It is possible that you have had a miscarriage. You should go to your doctor to see what could be the cause. If it is a miscarriage, your doctor will want to make sure that your body has expelled everything properly. If it was not a miscarriage, your doctor will want to figure out what is going on with your body. Good luck, Ariel!

  9. I am 4 weeks 4 days pregnant today . I just felt a sudden sound in my belly .
    And my tummy is not so toned as earlier a bit loose .
    Is there a possibility of a miscarriage?

    • It is probably too early to tell for sure. You are going to experience a lot of different symptoms and changes because of the pregnancy, so there may not be anything to worry about. The sounds could be caused by something as simple as digestion. If you are worried, experience bleeding or develop severe pain, go to your doctor and get checked out.

  10. pls am so confused and down at the moment… pls am sori for d long post… I got my period on d 4th of DEC and anoda on d 2nd of Jan…. I ovulated on d 17th(am able to know cos I did follicle tracking)…. on d 30th I did a home pt and got a faint positive , sane day I did a blood test and it came out negative… Saw my period d next day 31st and lasted for five days and then spotting… cos of d spotting I did and home pt on d 11th and it came out positive, did a blood test same 11th and 12th all positive… Went for u/c buh they said everytin looked not pregnant… yesterday I had x with hubby and had mild cramps buh started bleeding duh d cramps ain’t dia again buh still bleeding… remember I v been spotting since after seeing my period…. I don’t knw what to make of it and my doc ain’t helping either

    • You may want to speak with a different doctor. If your doctor is not able to determine what you are experiencing, then it would be best for you to get a second opinion. If you are unable to do so, then continue to monitor your experiences for another five days. Take a pregnancy test at that time. You will be able to confirm those results with your doctor at that time. Best of luck, Sommy!

  11. Hello I’m going into my fourth week of pregnancy and this morning I started having moderate bleeding then pass smaller blood clots and then a larger one I believe I’ve miscarried experience cramping my question is do I need to go to the hospital or will my body take care of itself also I have since stopped bleeding just some spotting here and there just not sure what to do

    • You will want to make an appointment with a doctor as soon as you are able to do so. Anytime that you bleed during pregnancy, you should speak with a doctor. This is doubly important if you are passing clots. Best of luck, Pit!

  12. Hello I’m going into my fourth week of pregnancy and this morning I started having moderate bleeding then pass smaller blood clots and then a larger one I believe I’ve miscarried experience cramping my question is do I need to go to the hospital or will my body take care of itself

    • You will want to make an appointment with a doctor as soon as you are able to do so. Anytime that you bleed during pregnancy, you should speak with a doctor. This is doubly important if you are passing clots. Best of luck, Pit!

  13. I have miscarriage at 9th week on 22 Dec 2016 bleeding continue till 4jan 2017.my husband came on 18jan 2017 from aboard.at these days we do XX upto 29jan 2017.
    Now I am feeling pregnant having nippers sore cramps a lot of white discharge
    Is this possible?

    • It is possible that you are pregnant. Continue to monitor the experiences that you are having for additional signs of pregnancy. You will want to speak with a doctor about this pregnancy in light of your previous miscarriage. Make an appointment when you are able to do so. Best of luck, Aaa!

    • Hello
      Now I do pregnancy test on 7-2-2017 and it is faint positive whereas doing test again in evening 8-2-2017 it is negative.and also blood test having 1mIU/ml value.
      What does it means?

      • You may want to speak with a doctor to confirm the results of your test. Continue to monitor your experiences as you move into the future. Reduce stress in your life at this time. Best of luck, Aaa!


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