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. Question so .. recently(yesterday February 20th or February 19th ) i started cramping having stomach pain.. today(February 21st) the cramps were worst like intense I couldn’t really move.. i felt dizzy and nauseous and 19th and 20th i was spotting brown.. I thought maybe i might be getting my period but it never came yet today I went to the bathroom and when I wiped i had a lot of blood a little blood clots but i thought maybe im getting my period but since then I haven’t been bleeding the only thing I have is cramps
    I’ve been pregnant for 4weeks and i have the birth control implant in and i know when having the implant in your arm you have a chance of miscarriage..
    Did I possibly have a miscarriage and not know about it??

    • If you are pregnant and have a birth control implant, then there are variety of potential health considerations that you should be aware of. Make an appointment with a medical professional at this time. Continue to monitor your experiences for additional symptoms. Speak with an emergency medical professional if you feel it is appropriate. Best of luck, Nicole!

  2. I have been bleeding for 16 days now. It started out more like spotting and its so heavy now that I change me pad every hour or 2. I’ve have cramping and nausea and some blood clots. My periods do not last this long. This happened right before I was supposed to get my normal period. do you think this is a miscarriage?

    • It is possible that you are having unusual signs of pregnancy. It is possible that you are experiencing a miscarriage. Speak with a medical professional at this time. You may find benefit in visiting an emergency medical professional. Best of luck, Tyler!

  3. Hi my husband and I have been ttc. This last couple weeks I’ve had unusual symptoms including abdominal fullness and bloating and thought we may have conceived. A week before my period was supposed to arrive I got brown spotting then 2 days of a heavy period like bleed and 1 day of spotting. This is not only earlier than I was supposed to start but shorter in duration. Now I’m left with still a bloated belly which usually goes away after I bleed! Could I have experienced an early miscarriage? Could I be pregnant?

    • It is possible that you are pregnant. It is possible that you experienced implantation bleeding. Continue to monitor the experiences that you are having for additional pregnancy symptoms. Take a pregnancy test five days after your normal period date. Confirm the result of your test with a medical professional. Best of luck, Deedee!


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