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.

128 COMMENTS

  1. I just found out I was pregnant a couple days ago my levels were 14 then went up to 64 in three days I started bleeding so I went to the er can hcgs levels rise when having a miscarriage? Took a test yesterday morning still positive. I’m only like 2 weeks

    • If you believe that you may be having a miscarriage, then visit in emergency medical professional at this time. You may want to make an appointment with your medical professional instead. Continue to monitor the symptoms that you are having at this time. This will help that you are better able to address any questions that your doctor may have. Best of luck, Alicia!

  2. last month , me and my husband had tried first time to start a family. I felt all the symptoms of pregnancy but unfortunately got my periods :(. it was very depressing and disappointing. post periods i am still feeling the symptoms. Not i am not sure whether we should wait for some to get my body healed or keep on trying. My next cycle is about to start soon , visiting the doctor and getting the tests done would take time. I do not miss the opportunity of trying in the next cycle. Kindly advise.

    • Continue to have sex. Sperm are most viable after three days, but you can have intercourse as often as you want. You may be close to ovulation. Monitor the experiences that you are having at this time. If you experience signs of pregnancy, then take a pregnancy test five days after your normal period date. Best of luck, Deepa!

    • Continue to monitor your experiences for symptoms of a miscarriage. It is extremely common to bleed and expel clots when you have a miscarriage. There may be people who have had experienced a miscarriage who did not bleed. However, if you feel that you may be experiencing a miscarriage, then make an appointment with a medical professional to confirm. Best of luck, Kristen!

  3. I was hurting in my top stomach. . but no bleeding. & i am hurting in y kindeys only on 1 side.buy i have kindeys promblem. When to the hospital last nighy and they told me my number are 470 they want to do blood work again tomorrow? Is that nomerl i am 5 weeks

    • It is great that you have already spoken with a medical professional. Do blood work tomorrow. Continue to monitor your experiences for additional symptoms. Take note of these symptoms so you can better address any questions that your medical professionals may have. Drink plenty of fluids and reduce stress in your life at this time. Best of luck, Kristen!

  4. Can anyone help me out?
    I had sex on 31st may and bleeding started on 13th (light, 4days menstrual) now the thing is i think i am getting symptoms of pregnancy, is their any chance of getting pregnant?
    As i am not ready for it so..

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

  5. I am 4 days late with swollen breasts like im pregnant and started bleeding today. I had 2 or 3 faint positive tests and they were negative right before i started bleeding. I’m having severe cramps like I am in labor and back pain as well and I feel like I have to throw up and having big blood clots. Am I possibly misscarrying?

    • It is certainly possible that you are pregnant. It may be possible that you are experiencing signs of a miscarriage. Though you may be experiencing unusual pregnancy symptoms. It would be best for you to make an appointment with a medical professional at this time. If your appointment is more than a week out, then you may be best served by speaking with an emergency medical professional. Best of luck, Sheila!

  6. I’ve been bleeding since Sunday and my doctor said ima bout 4 weeks pregnancy when I saw her Monday..well the blood has gotten worse since Sunday and when I saw my doctor Monday she said there’s basically nothing she can do to help me if I’m miscarrying and the ER can’t help me either unless I’m hemorrhaging. I had one small clot and my belly is cramping like crazy and my back hurts I just wanna know if I have already miscarried my little pea pod???

    • It is possible that you are experiencing a miscarriage. It is also possible that you are experiencing an unusual early pregnancy. Continue to monitor your experiences for additional symptoms at this time. Reduce stress in your life wherever possible. Make an appointment with a medical professional in seven days. Bets of luck, Jackieh!

  7. I had no clue I was pregnant due to irregular cycles, well I decided to take a hpt one evening about 4 days ago. It was positive.
    The next morning, 12 hours later, I woke up with a few drops of bright red blood on my toilet paper. Through the day it was a drop or two only when I went pee. Then I saw the first clot about the size of a dime. That night when I showered, I saw another quart size clot go down the drain. Not bleeding heavy. All this time I have been cramping for a few days too. I also have no clue how pregnant I am. The day after that I didn’t really have any bleeding or clots till the afternoon. But hardly there. Just a few drops. Today, it’s brownish but still has red and a few drops worth. This afternoon I had a stringy clot. And brownish blood. When I used the bathroom again I had a drop or two of bright red blood.

    Am I miscarrying? Is this an early miscarriage? Why isn’t there more blood if it is.

    • It is possible that you are experiencing heavy implantation bleeding. It is also possible that you are not pregnant due to miscarriage. Since you are concerned about a miscarriage, it would be wise for you to make an appointment at this time. Continue to monitor the symptoms that you are having at this time so you can better address the questions that your medical professional will ask. Best of luck, Lyssa!

  8. I took a pregnancy test three times within a week and it all proved positive.sometimes i feel pains and cramps in my abdomen. Does it mean i am havin a miscarriage or it is possible that i am not pregnant?

    • It is likely that you are experiencing an unusual early pregnancy. Continue to monitor your symptoms at this time. It is also possible that you are experiencing an unusual period. It is possible that you are experiencing a miscarriage. It would be best for you to make an appointment with a medical professional at this time. You may want to speak with a emergency medical professional if your symptoms increase. Best of luck, Ann!

  9. A week ago I took 3 tests and they were all positive. My boyfriend and I had sex last night and when I woke this morning, I was bleeding bright red. I’m not having any pains or cramps but there are thick clots. Does this mean I’m miscarrying? Please help!! :'(

    • It is possible that you are experiencing a miscarriage. Because this is possible, it would be best for you to make an appointment with a medical professional at this time. You may want to speak with a doctor at an emergency room for quicker information. Monitor your experiences so you can better answer your doctor’s questions. Best of luck, Katy!

  10. Hi! Please help I did a home pragnacy test 3 times it was positive for 4 weeks on sataday morning I hade a terrible pains it was veri painful, after some few minutes some brown discharge came out but now the pains stop but they are some blood that coming out is this the sign of miscarriage pls help

    • It is possible that you are experiencing signs of a miscarriage. You will want to continue to monitor the symptoms that you are experiences. Make an appointment with a medical professional at this time. Take notes of your symptoms so you can better answer your doctor’s questions. Best of luck, Patricia!

  11. So my husband and I have been trying to get pregnant for 6 months now and before this last period I was feeling a lot more emotional than my normal and experiencing other pregnancy systems but I ended up starting to bleed 1-3 days earlier than my normal period cycle, the bleeding has also lasted longer and heavier than usual with larger clotting than usual also. Would these be signs of an early miscarriage and should I consult my doctor with this?
    Thank you

    • If you are having large clotting during pregnancy, then it would be wise for you to speak with a medical professional. Continue to monitor your experiences and make an appointment at this time. The two of you may also want to speak with a fertility specialist to determine what may be the cause. Best of luck, Jen!

  12. Took a pregnancy text and and it was positive. Two weeks down the line I noticed I was bleeding. Bleeding wasn’t heavy and it lasted for 3 days. Took a pregnancy text again and it was negative. Went in for a scan and I was told I had incomplete miscarriage. Do I have to be worried? Please help

    • As long as you follow your doctor’s directions, you should be fine. If you experience any unusual or unexpected symptoms, then go back to your doctor. While it can be traumatic, miscarriages are fairly common at this stage in the pregnancy. Up to a quarter of miscarriages are actually estimated to occur before the woman even realizes that she is pregnant. As long as you listen to your doctor and stay healthy, you should be fine.

  13. Hi! I am currently on my 3rd week and 3days. and i am having severe back pains, abdominal cramps (sometimes) and my breasts are not as swollen as before. came to this point that its hard to get up in bed and prefers to lie down on my bed. What do you think is happening to me? Tnx!

    • If you are having severe back pains and cramps, you need to go to your doctor because you could be experiencing a miscarriage or another problem. My advice is to go to your doctor and get checked out right away.

    • As long as you don’t have any health problems or complications, it should basically be the same as your normal changes of becoming pregnant. Normally, you have about a one in four chance of getting pregnant on any given month where you have unprotected sex.

  14. can any one help? i did a test on saturday 6/5/17 i was 4 weeks pregnant i have got a urine infection and i am now on anti biotics. i started with pink discharge yesterday and now it is red blood i have some cramping but no big clots as yet. i am at the doctors tonight do you think i am loosing the pregnancy?

    • It’s possible, but there is no way to know for sure. Go to your doctor and get checked out. It may just be due to the antibiotics, but your doctor will need to make sure that the pregnancy is progressing safely and healthily. If you have any other symptoms, call your doctor to see if you should go in early. Stay safe, Kayleigh!

  15. I am 4 weeks pregnant. i felt the symptoms like nausea and vomiting but all of a sudden, it was lost. is this a sign of miscarriage? help pls.

    • It seems like you may have commented twice on this one. I have to answer each comment individually, so it may sometimes take me a little while to answer them all. If you do not see your response right away, do not worry because you will. Read through my last response and let me know if you have any questions. Thanks for commenting!

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