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Minor bleeding (more like spotting, really) can happen in the first trimester (happens in about a quarter of all pregnancies) and isn't usually anything to be concerned about. When you sit on the toilet and see frank blood coming from your vagina or you are having cramping, that is serious. You need to wear a panty liner or pad so you can estimate the amount of bleeding. This can't be done with a tampon. If there is a lot of blood (more than spotting), you need to see your obstetrician immediately. If it will make you feel less anxious, you should call the ob and possibly go in for an exam. I don't want to upset you but about 15 to 20% of all pregnancies end in miscarriage during the first trimester, often due to genetic defects in the fetus. However, spotting or very mild bleeding is also quite common and doesn't necessarily mean anything serious at all.