Brown Spotting with Cramps: Miscarriage, Implantation, or Other Causes—Get Evaluated

Brown spotting + cramping requires prompt medical assessment. Differential includes:

• Threatened or incomplete miscarriage
• Implantation bleeding (usually painless or mild cramps)
• Hormonal fluctuations (ovulation, perimenopause)
• Infections (cervicitis, endometritis)
• Ectopic pregnancy (if pregnant)

Ultrasound and serial hCG clarify viability. Early intervention improves outcomes and provides emotional support.