After a sperm fertilizes an egg, the resulting embryo travels through the fallopian tube and reaches the uterus about 5 to 6 days later. It then needs to burrow into the thickened uterine lining (endometrium) to establish a blood supply — a process called implantation. This process can disrupt small blood vessels in the endometrium, releasing a small amount of blood that travels out through the cervix and vagina.
Not everyone experiences implantation bleeding. Studies suggest it occurs in about 15 to 25 percent of pregnancies. When it does happen, it is typically so light that many people do not even notice it, or they mistake it for the very start of their period. For a broader look at all early signs, see our guide on early signs of pregnancy.