In the early stages of pregnancy, encountering bleeding can be a significant cause for concern. It becomes crucial to differentiate between two potential conditions: threatened miscarriage and ectopic pregnancy. Threatened miscarriage involves the risk of pregnancy loss but may not necessarily result in it, while ectopic pregnancy occurs when the fertilized egg implants outside the uterus, posing serious health risks. Distinguishing between these two scenarios is vital for appropriate medical intervention and ensuring the well-being of both the mother and the developing fetus. Early detection and accurate diagnosis play a key role in determining the most effective course of action for a safe and healthy pregnancy.