Bleeding at 7 weeks of pregnancy can be caused by pre-eclampsia, ectopic pregnancy, pregnancy combined with vaginal cervical lesions and external irritation. 1. If the patient has been seen in the hospital in the past and has a clear intrauterine pregnancy. If the patient has irregular vaginal bleeding in 7 weeks of pregnancy, no abdominal pain or vague abdominal pain, no obvious external factors (external impact on abdomen, intercourse, etc.), except for vaginal and cervical lesions, consider preterm abortion. If the ultrasound indicates normal embryonic development, treatment of fetus preservation should be given, if the ultrasound indicates embryonic abortion, clearance should be performed as soon as possible. 3.If the patient has no clear intrauterine early pregnancy in the past, only positive urine test paper at home, bleeding at 7 weeks of pregnancy does not exclude the possibility of ectopic pregnancy, you should consult a hospital promptly for clarification, if accompanied by obvious abdominal pain symptoms, you should consult a nearby hospital immediately. Blood HCG and vaginal ultrasound should be checked, and if the result shows ectopic pregnancy, surgical treatment is usually required. In conclusion, regardless of the cause of bleeding at 7 weeks of pregnancy, it is important to seek medical attention promptly, especially for pregnant women with undetermined intrauterine pregnancy, and to be alert for bleeding due to ectopic pregnancy. It is necessary to seek medical attention as soon as possible to clarify the diagnosis.