Am I pregnant or is something wrong?

Patient: I’m just trying to see what’s going on with me and if I should go to the ER or what…. I missed my period in February. My last one was January 17th and when I was supposed to get mine in February, I only spotted a little…. then today I started to spot. I haven’t had any pain this time, but had a little the last time. I’m just wondering if I should go to the ER and be seen, if this could be my period coming late or what? I’ve had several miscarriages in the past and have 3 living children, my youngest is a twin but I lost her brother. Any advice on what I should do would be greatly appreciated. TIA

Symptoms: Spotting

Doctor: