5 wks & 5 days pregnant. little to no cramping but spotting red blood with hcg level low. does this mean a miscarriage?

Maybe: Many pregnancies are complicated by spotting/bleeding in the first trimester. This doesn't have to mean you will miscarry, but the chances are higher. Your HCG level should be rising at a pretty predictable rate at this point. If you have it retested, and the level hasn't doubled over about 72 hours, then that's a bad sign. Also, it would help to know your progesterone level and your blood type.

Maybe not: Bleeding is never reassuring in pregnancy; however, at 5+ weeks it doesn't always mean a miscarriage. A single HCG level isn't that helpful to determine if you are miscarrying. You need two HCG levels (maybe more) 48 hours apart to see if the level is rising as fast as it should be rising. If it begins to drop, or rises very slowly (