You’ve got one question on your mind: Could I be pregnant?
A pregnancy test is the only way to know for sure. But if it’s too early to take a test, you may be on the lookout for early signs – or maybe you think you’re already experiencing some early pregnancy symptoms.
Is it too early to tell if you’re pregnant? What symptoms may be the earliest signs of pregnancy? Below, we answer those questions and more.
What is usually the first symptom of pregnancy? A missed period.
The most common early sign of pregnancy is a missed period. Your menstrual cycle is your body’s way of preparing for a possible pregnancy each month. Part of that is the thickening of your uterine lining, which is where a fertilized egg would implant to begin a pregnancy.
If you’re not pregnant, your period is how your uterus sheds that extra lining. If you are pregnant, that lining stays put and you don’t get your normal flow. This is why a missed period is often the earliest sign of pregnancy.
Of course, a delayed or missed period doesn’t always mean you’re pregnant. If your body is under a lot of stress or you have a hormonal imbalance, you could be experiencing an irregular menstrual cycle.
16 other early signs of pregnancy
Every person – and every pregnancy – is different. So, if you are pregnant, you’ll likely experience a unique combination of common, not-so-common and sometimes overlapping symptoms. And, they may show up earlier or later than expected. Here are more than a dozen possible symptoms of early pregnancy.
1. Spotting or light bleeding
Many women are surprised to learn that spotting or light bleeding can be an early sign of pregnancy, but about one-third of women experience it. This is often called implantation bleeding because doctors believe it occurs as the fertilized egg attaches (or implants) itself into the uterine lining. This is different from bleeding that could occur from something like a miscarriage – which is usually heavier.
When does implantation bleeding occur?
Implantation bleeding is light bleeding that typically occurs 10-14 days after conception, which is just before or right around the time your period is due. So you may think you’ve gotten your period.
But implantation bleeding is a light flow, which may start and stop over a couple days. Implantation bleeding is fairly common, and while it can take on a range of colors, it’s more likely to be pink, brown or light red.
Your period, on the other hand, may start off light in flow and in color but after a couple days becomes heavier, changes to a crimson red color and lasts up to a week or so.
2. Lower abdominal pain or cramping
While cramps and lower-abdominal pain can signal a coming period, they can also be a sign of egg implantation.
What do implantation cramps feel like?
Implantation cramps can occur with or without spotting or bleeding, and may feel different from period cramps. For example, you might feel mild to moderate prickling, pulling or tingling that comes and goes over a few days.
But menstrual cramps can often feel like a throbbing or dull ache, and typically start a day or two before your period.
3. Higher basal body temperature
If you’ve been tracking your basal body temperature (BBT) to increase your chances of getting pregnant, you probably know that your BBT goes up slightly right after ovulation. If you’re pregnant, your temperature may remain elevated rather than dipping back down.
Of course, you could be running hot for other reasons, but if it lasts more than a few weeks, pregnancy may be the explanation.
4. Changes in cervical mucus
If you’ve already been checking your cervical mucus to figure out when you’re most fertile, here’s a reason to continue: In the first few weeks of pregnancy, the amount of cervical discharge may increase and become stickier and whiter.
5. Breast tenderness, swelling or tingling
When you’re pregnant, your body experiences big changes in hormones – specifically, increases in estrogen and progesterone – to support your growing baby. This change in hormones can contribute to many symptoms, including breast tenderness.
Oftentimes, increased breast tenderness, swelling or tingling start to become noticeable a few days before a missed period.
If you usually experience breast tenderness leading up to your period or shortly after it begins, pregnancy-related breast tenderness and swelling will likely be more intense than you’re used to and stick around. You may also experience nipple soreness.
6. Fatigue
Fatigue in early pregnancy is common, and some women might notice it before they know they’re pregnant. In fact, fatigue may set in as soon as one week after conception. This is thanks to those sudden changes in hormone levels, particularly increasing progesterone.
7. Frequent urination
If you’re making more trips to the bathroom than usual around the time your next period is due, it may be a sign of pregnancy.
Certainly, your drinking habits play a big role in how many times you pee in a day. However, pregnancy increases the amount of blood in your body, which gives your kidneys more fluid to filter and more waste to get rid of.
So if you’re pregnant, you may notice you’re peeing a lot more – a symptom that can start early on and (unfortunately) last throughout your pregnancy.
Morning sickness might be the most well-known of all pregnancy symptoms, taking the form of food aversion or nausea, and even vomiting for some. This symptom can set in as early as two weeks after conception, which is around the fourth week of pregnancy and right around the time you’d miss your period if you were pregnant.
But some may not experience nausea or vomiting at all. And despite its name, morning sickness can actually happen at any time of the day or night.
9. Food aversions and appetite changes
A food aversion is a distaste and sometimes a negative physical reaction to smelling or seeing certain foods or drinks. Food aversions are common in pregnancy in the first trimester and even beyond, and are caused by the hormone estrogen.
Common food aversions in pregnancy can include meat, tea, coffee, eggs, milk, onions, garlic and spicy foods. Sometimes, aversions can cause a metallic taste in the mouth, even when you’re not eating anything.
Likewise, hormones can cause appetite changes – appetite loss or cravings for specific foods. Appetite loss commonly occurs due to nausea and vomiting. If this is the case, it’s better to stick to dryer, blander foods like crackers or a baked chicken breast.
Food cravings are a sudden desire for a specific food item or non-food item, which is also known as pica. Cravings are normal and common in pregnancy. Sometimes they may be for a combination of foods, or foods that you disliked before pregnancy.
10. Darkening areolas
When you’re pregnant, your areolas (the areas round your nipples) will likely grow and darken. Usually, these changes are gradual and continue throughout pregnancy. However, some women notice these changes really early on in combination with other symptoms.
11. Bloating or constipation
We all experience bloating or constipation from time to time, but both are quite common during pregnancy. Once again, those changing hormones are the culprit. They slow down digestion, which can cause a buildup of air in the gut and lead to constipation.
Early on, bloating or constipation may be mild and accompanied by other pregnancy symptoms. But if you really are pregnant, these symptoms may stick around throughout your whole pregnancy.
12. Sensitivity to smell
Many women report that sensitivity to smell was one of their first signs of pregnancy. In fact, as many as two-thirds of women become more sensitive or reactive to the smells around them during pregnancy.
Oftentimes, this heightened sense of smell can stick with you through the first trimester or beyond, and contribute to other symptoms such as nausea, food cravings or food aversions.
13. Mood changes
From a stressful day at work to the natural wonders of your menstrual cycle, there are a lot of things that can affect your mood. But changes in mood are very common during pregnancy – and they may be especially noticeable early on as your body gets a sudden burst of estrogen and progesterone.
If you are pregnant, any mood changes you’re experiencing are likely coupled with other symptoms such as fatigue or nausea. You may feel more sensitive or weepy. Or perhaps your fuse is a little shorter and you’re more easily annoyed.
14. Headaches
Headaches are a part of life. They come with colds and allergies. They come with stress or fatigue, or when you cut down on caffeine to help prepare your body for pregnancy. But they can also come with pregnancy.
Headaches can happen thanks to the increasing blood volume and hormonal changes that occur in early pregnancy. You can also get headaches if you’re dehydrated as a result of nausea.
15. Dizziness
As blood flow increases during pregnancy, blood pressure can also decrease and lead to dizzy spells. Usually, dizziness is more of a second trimester symptom, but some women may notice it very early on, too.
16. Nasal congestion
A lot of people are shocked to learn that nasal congestion can be a pregnancy symptom. You may wonder if you’re coming down with something or your allergies are acting up. But if you’re noticing a stuffy or runny nose along with other pregnancy signs, you might be taking a pregnancy test in the near future.
The mucous membranes in the nose are also affected by hormones and increased blood flow throughout your body. This can cause blood vessels to swell, resulting in congestion and even sneezing.
So, how early can you tell if you’re pregnant?
Again, you’ll need to take a pregnancy test at the right time to confirm your hopes or suspicions. But when it comes to the first symptoms of pregnancy, everyone is different. Some people start to notice changes within a week after conception. Others might not notice anything until they miss their period. On average, if you do experience symptoms, they’ll likely occur by your fifth or sixth week of pregnancy.
When should you take a pregnancy test?
It’s usually recommended that you take a pregnancy test after you’ve missed your period. This is because pregnancy tests measure the level of human chorionic gonadotrophin (hCG) in your body, which is a hormone that starts to build up when you conceive.
Some pregnancy test suppliers may claim their tests can show results before you miss a period, but they’re not always the most accurate. It can take around 3-4 weeks from the first day of your last period for there to be enough hCG in your body to show up on a test. If you take a test too soon, it could show up as a false negative – where the test says you’re not pregnant even if you really are.
Could you have early pregnancy symptoms and not be pregnant?
Yes. As we’ve mentioned, many early pregnancy symptoms can overlap with symptoms of other conditions, especially premenstrual symptoms. So, the best way to know if the symptoms you’re experiencing are pregnancy related is to try to relax and patiently wait until it’s time to take a pregnancy test.
When should you see a doctor about a new pregnancy?
If you’ve taken a pregnancy test and it’s positive, go ahead and make your first prenatal visit right away. Typically, your first prenatal visit should occur around the eighth week of your pregnancy. Your doctor may want to see you sooner if you have a preexisting medical condition, are experiencing symptoms not typical of early signs of pregnancy, or have a history of miscarriage.
At the first prenatal visit, you’ll get a physical exam and other tests to make sure everything is looking healthy, and you’ll learn about the rest of your prenatal appointment schedule. You’ll also get to talk through any expectations and questions you have, such as which foods to eat and avoid while pregnant. This is also a great time to start looking into educational resources like the myHealthyPregnancy app.