Signs and symptoms of early pregnancy before missed period

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.

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.

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. It can take around three to four weeks from the first day of your last period for there to be enough hCG in your body to show up on a test.

What are the first symptoms of pregnancy?

The most common sign of early pregnancy? 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.

What other symptoms can be 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 typically occurs 10 to 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. 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.

8. Nausea or vomiting

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. 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.

10. 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 with other pregnancy symptoms. But – as a heads up – if you really are pregnant, these symptoms may stick around throughout your whole pregnancy.

11. Metallic taste in your mouth

Many women report a metallic taste in their mouth during pregnancy. Once again, hormones are to blame – specifically, estrogen.

Typically, this symptom (as well as changes in taste overall) is common in the first trimester but may occur at other times too – including before a missed period.

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.

And oftentimes, this heightened sense of smell can stick around through the first trimester or beyond, and contribute to other symptoms such as nausea, and food cravings or 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.

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. This is also a great time to start looking into educational resources like the myHealthyPregnancy app.

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.

Questions or concerns about your symptoms? Our 24/7 nurse line is free for our members and patients.

Positive pregnancy test? Schedule a visit.