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Early Cramping in Pregnancy – Is It Normal?

Early Pregnancy and Cramping

Whether mild or severe, cramping in early pregnancy is naturally alarming. If you’ve never been pregnant before, you may be worried that you’re going to miscarry. Fortunately, in most cases, cramping in early pregnancy is normal. But if you have severe cramping that is accompanied with vaginal bleeding, it can be a sign of a complication.

Cramping in early pregnancy can be light, or severe. Sometimes, light cramping signals implantation – one of the earliest signs of pregnancy. Cramping may also be a sign of your uterus stretching to accommodate your developing baby. Other times, cramping can be a sign that you will have a miscarriage, or you have an ectopic pregnancy.

Because there are many reasons why you may have cramping in early pregnancy, you should contact your OB/GYN, midwife, or healthcare provider and let them know your symptoms.

Implantation Cramping

Light cramping in early pregnancy is usually a sign of implantation cramping, and it’s nothing to worry about.

Implantation cramping can feel similar to the light menstrual cramps that you have around the time of your period. The mild cramping can affect your lower abdomen, and it may feel more uncomfortable on one side.

Many women experience implantation cramping before they ever realize that they’ve conceived. Implantation usually occurs eight to ten days after you ovulate (and a few days before you are scheduled to miss your period). Sometimes, implantation cramping occurs with light and brief light vaginal bleeding or spotting.

Implantation cramping is one of the earliest signs of pregnancy. The cramping is caused by your newly fertilized egg imbedding itself, burrowing into the wall of your uterus. During this process, you can feel some light cramping and you may have light vaginal spotting (called implantation bleeding).

Round Ligament Pain

Early cramping in pregnancy can also be a sign of round ligament pain, which refers to the natural stretching and growing of your uterus to accommodate the quickly developing baby. As your uterus grows, it can sometimes irritate nerve fibers that are nearby, and this can cause you to feel sharp, jabbing pain. Sometimes, round ligament pain feels like a dull ache, or a dull cramp in your lower abdomen.

Also called “growing pains,” round ligament pain is a normal pregnancy symptom that can start in the first trimester. You may notice that you feel crampy when you suddenly move position too fast, or on a day that you’ve been particularly physically active.

Round ligament pain can cause cramping, but your pain should never be severe. If you have severe cramping that comes with any vaginal discharge, lower back pain, fever, chills, or nausea and vomiting, you need to contact your doctor right away.

Gas and Constipation

Sometimes, gas pains can be easily mistaken for cramping in pregnancy. Gas pains are often described as sharp, jabbing pains in the abdomen, or even cramps in your belly. Gas pains can be intense, and once you pass the gas, your pain and gas-related cramping usually goes away.

Because of higher levels of progesterone, which slows down digestion, it’s common for pregnant women to have excess gas and more bloating than before pregnancy. Gas is an uncomfortable (not to mention embarrassing) part of the whole pregnancy experience.

Similarly, constipation – which is very common in pregnancy, again due to progesterone slowing down your digestive tract – can cause you to have abdominal pain and cramping.

Although constipation is a normal pregnancy symptom, you need to contact your doctor immediately if you have painful constipation that is accompanied with severe abdominal cramping or pain, and hard stools with mucus or blood.


Although cramping in early pregnancy is common and normal in many situations, it can also be a sign that you will have a miscarriage.

In an early miscarriage (before 5 or 6 weeks pregnant), you may have moderate cramping that is heavier than menstrual cramps. Later in the first trimester, miscarriage-related cramping can be heavy and really painful.

Common signs of a miscarriage include:

  • Pelvic cramping
  • Belly pain
  • Persistent lower back ache
  • Vaginal bleeding
  • Blood clots passing from your vagina

In many situations, the first signs of a miscarriage is vaginal spotting or vaginal bleeding. (However, keep in mind that 20 percent of all pregnant women experience vaginal spotting in the first trimester, and half of these cases do not end up in miscarriage.)

During a miscarriage, cramping and abdominal pain usually comes after you notice some vaginal bleeding.

If you are ever worried about your cramping in early pregnancy, consult a healthcare provider. It’s always better to remain on the safe side and get checked out. Your doctor can often alleviate your fear (if nothing is wrong).

Ectopic Pregnancy

Early pregnancy cramping, especially if it is severe abdominal cramping on one side, is a sign that you have a tubal (or ectopic) pregnancy. During an ectopic pregnancy, the fertilized egg grows in a location outside of the uterus – usually in the fallopian tubes. Since the pregnancy cannot develop without endangering the woman’s life, it needs to be treated.

If you have intense, one-sided cramping in pregnancy, you need to contact your doctor right away. Ectopic pregnancies can be a life-threatening situation when they aren’t caught early.

Ectopic pregnancies are rare and occur in only two percent of all pregnancies. Signs that you have an ectopic pregnancy include:

  • Lower abdominal pain
  • One-sided cramping
  • Vaginal bleeding
  • Dizziness or weakness
  • Shoulder or neck pain

Contact your OB/GYN or healthcare provider if you believe that you may have an ectopic pregnancy.

How to Cope with Cramping in Early Pregnancy

When you have mild or moderate cramping in early pregnancy (that does not come with bleeding or any other unusual symptoms), it may help to take a warm bath or take a short break.

Since medications are not recommended in the first trimester – since this is a time when all of your baby’s organs are in their earliest stages of development – you should try to find natural ways to find relief, like a warm or cold compress, before trying any medication. An occasional Tylenol (acetaminophen) can alleviate your discomfort, but this should be a last resort.

For severe or intense pain, you should contact your doctor and get checked out to rule out any complications.

About the author: DP Nguyen is founder and editor of Hip Chick’s Guide to PMS, Pregnancy and Babies. She’s an expert pregnancy and women’s health blogger. She is NOT a medical doctor and does NOT offer medical advice. Connect with her on Google+, Twitter and Facebook.

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{ 15 comments… add one }

  • Nibha Rawal February 13, 2015, 8:37 am

    I am really satisfied after read these articles..it has very correct knowledge.

  • Amber November 17, 2014, 10:49 am

    So I’ve had all symptoms of pregnancy.
    I missed my period by 2 weeks, took a test and come up neg .. I get really really dizzy and I have drop to the ground a few times . I get like 15 seconds worth of period pains , grew a extra size in my boobs, sore and sometimes my nips

  • bongi November 17, 2014, 8:10 am

    Hi m 8 weeks I am experience all the symptoms of miscarriage,m worried whether I have miscarried already or what could it be? Teary eyes

  • Marie July 2, 2013, 5:11 pm

    I had sex the 26th, unprotected and missed a few days of bc right before, and I’ve been feeling off since then, I’ve been bloated, cramping mild to slight, and queasy. And it’s super early suppose to get my period next week, but I’ve never felt like this before a period or missing pill days. Idk what it could be?

  • tanesha June 28, 2013, 9:54 am

    Another thing is I’ve been having itchy nipples (sorry I know that was T-Mobile)

  • tanesha June 28, 2013, 9:41 am

    Hey I’m really curious. I had light brown discharge for about 4 days. Then I had nothing. Yesterday I wiped and it was kind of pinkish. Later on I went to the bathroom I wiped and it was a little blood. I have minor cramps (there not painful ) back pain (that comes an goes) I get headache on and off. Can I be pregnant? SOMEONE HELP!!!!

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  • Eugenia May 17, 2013, 11:12 pm

    Hi, I had a miscarriege back in in february of 2013 I was 5 weeks and my husband n me have been trying to concieve again. But today I been feeling some of the same sintoms that I felt when I was pregnant. The inverasing gas, the constipation n a little fatigue and a mild abdomen pain, execpt my pain is on my right lower abdomen n not the left one like before. I havent take any test but could it possibly be that I am pregnant??

  • paige April 15, 2013, 2:48 am

    im 8 weeks started last week with light pink bleeding everyother day for a couple days then it turned brown an stopped..now 3 days later its medium bleeding an i have been cramping pretty bad all day probably 8 being the worse and the last time i used the restroom small blood clots came out..this is my first pregnancy an im going to go to the hospital first thing in the mornin juat looking for advice

  • Emily January 20, 2013, 9:58 pm

    I am 29 and TTC with my husband. We have one daughter and I lost my 2nd baby to a miscarriage. I am wondering if I might be pregnant because I’m on the 10th day after I noticed I was ovulating. I am feeling an ache/tug pain on my left side, abdominal (but mostly the small of my back). It is a similar feeling to when I have my period, but it began last week, when I was a good 2 weeks from my period.

    I have felt it off and on for the past week, but today it has been pretty consistent. There is no bleeding. My only big fear is that this might be ectopic.

    Would it be possible to feel an ache/tug so early in conception (it may have been at/around 10–12th). I am not due to start until the 28th, but I am already feeling concerned that something will go wrong.

  • Safy May 8, 2012, 5:49 am

    either ur period could still be on its way , or, you could have gotten a false negative on the pregnancy test :) if you period doesnt come in the next few days it might be a good idea to do a blood pregnancy test at the doctor.

  • Lizzy P May 7, 2012, 1:12 pm

    I am a 32 yrs old, missed my period n having minor cramps like menstrual pains, I made the home pregnancy test it came negative, what can be the cause?

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