Common Pregnancy Symptoms by Trimester: What’s Normal and What’s Not

Pregnancy is a time of big changes and big questions. As your body adapts to support new life, it’s normal to wonder whether what you’re feeling is expected or something to be concerned about.

Some symptoms are perfectly routine, even if they’re brand new to you. Others may be worth checking with your provider about. The key is knowing what to expect in each trimester and listening to your body along the way!

Below, we’ll walk through the most common pregnancy symptoms by trimester and highlight when it’s time to call your OB-GYN. Whether you’re navigating early nausea or nearing your due date, this guide is here to help you feel informed and supported every step of the way.

 

First Trimester Symptoms (Weeks 1–12)

Early pregnancy can be a rollercoaster—physically and emotionally. If anything feels off, don’t hesitate to ask questions!

What’s Normal?

  • Fatigue: A surge in progesterone can leave you feeling more tired than usual.
  • Nausea and vomiting: Morning sickness often peaks around weeks 6–10.
  • Breast tenderness: Hormonal changes can make breasts feel swollen or sore.
  • Mood swings: Fluctuating hormones may lead to increased sensitivity or irritability.
  • Frequent urination: A growing uterus and hormonal shifts may send you to the bathroom more often.

When to Call Your OBGYN

  • Severe abdominal pain or cramping
  • Heavy vaginal bleeding (more than spotting)
  • Fever over 100.4°F
  • Severe dizziness or fainting
  • Persistent vomiting and dehydration
  • Second Trimester Symptoms (Weeks 13–27)

What’s Normal?

  • Backaches or round ligament pain: As your belly grows, so does the strain on muscles and ligaments.
  • Increased appetite: Energy returns and hunger often picks up.
  • Mild swelling in feet and hands: Common later in the trimester, especially after standing for long periods.
  • Skin changes: You may notice darkening skin, stretch marks, or a visible line down your belly (linea nigra).
  • Baby kicks! Many people feel movement between weeks 18–22.

When to Call Your OBGYN

  • Sudden, severe swelling (especially in the face or around the eyes)
  • Blurred vision, headaches, or upper abdominal pain
  • Decreased fetal movement after 24 weeks
  • Vaginal bleeding or unusual discharge
  • Persistent, painful cramping
  • Third Trimester Symptoms (Weeks 28–40+)

What’s Normal?

  • Shortness of breath: A growing uterus can press on your lungs.
  • Braxton Hicks contractions: These “practice” contractions are usually mild and irregular.
  • Frequent urination and disrupted sleep: Common as your baby drops lower into your pelvis.
  • Pelvic pressure or discomfort: Especially as labor approaches.
  • Leaking colostrum (early milk): This is your body prepping for breastfeeding.

When to Call Your OBGYN

  • Regular contractions before 37 weeks
  • Sudden decrease in fetal movement
  • Signs of labor (bloody show, water breaking, frequent contractions)
  • High fever or flu-like symptoms
  • Severe itching, especially on hands and feet (a possible sign of cholestasis)

Trust Your Body and Your Provider

No two pregnancies are exactly alike. Some people feel great, while others have symptoms that change daily. No matter where you are in your journey, one thing is true: You deserve to feel heard, supported, and cared for.

When in Doubt, Reach Out

Have questions about your symptoms?  Schedule a visit with Dr. Asulin at (201) 308-5591 with any concerns, and trust yourself every step of the way.

What Causes Irregular Periods? Top 5 Reasons and When to Worry

Your period doesn’t always follow a perfect schedule, and for many people, that’s normal. But when your cycle becomes unpredictable, extra long (or short), or unusually heavy or light, it may leave you wondering what’s going on.

Here are the top 5 most common causes of irregular periods, plus when it’s time to check in with a gynecologist.

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How to Choose the Right Gynecologist for You in 2025

Choosing a gynecologist is one of the most personal healthcare decisions you can make. Whether you’re booking your first appointment, switching providers, or seeking specialized care, finding the right fit matters not just for your comfort, but for your overall health.

In 2025, with expanded telehealth options, growing focus on inclusive care, and more access to patient reviews than ever, here’s how to find the gynecologist who’s right for you!

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The Link Between Pelvic Floor Health and Sexual Function

When people think about sexual health, they often focus on hormones, desire, or emotional connection. But there’s another key player that’s often overlooked: your pelvic floor. This group of muscles plays a crucial role in bladder control, core stability, and yes—sexual function.

Understanding the connection between pelvic floor health and sexual well-being can help you take control of your body, improve intimacy, and feel more confident. Below, we look all all things pelvic floor: What it is, how it affects sexual function, and how you can start taking care of yours today!

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The Truth About Birth Control: Debunking Common Myths and Finding the Right Option for You

When it comes to birth control, misconceptions abound. From fears about weight gain to concerns about long-term fertility, many women hesitate to explore their options due to misleading information. 

The truth is, birth control is safe, effective, and comes in many forms—allowing women to choose what works best for their bodies and lifestyles! Below, we clear up some of the biggest myths and explore how to find the right birth control method for you.

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The Five Main Types of Gynecologic Cancers and How They’re Treated

When thinking about the main types of gynecologic cancers, the most important factor for women is to “know your normal.” Signs and symptoms can be different for each woman, so if you are aware of what is normal for you, it will be easier to spot any changes and catch problems early. With that thought in mind let’s discuss the five main types of gynecologic cancers and how they are treated.

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12 Effective Tips for Managing Overactive Bladder

Do you find yourself locating the nearest bathroom when you are out with friends? Do you make it a habit to always use the bathroom before going anywhere? Are wearing leakproof panties now part of your daily attire? If so, you may be suffering from an overactive bladder. There is more you can do to manage this problem. Here are 12 effective tips for managing overactive bladder.

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What Are the Advantages of Choosing da Vinci® Surgery for a Benign Hysterectomy?

A hysterectomy, the surgical removal of the uterus, is a common procedure for addressing benign gynecological conditions such as fibroids, endometriosis, or abnormal bleeding. While traditional surgical methods have been effective, advancements in technology, such as the da Vinci® robotic-assisted surgical system, have revolutionized how hysterectomies are performed. This minimally invasive approach offers numerous benefits, making it an excellent option for many patients.

If you’re considering a hysterectomy, understanding how the da Vinci® system works and its advantages can help you make an informed decision about your care.

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Seasonal Changes and Their Impact on Gynecological Health

As the cold days of winter approach, many women can’t remember why they dread that time of year so much. Then it all comes back to them. Winter is one of those seasons when their menstrual cycle goes haywire. Their irritability is off the charts, their menstrual pain seems to be worse than normal, and their periods seem longer. In fact there are similar issues when the weather turns warmer. There are some physical reasons why this occurs. Let’s take a deeper dive into seasonal changes and their impact on gynecological health.

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Lifestyle Changes to Manage Urinary Incontinence: Practical Tips for Everyday Life

Urinary incontinence—the involuntary leakage of urine—can significantly affect a person’s daily life, causing discomfort, embarrassment, and anxiety. While medical treatments can help, lifestyle changes play a crucial role in managing symptoms and improving quality of life.

The good news? From dietary adjustments to bladder training and weight management, simple changes can make a big difference. Below, we look at several practical tips to help you take control of urinary incontinence and regain confidence in everyday activities.

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