Have you been experiencing irritability, a nagging sore back, insatiable hunger pangs, and low energy? These unpleasant symptoms may result from either premenstrual syndrome (PMS) or pregnancy at the early stage. This symptomatic similarity may make it challenging to discern whether you are pregnant or merely coming up to menstruation. This article will help you to discover the true cause of your symptoms.
Fatigue
Fatigue is a common sign of both PMS and pregnancy. This exhaustion normally occurs during both the first and third trimesters of pregnancy. It is therefore possible to experience this fatigue before realizing you are pregnant, which might lead you to believe you are simply suffering from PMS. Pregnancy fatigue is caused by elevated levels of the hormone progesterone combined with reduced blood sugar and low blood pressure.
Food aversions or cravings
Food aversion is a common sign of early pregnancy. The once beloved scent of frying bacon will suddenly evoke nausea, due to an increase in the beta-hCG hormone. While these food aversions are only symptomatic of the early stages of pregnancy, food cravings can result from either pregnancy or PMS. While salty or sweet food cravings indicate PMS, cravings of a stranger nature typically appear during the first trimester of pregnancy. A common example of such a craving might be peanut butter and pickles eaten together.
Increased urination
This annoying physical symptom is exclusively experienced during pregnancy. To add insult to injury, this frequent urination typically occurs at night.
Tender and swollen breasts
This is a common symptom of both PMS and pregnancy. During PMS, women experience tender and slightly enlarged breasts, referred to as "cyclical mastalgia," or "cyclical mastodynia". This symptom in PMS disappears during menstruation, while pregnant women will experience markedly swollen and tender breasts 1-2 weeks after conception.
Morning sickness
This is perhaps the most distinctive and iconic symptom of early pregnancy. Morning sickness is an unpleasant feeling of nausea, which is sometimes accompanied by vomiting. Not all women have morning sickness during the early stages of pregnancy, but those who do may experience it as early as three weeks after conception. Morning sickness is not a symptom of PMS.
Slight bleeding or cramping
This can be a sign of either PMS or pregnancy. Cramping during PMS is a common occurrence and will vary in severity for each woman. Not all women will experience cramping during early pregnancy, but some will feel mild abdominal cramping. Spotting or slight bleeding may actually be the first sign of pregnancy. This spotting is known as implantation bleeding and is caused by the fertilized egg being embedded into the uterine wall.
Below I have outlined the symptoms experienced with PMS, pregnancy, or both. I have also detailed the slight differences for symptoms inherent to both PMS and pregnancy.
Symptoms |
PMS |
Pregnancy |
---|---|---|
Swollen and tender breasts |
This will disappear once your period begins |
This will manifest 1-2 weeks after conception and remain during the pregnancy |
Morning sickness |
This is not experienced during PMS |
This is a common and distinctive sign of pregnancy |
Spotting |
Spotting is not experienced during PMS, just menstruation |
Slight spotting is normal during early pregnancy |
Cramping |
This will differ in severity with each woman |
Mild abdominal cramping may occur in early pregnancy, but not always |
Food cravings |
Cravings for sweet and salty food |
Cravings for odd food combinations |
Food aversions |
Does not often occur during PMS |
Aversions to certain food smells, sights, and tastes |
Fatigue |
Occurs during the days preceding menstruation |
Experienced during the 1st and 3rd trimesters |
Mood swings |
Involves bouts of crying, anger, irritability, and sadness |
Heightened emotions |
Increased urination |
Not experienced during PMS |
Increased urination |
Bowels |
Constipation or diarrhea |
Constipation |
Missed period |
You will experience your normal menstruation |
You will miss your period |
Menstruation |
Menstruation |
Menstruation will not be experienced |
Back pain |
PMS back pain is often radiated from pelvic or abdominal pain. |
Lower back pain |
Darkening of areolae |
Not experienced during PMS |
Darkening of areolae |
Hopefully after reading this article you are now able to discern which of these two female conditions you are experiencing. If you are still unsure, you should either visit a doctor or take a home pregnancy test.