Pregnancy What To Know About Fluctuating Pregnancy Symptoms By Robin Elise Weiss, PhD, MPH Updated on September 13, 2024 Medically reviewed by Peter Weiss, MD In This Article View All In This Article Normal Pregnancy Symptoms Pregnancy Symptoms That Come and Go Why Do Pregnancy Symptoms Come and Go? When To Be Concerned About Fluctuating Symptoms Close While pregnancy symptoms can be uncomfortable and challenging, most people are fully prepared for them. What may come as a surprise is the way pregnancy symptoms come and go, often without rhyme or reason. Fluctuations in pregnancy symptoms may cause anxiety about whether your pregnancy is progressing as it should or if there's a problem that requires immediate attention. You may even find yourself scouring pregnancy books and websites to learn what to expect. Keep reading to discover when these fluctuating pregnancy symptoms are normal and when you should be concerned. Illustration by Cindy Chung Normal Pregnancy Symptoms Most pregnancy symptoms can be attributed to fluctuating hormones. Research shows people usually experience at least two symptoms in the first trimester, though everyone is different. Common pregnancy symptoms in the first trimester include: Breast tenderness Frequent urination Cramping Acne Food cravings Bloating Dizziness Mood swings Back pain Constipation Some people will have many of these, others will have just a few or none, and they may not happen consistently. The symptoms of pregnancy can vary from person to person (and from pregnancy to pregnancy). While some people will never experience a day of morning sickness, for example, others will feel nauseous and ill for weeks or even months. Pregnancy Symptoms That Come and Go The frequency and intensity of pregnancy symptoms can be highly variable, and, quite frankly, you can’t expect to feel all of them all of the time. It is true that pregnancy symptoms come and go. There will be days when you'll experience cramping and frequent urination, and others when you’ll have sudden cravings for certain foods. Sometimes, you might be entirely symptom-free. This is all perfectly natural and usually of little cause for concern. In some cases, pregnancy symptoms may not disappear so much as become less noticeable as you begin coping with the frequent changes in your body. For example, you might start to better understand your mood swings or find ways to deal with the rigors of constipation or nausea. By the second trimester, many of the more profound pregnancy symptoms (like fatigue, nausea, and food aversions) may begin to dissipate. Others will continue right up until the moment of delivery. Neither of these is considered a sign of a "less normal" or "more normal" pregnancy. Why Do Pregnancy Symptoms Come and Go? Usually, pregnancy symptoms come and go due to fluctuations in the pregnant person's hormones which cause the body to undergo rapid change. After all, the pregnant body is going through so much change—especially during the first trimester—which takes the body time to get used to. It's also important to note that everyone is different and some pregnant people may have more symptoms than others. When To Be Concerned About Fluctuating Symptoms On occasion, changes in pregnancy symptoms warrant concern or immediate medical attention. Here are some warning signs, plus what to do if you experience any of these symptoms. Your baby is moving less During pregnancy, one chief concern is fetal movement. It may be some time before you actually feel anything (usually sometime between weeks 16 and 22), but if you notice any significant changes in activity moving forward, tell a health care provider right away. A decrease in fetal movement, or a complete cessation of movement, might signal an emergency. While other symptoms may decrease or subside as your pregnancy advances, the movement of your baby should not. Note, however, that your baby may be quieter during certain times of the day, like when they're sleeping or you're exercising. That's usually normal. Sudden loss of all pregnancy symptoms If you've been experiencing symptoms throughout pregnancy, and they suddenly disappear without warning, this can also be worrisome. Indeed, a sudden loss of pregnancy symptoms might point to miscarriage or another issue, especially if it happens during the first trimester. (Though it's important to note that a cessation of symptoms might also be normal). Even if there are no other overt signs of miscarriage—such as abnormal bleeding or cramping—it's still important to get checked out sooner rather than later. Key Takeaway It can be perfectly normal to have pregnancy symptoms that come and go, or to have no symptoms at all. The severity or frequency of pregnancy symptoms is not a clear indicator of how you're progressing. When in doubt, follow your instincts and speak with a health care provider. Was this page helpful? Thanks for your feedback! Tell us why! Other Submit Sources Parents uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Examining to What Extent Pregnancy-Related Physical Symptoms Worry Women in the First Trimester of Pregnancy: A Cross-Sectional Study in General Practice. BJGP Open. 2019. Changes in Your Body During Pregnancy: First Trimester. American Academy of Family Physicians. 2021. Changes During Pregnancy. American College of Obstetricians and Gynecologists. 2022. Physiological changes in pregnancy. Cardiovasc J Afr. 2016. Fetal Movement. StatPearls Publishing. 2024. Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study. Int J Environ Res Public Health. 2021. Signs and Symptoms Associated With Early Pregnancy Loss: Findings From a Population-Based Preconception Cohort. Hum Reprod. 2016.