Medically reviewed by Dr. Melissa Dennis, MD, MHA, FACOG
You probably already know some of the more common signs of early pregnancy like nausea, a missed period, or sore breasts. But for some people, the very first clues are a little… weirder. A sudden metallic taste in your mouth? Superhuman smell? Strange spotting that isn’t quite your period? These early signals often appear before a pregnancy test even turns positive and they all are attributed to the rapid hormonal shifts happening in the first few days and weeks after conception.
“Pregnancy symptoms can occur in almost a quarter of newly pregnant people before they ever miss a period. The symptoms can be strange and subtle, so if in doubt, check a pregnancy test.” - Dr. Melissa Dennis, Partum Health Chief Medical Officer
Below, we’ll walk you through what’s normal, what’s unexpected, and how to tell the difference between implantation bleeding, your period, and ovulation spotting.
Once an egg is fertilized, your body immediately starts changing–even within the first 72 hours of pregnancy. Rising progesterone levels and the early production of hCG (the hormone that pregnancy tests detect) can trigger symptoms that feel sudden, strange, or even overwhelming.
Here are a few weird pregnancy symptoms to look for:
These symptoms can feel obscure or unexpected but they often appear before the more obvious signs of early pregnancy.
If you’ve noticed any of these unusual symptoms and suspect you might be pregnant, your next step is likely a pregnancy test. But how soon will a pregnancy test read positive?
Most home tests detect hCG levels in urine, and those levels typically start to rise 8-10 days after ovulation. The most sensitive tests may detect a pregnancy a few days before your missed period, but false negatives are common if you test too early. For the most reliable result, test on the first day of your missed period, and use your first morning urine for the highest concentration of hCG.
Light bleeding in early pregnancy can be confusing and even scary. But not all bleeding means something’s wrong; in fact, implantation bleeding is one of the earliest signs that you might be pregnant. We’ve given an overview of signs and symptoms below but always check with your provider if you’re bleeding, in pain, or simply unsure. Bleeding can be harmless, or a sign of a more serious complication.
Implantation bleeding occurs when a fertilized egg attaches to the lining of the uterus, usually around 6-12 days after ovulation. It’s caused by small blood vessels breaking as the embryo burrows into the uterine wall. This bleeding is generally much lighter than a typical period and may be accompanied by implantation cramping which feels like a tugging, pinching, or dull ache in the lower abdomen.
People often ask:
Telling the difference between implantation bleeding vs. a menstrual period can be tricky, especially if your cycle is irregular. Here’s what to look for:
Some people also experience ovulation bleeding, which is even more subtle and easy to miss. This light spotting, typically pink or red, can occur around the middle of your cycle, usually 14 days before your next period. Ovulation bleeding is often light and short-lived, and usually lasts less than a day and not accompanied by significant symptoms. It's caused by a temporary dip in estrogen just before the LH surge that triggers the release of an egg.
In contrast, implantation bleeding occurs after ovulation, closer to the time your period would normally begin. It usually appears as light pink or brown spotting and may last 1 to 2 days. Some people experience mild cramping or breast tenderness alongside it. Unlike ovulation spotting, implantation bleeding is a sign of potential pregnancy, and you may be able to get a positive pregnancy test within a few days though it’s still often too early at first.
While ovulation bleeding is harmless and doesn’t occur in every cycle, implantation bleeding is more closely tied to early pregnancy and only happens once per conception. Understanding the timing and symptoms of each can help you better interpret your body's signals during your cycle.
Some people also confuse implantation bleeding with ovulation bleeding, which can occur around the middle of your cycle (usually 14 days before your period). The key differences:
Pregnancy symptoms don’t always follow the textbook. You may feel strange, tired, overly emotional, or just "off", and your body might be trying to tell you something before you even miss a period. From implantation bleeding and pregnancy discharge to a metallic taste or hypersensitive nose, these early signs are real and often tied to rapidly rising progesterone levels and hCG.
If you're experiencing symptoms that feel new, confusing, or unexplained, it might be time to take a pregnancy test–and if it's negative, give it a few days and try again. Every body is different, but early awareness can help you get the care and support you need, right from the beginning.
Treat yourself to a better fertility, pregnancy and postpartum experience.