Q. Is it normal to experience cramps and pain during third week of pregnancy?

Answered by
Dr. Sonal Prasad
and medically reviewed by Dr. Nithila A
Published on Oct 07, 2019 and last reviewed on: Oct 11, 2019

Hello doctor,

I found out I am about three weeks pregnant. This is my first pregnancy, so I have no idea what is normal? I have lower abdominal pain, sort of like period cramps, but they more localized to the right side. Is this normal? ER stated they could not see anything on an ultrasound because it is too early in the pregnancy.

Dr. Sonal Prasad

Childbirth Educator Lactation Counselor Obstetrics And Gynaecology
#

Hello,

Welcome to icliniq.com.

You are right to be concerned. It can either be a normal pregnancy, or the pregnancy can be ectopic (in fallopian tubes) and thus should be further evaluated. Get a serum beta hCG levels done. It is a blood test that has to be done twice 48 hours apart. If the value doubles (or increases by 66 %), it is a normal pregnancy. If the growth is less than that, there are chances of ectopic pregnancy or missed abortion. Also, by the time the value of beta hCG is 2000 or more, the sac should be visible in the uterus (happens around four weeks or more). Please get the above investigations done and do not ignore the condition.


Investigations to be done:

Serum beta hCG twice 48 hours apart. USG early pregnancy when hCG reaches 2000.

Differential diagnosis:

Ectopic pregnancy missed abortion

Probable diagnosis:

Normal intrauterine pregnancy.

Treatment plan:

Pregnancy support if required.

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