Q&A: Does no nausea indicate a possible miscarriage?

by Dr. Gerard M. DiLeo

I am 44 years old and six weeks into my first pregnancy. I am delighted and feel good overall. I am experiencing some cramping, but no bleeding. I have no nausea yet, and am concerned that this is the sign of impending miscarriage. I’ve read that the more nauseous one is, the lower their chance of miscarriage! Are these cramps "growing pains,” and if so, how long do they normally last? I have my first prenatal visit in four weeks, since my doctor wanted me to miss a second period to ensure that the pregnancy is viable. I’m nervous! Thanks for your help.

The more nauseated you are is an indication on how sensitive you are to circulating estrogen, hence the idea that you're less likely to miscarry. It's not 100% faithful, though, because some people are exquisitely sensitive to even low amounts of estrogen and others are very stoic even with gargantuan amounts! Don't despair over your lack of nausea--I'd ignore that. The cramps are in fact growing pains, and peak at about 10-12 weeks, when the uterus becomes big enough to lift out of the pelvis into the abdomen with lots of room. After that, you'll be pleased to experience a whole new set of symptoms. I'd simply inform your doctor's office about your symptoms at this point.

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