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It's not unusual to experience period-like cramping (but without any accompanying bleeding) around the time your first menstrual period is due. The cramping is caused by the hormonal changes of early pregnancy and your body's response to the stretching of the uterine muscle, and is considered harmless unless it's accompanied by heavy bleeding (a possible symptom of miscarriage) or a sharp pain on one side of your abdomen (a possible sign of an ectopic pregnancy).

Note: Severe abdominal pain can also be caused by appendicitis, a gallbladder attack, the stretching of adhesions from previous abdominal surgery, or preterm labour, so it's important to get in touch with your caregiver immediately if the pain you're experiencing is severe or long-lasting.

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