Twin Pregnancy Symptoms: Early Signs

Some women have a hunch that they're expecting twins - and they may very well be right. Learn to recognize twin pregnancy symptoms and find out if you're having twins.

By Kate Phillipa Clark

Are you wondering whether the symptoms you’re experiencing are twin pregnancy symptoms? Read about the most common symptoms of a twin pregnancy.

Severe pregnancy symptoms

Substantial hormonal changes – like those you have during a twin pregnancy – can cause more severe pregnancy symptoms. You may feel much more nauseous and be more tired than you would be if you were having a singleton. However, be aware that you can also feel absolutely hellish and only be expecting one child.  A large study shows that you are more at risk of experiencing nausea if you carry twins and especially so if one or more of the babies are girls.

Elevated levels of hCG

Elevated levels of the hormone “human chorionic gonadotropin” (hCG) in the blood is another sign that you are pregnant with twins. However, levels can also be elevated during the early phase of a singleton pregnancy, so you won’t know for sure. If you want to find out for certain whether or not your twin pregnancy symptoms stem from you having two babies in your womb, you’ll need to get an ultrasound scan. Find out how early you can detect twins in a scan.

Bigger baby bump

Are you getting comments about you looking like you’re further along than you know you in fact are? A big – an early – baby bump can imply that you are having two guests in your womb instead of a singleton. However, be aware that after each pregnancy, the skin, muscles and surrounding ligaments have been stretched. This means that when the pregnancy hormones kick in, your belly will take its round shape earlier on, if you’ve had children previously. You’ll also feel bigger if you weigh more when you get pregnant, than you did when you got pregnant previously. Have a look at other women’s twin pregnancy bellies at different stages in pregnancy.


Would you like to have twins? Read our guide to know what you can do to increase your chances of having twins.  

About the Author

Kate Phillipa Clark

Kate Phillipa Clark has a bachelor in Journalism and an Executive Master in Corporate Communication. She is an identical twin and so is her father.


  1. / 16. April 2019 at 1:07 pm /Reply

    can I ask ..2weeks and 3weeks I have possitive result .. and coming 4weeks I’m bleeding but not like a period I cannot feel any symptoms of period is coming .I’m bleeding like I discharge urine and it’s only 3days if I’m pee have mix blood .now I’m 5weeks and 2days I try the clear blue but not the digital..result negative me please…I feel the pain in my right side I feel I’m full even I eat 1bread and 1glass of water ..

    • Kate Phillipa Clark / 16. April 2019 at 2:25 pm /Reply

      Thanks for reaching out @Donita. You need to see a doctor and get an ultrasound scan. The doctor also needs to make sure that you’re okay and find the cause of the pain you’re feeling. Please go and see a doctor as soon as possible.

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