Do you always have pains and cramps when miscarry or could be having a miscarriage not even know it other than bleeding?

Not all miscarriages cause pain or cramps. Some miscarriages can be experienced without any notable symptoms other than vaginal bleeding. However, in many cases, there can be mild to severe pain and cramping associated with a miscarriage. It is crucial to seek medical attention if you suspect you are miscarrying or experiencing any concerning symptoms related to pregnancy loss.