A missed period is, for many
women, the first sign that they may be pregnant. There are, however,
other tell tale signs which can be clues to pregnancy. You may experience
some, all or none of the following:
Frequent need to
urinate. Hormonal changes in the body lead to an increase in
the amount of blood that the kidneys need to process. This symptom typically
starts around the sixth week of the first trimester.
Sore breasts.
Breasts and or nipples can become tender. There can be tingling, a darkening
of the areola, more prominent veins or more prominent bumps around the
nipple (known as 'Montgomery's tubercules'). The soreness is said to
be similar to the pre period soreness some women get, only more so.
Fatigue. High levels of progesterone hormone and other
changes the body undergoes in preparation for a baby lead to extreme
tiredness. Although it is not a sure-fire sign by itself, any such tiredness
could be an indication of pregnancy.
Nausea. Morning sickness is not necessarily confined
to just the mornings, and while it usually occurs from four weeks into
a pregnancy, it is not unheard of for women to feel nauseous just a
few days after conception.
Dizziness. Although less common than some other signs
of early pregnancy, some women do experience light headedness or even
fainting.
A metallic taste in the mouth. There is no universally agreed
reason why some women experience this. Theories include the use of prenatal
vitamins, and some naturalists’ speculation that it is lymph glands
releasing toxins from the body which could otherwise affect the baby.
Spotting. Some light implantation spotting can occur
around 8 days after ovulation. This could also occur around the time
that your period is due.
Food cravings. While the craving of certain foods by
itself is no indication of pregnancy, coupled with other symptoms it
can help to steer the diagnosis that way.
Going off certain foods. Things that you normally like, e.g. fatty foods
or coffee may lose their appeal.
Abdominal discomfort. Some pain around the time that
your period would be due, and similar in intensity, can be a sign that
you are pregnant. Unusually severe pain could be an indication of something
more serious and may require medical attention.
An increase in vaginal discharge. It is not uncommon to have an increase
in leukorrhea, the non irritating, mild smelling, clear or whitish looking
vaginal emission during early pregnancy. Any irritating or foul smelling
discharge could be a sign of infection and medical advice should be
sought.
Sense of smell becomes heightened. Odours such as coffee,
perfume or cigarette smoke may be nausea inducing.
Headache. Tension headaches (the most common kind)
are not at all unusual during the first trimester. Paracetamol is said
to be safe to take. Aspirin is not. Any severe headaches or migraines
that may require other treatments should be discussed with a doctor
to see if the benefits of medication outweigh any risks.
Constipation. This could be a sign of early pregnancy. Increased
levels of progesterone in the system can make the bowels less efficient,
which may lead to constipation.
Basal body temperature remains high. Some people trying for
a baby will use certain techniques to monitor ovulation. Women who use
basal body thermometer readings and check their cervical mucus consistency
over time, will notice changes when they become pregnant.
Missed Period
As previously stated, missing
a period is a sign of pregnancy. It is, however, not a guarantee of
pregnancy. Other factors may be responsible for this happening. It could
be caused by surgery, shock, illness or stress brought on by any number
of things. Women who have come off the pill may have irregular periods
or even not menstruate at all for some considerable time afterwards,
while some women have period like bleeding throughout some of, or even
their entire pregnancy.
Pregnancy Tests
By far and away the best
method of knowing you are pregnant is by a pregnancy
test. These can be done by a GP or family planning clinic, or by
using home pregnancy testing kits available from pharmacists. Such tests
work by testing urine or blood samples for the presence of HCG (Human
Chorionic Gonadotropin), a hormone that the body begins producing on
implantation of the embryo. Pregnancy testing can be done from two to
three weeks after conception.
Home pregnancy
testing kits are said to be 97% effective if used properly. It is
therefore vitally important to adhere to the instructions. Factors such
as expiry date, contamination issues, incorrect waiting time and room
temperature differences can affect the results. Most errors result in
a false negative outcome, so if you have any doubts, it may be wise
to test again later, especially if your period is still late. If a positive
result is transformed in a later test to a negative result, this could
be an indication that an early miscarriage has taken place.
On receiving a positive result,
inform your doctor. Although these days they rarely
confirm your test with their own, they may suggest an ultrasound
dating scan if you are unsure of your dates. The due date can always
be established further on in the pregnancy however. If you are more
sure of the date of your last period then adding 280 days (in the case
of a 28 day cycle) to this, should give you an estimated due date.