Introduction to Pregnancy Symptoms
A missed menstrual period is often the first recognizable sign of a
possible pregnancy, but there are other signs and symptoms of early
pregnancy as well. Not all women have all symptoms or experience them in
the same way. The most common first trimester symptoms are discussed in
the following slides.
Missed Period
The first sign many women recognize as an early sign of pregnancy
is a missed menstrual period (amenorrhea). Some women may experience
lighter-than-normal periods, and they may also have spotting that can
occur 1 to 2 weeks following conception.
A missed menstrual period can be caused by other conditions aside from pregnancy, so it is not always a definitive sign.
Breast Swelling, Tenderness, and Pain
Breast enlargement, tenderness, or pain similar to premenstrual
symptoms, can occur early on during pregnancy. The breasts may feel full
or heavy, and the area around the nipple (areola) may darken. A dark
line called the linea nigra that runs from the middle of the abdomen to
the pubic area may appear.
Nausea and Vomiting
"Morning sickness," or nausea and vomiting that occur in early
pregnancy usually happens between weeks two and eight of pregnancy. It's
a misnomer because the nausea and vomiting can happen at any time. It's
thought changes in levels of estrogen may play a role in developing
nausea.
Another early pregnancy sign may be food cravings or aversions. Women
may have an unusual urge to eat a particular food, even one she
previously did not like, or she may be completely repulsed by a food she
used to love. This is common and usually the food aversions fade with
the first trimester.
Fatigue and Tiredness
The extra progesterone in a woman's body during pregnancy may cause
her to feel fatigued and tired, and the need for naps increases. By the
second trimester, energy levels usually rise again.
Abdominal Bloating
The rise in progesterone during pregnancy can also cause abdominal
bloating, fullness, and gas. The weight gain in the first trimester is
usually minimal, but cramping and bloating may make you feel as if you
have gained more than the typical one pound per month.
Frequent Urination
The urge to urinate more frequently starts about six weeks into
pregnancy, thanks to the hormone human chorionic gonadotrophin (hCG),
which causes increased blood flow to the pelvic area and can stimulate
the urge to urinate. Later in pregnancy, the urge to urinate may be
increased by the growing baby in the enlarging uterus putting pressure
on the bladder.
Elevated Basal Body Temperature
Many women hoping to become pregnant will chart their basal body
temperature (the lowest body temperature in a 24-hour period, usually
first thing in the morning after waking). The basal body temperature
usually rises around ovulation and lasts until the next menstrual
period. If the basal body temperature stays high for longer than that,
it may indicate pregnancy.
Melasma (Darkening of the Skin)
During the first trimester, the skin on the forehead, bridge of the
nose, upper lip, or cheekbones may darken. This is often referred to as
the "mask of pregnancy," and the medical term is melasma or chloasma.
It is more common in darker skinned women and those with a family
history of melasma.
Mood Swings and Stress
Rapid changes in hormone levels during pregnancy may be responsible
for mood swings and feelings of stress. Women may feel very emotional,
anxious, or depressed, and have crying spells. Mood swings may be worst
in the first trimester, easing up somewhat in the second, and coming
back as the pregnancy nears the end.
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