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Pregnant
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Bastian LA, et al. Clinical manifestations and diagnosis of early pregnancy. https://www.uptodate.com/contents/search. Accessed Oct. 13, 2021.
American College of Obstetricians and Gynecologists. Committee on Obstetric Practice. ACOG Practice Bulletin No. 189: Nausea and Vomiting of Pregnancy. Obstetrics & Gynecology. 2018;131:e15.
Norwitz ER, et al. Overview of the etiology and evaluation of vaginal bleeding in pregnancy. https://www.uptodate.com/contents/search. Accessed Oct. 13, 2021.
American College of Obstetricians and Gynecologists. Months 1 and 2. In: Your Pregnancy and Childbirth: Month to Month. Kindle edition. 7th ed. American College of Obstetricians and Gynecologists; 2021. Accessed Oct. 1, 2021.
Lockwood CJ, et al. Prenatal care: Initial assessment. https://www.uptodate.com/contents/search. Accessed Oct. 13, 2021.
Marnach, ML (expert opinion). Mayo Clinic. Oct. 15, 2021.
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Symptoms of pregnancy What happens first
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Do you know the early symptoms of pregnancy? From nausea to fatigue, know what to expect.
Could you be pregnant? The proof is in the pregnancy test. But even before you miss a period, you might suspect — or hope — that you're pregnant. Know the first signs and symptoms of pregnancy and why they occur.
The most common early signs and symptoms of pregnancy might include:
Other less obvious signs and symptoms of pregnancy that you might experience during the first trimester include:
Many of these signs and symptoms aren't unique to pregnancy. Some can indicate that you're getting sick or that your period is about to start. Likewise, you can be pregnant without experiencing many of these symptoms.
Still, if you miss a period and notice some of the above signs or symptoms, take a home pregnancy test or see your health care provider. If your home pregnancy test is positive, make an appointment with your health care provider. The sooner your pregnancy is confirmed, the sooner you can begin prenatal care.
If you're planning to conceive or just learned you're pregnant, start taking a daily prenatal vitamin. Prenatal vitamins typically contain important vitamins and minerals, such as folic acid and iron, to support your baby's growth and development.
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Hornstein MD, et al. Optimizing natural fertility in couples planning pregnancy. https://www.uptodate.com/contents/search. Accessed Nov. 5, 2021.
Welt CK. Evaluation of the menstrual cycle and timing of ovulation. https://www.uptodate.com/contents/search. Accessed Nov. 5, 2021.
Sackey JA, et al. The preconception office visit. https://www.uptodate.com/contents/search. Accessed Nov. 5, 2021.
Infertility FAQs. Centers for Disease Control and Prevention. https://www.cdc.gov/reproductivehealth/Infertility/. Accessed Nov. 5, 2021.
Jennings V. Fertility awareness-based methods of pregnancy prevention. https://www.uptodate.com/contents/search. Accessed Nov. 5, 2021.
Trying to conceive. Office on Women's Health. https://www.womenshealth.gov/pregnancy/you-get-pregnant/trying-conceive. Accessed Nov. 5, 2021.
FAQs: Fertility awareness-based methods of family planning. American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/fertility-awareness-based-methods-of-family-planning. Accessed Nov. 5, 2021.
Preconception health. Office on Women's Health. https://www.womenshealth.gov/pregnancy/you-get-pregnant/preconception-health. Accessed Nov. 5, 2021.
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How to get pregnant
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If you're hoping to conceive, don't leave it to luck. Know how to get pregnant — starting with predicting ovulation and do's and don'ts for maximizing fertility.
Some couples seem to get pregnant simply by talking about it. For others, it takes time. If you're looking for tips on how to get pregnant, here's what you need to know.
Understanding when you're ovulating — and having sex regularly five days before and on the day of ovulation — can improve the odds of conceiving.
Ovulation is the process in which a mature egg is released from the ovary. After it's released, the egg moves down the fallopian tube and stays there for 12 to 24 hours, where it can be fertilized. Sperm can live inside the female reproductive tract as long as five days after sexual intercourse under the right conditions. Your chance of getting pregnant is highest when live sperm are present in the fallopian tubes during ovulation.
In an average 28-day menstrual cycle, ovulation typically occurs about 14 days before the start of the next menstrual period. However, each person's cycle length may be different, and the time between ovulation and the start of the next menstrual period may vary. If, like many people, you don't have a perfect 28-day menstrual cycle, you can determine the length and midpoint of your cycle by keeping a menstrual calendar.
Beyond the calendar, you can also look for ovulation signs and symptoms, including:
You also might want to try an over-the-counter ovulation kit, which can help you identify when you're most likely to ovulate. These kits test your urine for the surge in hormones that takes place before ovulation. Ovulation occurs about 36 hours after a positive result.
Follow these simple tips for how to get pregnant:
Also, consider talking to your health care provider about preconception planning. He or she can assess your overall health and help you identify changes that might improve your chances of a healthy pregnancy. Your health care provider will recommend taking folic acid a few months before conception to reduce the risk of spina bifida and other neural tube defects.
To improve your odds of conceiving:
Also, talk to your health care provider about any medications you are taking. Certain medications — even those available without a prescription — can make it difficult to conceive.
With frequent unprotected sex, most healthy couples conceive within one year.
If you're age 35 or older and you have been trying to conceive for six months or more, or if you or your partner has known or suspected fertility issues, consider consulting with a health care provider.
Infertility affects both men and women — and treatment is available. Depending on the source of the problem, your gynecologist, your partner's urologist or your family doctor might be able to help. In some cases, a fertility specialist offers the best hope.
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Are you wondering if you might be pregnant? The only way to know for sure is by taking a pregnancy test .
But there are early symptoms of pregnancy that may point to the possibility. Here's what to look for.
Every woman is different. So are their experiences of pregnancy. Not every woman has the same symptoms or even the same symptoms from one pregnancy to the next.
Also, because the early symptoms of pregnancy often mimic the symptoms you might experience right before and during menstruation , you may not realize you're pregnant.
What follows is a description of some of the most common early symptoms of pregnancy . You should know that these symptoms may be caused by other things besides being pregnant. So the fact that you notice some of these symptoms does not necessarily mean you are pregnant. The only way to tell for sure is with a pregnancy test.
After conception , the fertilized egg attaches itself to wall of the uterus. This can cause one of the earliest signs of pregnancy -- spotting and, sometimes, cramping.
That's called implantation bleeding . It occurs anywhere from six to 12 days after the egg is fertilized.
The cramps resemble menstrual cramps , so some women mistake them and the bleeding for the start of their period. The bleeding and cramps, however, are slight.
Besides bleeding, a woman may notice a white, milky discharge from their vagina . That's related to the thickening of the vagina 's walls, which starts almost immediately after conception . The increased growth of cells lining the vagina causes the discharge.
This discharge, which can continue throughout pregnancy, is typically harmless and doesn't require treatment. But if there is a bad smell related to the discharge or a burning and itching sensation, tell your doctor so they can check on whether you have a yeast or bacterial infection .
Breast changes are another very early sign of pregnancy. A woman's hormone levels rapidly change after conception . Because of the changes, their breasts may become swollen, sore, or tingly a week or two later. Or they may feel heavier or fuller or feel tender to the touch. The area around the nipples, called the areola, may also darken.
Other things could cause breast changes. But if the changes are an early symptom of pregnancy, keep in mind that it is going to take several weeks to get used to the new levels of hormones. But when it does, breast pain should ease up.
Feeling very tired is normal in pregnancy, starting early on.
A woman can start feeling unusually fatigued as soon as one week after conceiving.
Why? It's often related to a high level of a hormone called progesterone , although other things -- such as lower levels of blood sugar, lower blood pressure , and a boost in blood production -- can all contribute.
If fatigue is related to pregnancy, it's important to get plenty of rest. Eating foods that are rich in protein and iron can help offset it.
Morning sickness is a famous symptom of pregnancy. But not every pregnant woman gets it.
The exact cause of morning sickness is not known but pregnancy hormones likely contribute to this symptom. Nausea during pregnancy may occur at any time of the day but most commonly in the morning.
Also, some women crave, or can't stand, certain foods when they become pregnant. That's also related to hormonal changes. The effect can be so strong that even the thought of what used to be a favorite food can turn a pregnant woman's stomach .
It's possible that the nausea , cravings, and food aversions can last for the entire pregnancy. Fortunately, the symptoms lessen for many women at about the 13th or 14th week of their pregnancy.
In the meantime, be sure to eat a healthy diet so that you and your developing baby get essential nutrients. You can talk to your doctor for advice on that.
The most obvious early symptom of pregnancy -- and the one that prompts most women to get a pregnancy test -- is a missed period . But not all missed or delayed periods are caused by pregnancy.
Also, women can experience some bleeding during pregnancy . If you are pregnant, ask your doctor what you should be aware of with bleeding. For example, when is bleeding normal and when is it a sign of an emergency?
There are reasons, besides pregnancy, for missing a period. it might be that you gained or lost too much weight . Hormonal problems, fatigue , or stress are other possibilities. Some women miss their period when they stop taking birth control pills . But if a period is late and pregnancy is a possibility, you may want to get a pregnancy test.
Pregnancy brings changes in your hormonal balance. And that can cause other symptoms that include:
A pregnant woman could have all of these symptoms, or maybe have only one or two. If any of these symptoms become bothersome, talk with your doctor about them so you can make a plan to offset them.
American Pregnancy Association: "Pregnancy Symptoms -- Early Signs of Pregnancy."
Mayo Clinic: "Symptoms of Pregnancy: What Happens Right Away."
SavingAngel.org: "Early Pregnancy Symptoms."
Pregnancy Education: "Early Pregnancy Symptoms discharge, heartburn, nausea, and more."
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