Signs of pregnancy: the first few weeks

Pregnancy signs: which are the most common? Nausea, fatigue, more sensitive breasts … But to be sure you have to take a pregnancy test.

Signs of pregnancy

The first sign of pregnancy is undoubtedly the absence of menstruation for two or three consecutive months, but before the delay some pregnant women experience other symptoms that signal an ongoing pregnancy .

It must also be said that the absence of a cycle does not always coincide with an ongoing pregnancy: it can happen that the cycle is irregular for various reasons ( amenorrhea can be caused for example by a significant weight loss or the interruption of the pill after many years. of recruitment).

I’m pregnant?

I’m pregnant? Am I not pregnant? Here are the 15 most common pregnancy signs :

  1. menstruation delay
  2. small blood loss
  3. more sensitive breasts
  4. darker nipples
  5. sensitivity to odors
  6. very hungry
  7. hard and swollen belly
  8. tension in the lower abdomen
  9. urge to pee
  10. fatigue
  11. headache
  12. sudden changes in mood
  13. nausea
  14. constipation
  15. nasal congestion

It is not always easy to understand the signals that our body transmits: sometimes the desire to get pregnant is misleading and some symptoms can be misunderstood , also because they are often similar to those that can occur in the premenstrual period. To be sure, therefore, it is always better to take a  pregnancy test . (Warning, stay away from online pregnancy tests ! They are not scientifically reliable)

Some pregnancy symptoms , however, can actually herald a pregnancy . Here are the most common.

1 Delay of menstruation

Delayed menstruation is the first and most reliable sign of pregnancy, at least for women who have a regular cycle. However, a delay does not necessarily mean that you are pregnant, because it can be caused by other causes, such as irregular cycles, taking medications, the presence of diseases. (Also read what to do if a girl misses her period )

2 Small blood loss

Small leaks – milder and less lasting than a period – can also occur early in pregnancy, but if they do occur, it’s best to see your doctor, as they could have various causes.

According to a study ( First trimester bleeding. American Family Physician ) 25% of pregnant women had spotting or light discharge.

When are these losses?

They usually occur between the sixth and twelfth day after conception , when implantation occurs .

3 More sensitive breasts

Can’t sleep on your stomach anymore? As a result of the hormonal storm that rages immediately after fertilization, the mammary glands grow, the breasts become larger and harder and the woman often feels painful tension, particularly one or two weeks after conception. (Read also: Breast in pregnancy )

4 Darker nipples

Due to the hormones of pregnancy and increased blood flow, the nipples, areola and even the vulva can become darker. Even the small bumps on the areola, the so-called Montgomery tubercles, may appear more prominent and a deeper brown.

5 Sensitivity to odors

Many pregnant women are particularly sensitive to odors. During pregnancy, all the senses are refined. Researchers hypothesize an ingenious protection mechanism for mother and child: easily perishable foods such as meat and fish, but also substances that should be avoided ( alcohol , coffee , cigarettes ) are perceived by expectant mothers as unpleasant. This symptom is called hypersomy gravidarum.

6 Very hungry

  • pangs of hunger;
  • sudden aversion to food.

The transformation process that begins with pregnancy requires strength and the body consumes more energy. For this reason, many expectant mothers have more appetite . However, women are attacked by hunger pangs even before menstruation or in periods of high stress. The advice is not to give in to hunger pangs and to follow a balanced diet (Read also: The first thousand days of the child )

It can also happen that you have sudden changes to your favorite food. They can last throughout the pregnancy or be cyclical.

7 Hard and swollen belly

The increased production of progesterone in pregnancy limits the activity of the intestine , causing constipation and a bloated sensation. However, problems of this type can also occur independently of a pregnancy.

8 Tension in the lower abdomen

Do you feel a tension in the lower abdomen different from the usual stomach ache that precedes the period? The uterus grows, preparing for pregnancy, the blood supply increases and new vessels appear and all this can in fact be accompanied by a typical tension in the lower abdomen. Some expectant mothers say they feel something is happening in their bellies. Sometimes, you may also feel a tearing sensation in the groin , as hormonal changes in progress loosen the ligaments, so that the body can adapt to the growing belly. (Read also how your body changes in pregnancy )

9 Urge to pee

As the pregnancy progresses and the belly grows, the urge to urinate increases. But even early on, many women have to go to the bathroom more often than normal.

10 Tiredness

The onset of pregnancy is accompanied by fatigue and sometimes even a sense of dizziness . The reason: in the first few months the blood pressure drops a little. Taking a shower alternating hot and cold water, a balanced diet and walks in the fresh air can improve the general physical condition. Dizziness and fatigue can also be due to anemia: just take blood tests.

Also, many women feel more tired in early pregnancy (as early as a week after conception!) Because their bodies are producing more progesterone .

11 Headache

Sometimes the sudden increase in hormone production can lead to headaches in the first weeks of pregnancy.

12 Sudden changes in mood

The hormonal changes that occur with pregnancy can cause sudden changes in mood . There may be as early as a few weeks after conception.

13 Nausea and malaise in the morning

This cliché is perfectly suited to a pregnancy. Especially if it is repeated for several consecutive days. The chorionic gonadotropin (HCG) pregnancy hormone is responsible for feeling unwell . Some women are very sensitive to this hormone, others less and in fact not all feel this symptom. Once the pregnancy is established, the agitation related to the novelty can increase the sense of nausea . In the event of frequent bouts of vomiting, the expectant mother should speak to her doctor.

Nausea in pregnancy: when does it start?

Those who suffer from it usually feel the first symptoms as early as 7-10 days after the missed period.

It typically peaks around 12-14 weeks, coinciding with the peak of the HCG hormone and goes away by the end of the fourth month.

14 Constipation

The progesterone is the basis of pregnancy constipation and could make already peeping among the first symptoms . Its job is to keep uterine contractions at bay but it also slows down intestinal peristalsis. The bad news is … it’s a problem that could continue or recur throughout your pregnancy.

Constipation: how to behave

Taking stock of the strategies to relieve constipation are the recommendations of the World Health Organization for a positive pregnancy experience, released in November 2016.

Between these:

  1. drink more;
  2. increase the consumption of fiber;
  3. do movement, to help peristaltic bowel movements

15 Nasal congestion

The increase in hormone production in the blood may also be felt in the nasal mucosa: your nose may be dry, bleed easily, or runny.

Pregnancy symptoms or premenstrual symptoms?

The symptoms of pregnancy vary from woman to woman and can often be confused with premenstrual syndrome, which are often similar because it is similar hormonal situation.

Let’s see what are the symptoms in common between a pregnancy and the premenstrual period .

  1. Pelvic pain in the ovary area
  2. More sensitive and swollen breasts or nipples
  3. Headache
  4. Unstable mood

Implant losses or early pregnancy?

At a distance of 5-7 days from conception , the implantation of the embryo itself takes place in the uterine wall and precisely in conjunction with this event, small pinkish or brownish losses may occur  . They are much more tenuous and scarce than the cycle and last much less: usually a few hours, at most a day. 

Is the feeling of fever a symptom of pregnancy?

Pregnancy weakens the immune system to prevent the embryo from being expelled from the body. So it is normal to feel a little sluggish or feverish.

Be careful though, fever is not normal. The American College of Obstetricians and Gynecologists (ACOG) recommends that pregnant women never let their core body temperature exceed 39 ° C.  

Is insomnia a pregnancy symptom?

Insomnia in general is a common point that accompanies pregnant women especially in the first trimester and last trimester of pregnancy. But can it be considered an early pregnancy symptom? It could, but too little is known about it. 

Are you really pregnant?

These symptoms can be signs not only of an ongoing pregnancy but also of other conditions such as stress, change in the use of the birth control pill. Having them doesn’t necessarily mean being pregnant.

If you think you are expecting a baby, take a pregnancy test first and consult your doctor.

First weeks of pregnancy: what to do?

Is the pregnancy test positive ? Here’s what you can do right now:

  1. choose who to follow you : gynecologist of all time, obstetrician, clinic, obstetrician-gynecological clinic of the hospital where you think you will be able to give birth
  2. take folic acid : it would be ideal to start taking it before conception (from three months or at least one month before pregnancy) to prevent congenital anomalies, especially those concerning the neural tube.
  3. check your medications and ask your gynecologist before taking any medications (read which medications are allowed or prohibited during pregnancy ).
  4. eliminates alcohol and smoking
  5. take anti- toxoplasmosis precautions , such as consuming only cooked meats and washing raw vegetables.
  6. avoid intense sports or at risk trauma such as skis or box . Activity is good in pregnancy but choose what is most in line with your new condition.
  7. avoid the sauna , because it lowers blood pressure and increases body temperature and sweating, exposing you to the risk of overheating, dehydration and fainting.
  8. drink lots of water .
  9. protect your skin from the sun with high sun protection, especially on the face, to prevent chloasma gravidarum.
  10. Schedule flu and pertussis vaccines , which help protect mom, fetus and unborn child. Both are done in the second quarter.

What about the first visit to the gynecologist during pregnancy ?

It shouldn’t be done too early or too late. If done early, around 6-7 weeks (but not earlier), what you see is just a “green bean” with a small beating heart. If performed later, after 10 weeks, a “miniature baby” can be seen instead.


  • Deutchman, M., Tubay, AT, & Turok, D. (2009). First trimester bleeding. American Family Physician, 79, 985–994. PMID: 19514695
  • March of Dimes. (2009). Headaches. Retrieved May 20, 2016,
  • MayoClinic – Getting pregnant
  • WebMD – Early Pregnancy Symptoms
  • – Early Pregnanvy Symptom
  • American National Institute of Child Health , NICHD.
  • Prenatal care: Initial assessment from Up to Date , digital database of specialist information for doctors.

Is it possible to be pregnant even if multiple tests say otherwise? 

No, if the test is negative several times in a row you are not expecting a baby even if perhaps the suggestion, a strong desire for motherhood and many other causes, had led us to believe the opposite. It is therefore useless to be relentless and also spend a lot of money for many tests. Better relax and wait for the next month, there is no rush!

I have all the symptoms, I feel I am pregnant! 

In addition, some symptoms of the so – called pre-menstrual syndrome may occur near the cycle , which resemble certain manifestations of early pregnancy: emotional lability, increased appetite or search for certain foods, swelling sensation with tension or enlargement of the mammary gland , abdominal pain.

Some women may therefore believe even more that they feel that way because they are finally expecting a baby and are even more disappointed when their period arrives late.

Can I continue to have my period even though I am pregnant? Are there the notorious false menstruation? 

Generally, what we call “false periods” occur with a lighter cycle than the classic menstrual cycle . The basal temperature, however, should continue to remain high if you are measuring it. With a pregnancy in progress, the temperature is just what could reassure us from the very early stages. If there is bleeding with temperatures that do not drop, unless it has been established that it is typical of your cycle, it is advisable to check for pregnancy. If menstruation occurs and the temperature, as normal, has dropped, you can be sure to rule out pregnancy. The bleeding that can occur despite pregnancy, is therefore not a loss from implantation of the egg or from nesting, which is usually light and does not last more than a couple of days (also called catamenial losses), can be either a threat of abortion, or an abortion in progress, or simply material from previous cycles that the body sheds. The consistency can be such as that of a menstruation

Are there any pregnancy tests with false negative results? 

A test is foolproof if it is positive. On the contrary, it can be negative (even in the case of pregnancy) if it is done too soon or if it has expired . Most of the tests are reliable from the first day of delayed menstruation. And if you still have doubts, take the test again 3 days later in case of a first negative result.

I took a pregnancy test immediately after unprotected intercourse, is it reliable? 

Many women believe that as soon as they have had intercourse, if conception has occurred, a test can reveal it right away. Well that’s not the case, a test is reliable at least, after 20 days from intercourse, and any symptoms attributable to a pregnancy you may feel are not reliable.

You have nausea, kidney pain, cramps … but it does not necessarily mean that you are pregnant! 

Can’t find your way through the various symptoms that could indicate pregnancy but also a simple flu? Order! Write down any symptoms and particular signs in the same diary we talked about in the point above. Listen to your body, even though the symptoms may vary from one woman to another: – The breasts are swollen and tight. – Certain smells bother you. – You’re nauseous. – You’re more sensitive than usual. But beware, you can be pregnant even without having any of these symptoms, which will appear later. Early pregnancy symptoms may be missing altogether but if you want (or suspect) a pregnancy it is good to pay attention to symptoms that are different or present differently from those of the usual PMS .

I have taken the Beta HCG hormone several times, they told me that I am not pregnant, but then why is it not equal to 0? 

First of all, why waste so much time and money obsessively repeating these tests? Once one is done, right? The value 1, however, which often appears in the reports of non-pregnant women is really negligible, it will almost never be zero and in any case it is written on the analysis reports that a value less than 10 means not pregnant.

If I’m not pregnant, why did I miss a month or two? 

For a thousand reasons, the menstrual cycle can skip and therefore cause agitation: the same anxiety could be the cause, as well as a diet, having started to play sports, a trip, changes in habits, a psychological pain, or an anomaly in the genital system … if the test is negative, the cause is to be found elsewhere, preferably with the help of a gynecologist.

The test is positive, but it is not possible, I am a virgin! 

Incredible but true !!… yes, it is possible that a pregnancy has arisen even without penetration !! We have a tragic example of this with infibulated Somali women who are still pregnant, it is called an “ante portam” relationship where genital fluids come into contact.

Did they tell me I look pregnant? Can it be seen from the face or from something else physical? 

No, unless you have paranormal powers, no. Maybe if one got it right then it was luck .. but from the face at most you can see if one is tired or if a pimple is about to pop

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