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What are the early signs of pregnancy?

Missing a period is usually the first signal of a new pregnancy, although women with irregular periods may not initially recognize a missed period as pregnancy. During this time, many women experience a need to urinate frequently, extreme fatigue, nausea and/or vomiting, and increased breast tenderness. All of these symptoms can be normal. Most over-the-counter pregnancy tests are sensitive 9-12 days after conception, and they are readily available at most drug stores. Performing these tests early helps to allay confusion and guesswork. A serum pregnancy test (performed in a provider's office or laboratory facility) can detect pregnancy 8-11 days after conception.
Fatigue in early pregnancy is very normal. Many changes are occurring as the new pregnancy develops, and women experience this as fatigue and an increased need for sleep. Lower blood pressure level, lower blood sugar levels, hormonal changes due to the soporific effects of progesterone, metabolic changes, and the physiologic anemia of pregnancy all contribute to fatigue. Women should check with their health care provider to determine if an additional work up, prenatal vitamin changes, and/or supplemental iron would be beneficial.
If you are regularly taking the pills, you are very unlikely to be pregnant. The pill is highly effective. If your period does not come, it does not necessarily mean that you are pregnant as long as you did take it as directed. It could be that the lining of your womb has not built up very much and is therefore not being expelled. If menstruation does not come for more than two months in a row talk to your doctor or healthcare provider before you start taking the new strip.
Unfortunately, striae (stretch marks) cannot be prevented. The degree to which a woman experiences stretch marks is determined genetically. Stretch marks usually occur when weight is lost or gained quickly. Using creams and gels rarely make a difference. Fortunately, stria fades with time and marks become silvery white, but they do not tan.

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