Pregnancy is an exciting time in a woman’s life, but it can also be overwhelming as her body changes in new ways. As the first trimester progresses, you may start to wonder: Am I supposed to feel this way, or is something wrong?
Many of the pregnancy symptoms are not pleasant, but I want to assure you that they are completely normal. Most women tend to start experiencing symptoms around 3-4 weeks after conception at a gestational age of 5-6 weeks .
To help you know what to expect, I have compiled this list of symptoms that typically accompany pregnancy.
Symptoms of Early Pregnancy
The first symptom of pregnancy is the lack of a menstrual period. It may seem obvious, but it really is the cardinal sign that you could be pregnant. As early as the first day of your missed period, it is possible to find out if you are pregnant with either a home pregnancy test or a blood test at your doctor’s office.
Unfortunately, not all women are lucky enough to have really regular periods, which makes this symptom less helpful . If you are one of those women, think about other early signs of pregnancy that might make you consider taking a pregnancy test.
Nausea and vomiting are among the most common symptoms in women during the first trimester of pregnancy. More than half of pregnant women experience nausea, and sadly, many also vomit.
1. Food cravings or nausea
Weird food cravings and aversions are a symptom that can last throughout your pregnancy.
Pregnant women usually begin to experience nausea or vomiting before the ninth week of pregnancy. These symptoms can also be associated with food cravings or aversions . Although strange food cravings can last throughout your pregnancy, luckily most nausea and vomiting will go away by the end of the first trimester.
No one knows exactly what triggers nausea and vomiting – it may be due to increased levels of the pregnancy hormone HCG. Some have suggested that nausea and vomiting long ago prevented pregnant women from eating things that could have been dangerous for early pregnancy.
2. Breast pain
Breast tenderness or pain also appears very early in pregnancy. This is due to the increase in mammary glands and fluid retention that your body now does. The amount of fatty tissue increases due to increased levels of pregnancy hormones. The nipple and areola also darken very soon after conception.
3. Bleeding
When patients call in concerned about bleeding during the early stages of pregnancy, I often ask if they still notice breast tenderness, as it may go away if the pregnancy is no longer viable.
4. Fatigue
Fatigue and drowsiness is a common complaint in the early stages of pregnancy. Increased levels of pregnancy hormones, particularly progesterone, can make you sleepy.
Studies have shown that giving men progesterone can induce the same sedation that occurs in early pregnancy. Fortunately, this symptom usually resolves after the first trimester.
Symptoms of Late Pregnancy
Progesterone causes smooth muscle relaxation in the body, leading to many of the symptoms that pregnant women experience.
Women often complain of urinating a lot during pregnancy. In early pregnancy, progesterone relaxes the urinary tract. As the pregnancy continues, your growing uterus puts pressure on your bladder, making it seem like you just can’t hold as much urine.
1. Bloating and constipation
A slow gastrointestinal tract causes bloating and constipation. This can be made worse when they are asked to take iron supplements to prevent anemia.
Progesterone also relaxes the muscle in the esophagus, allowing acid to flow back from the stomach into the lower esophagus causing heartburn. The growth of the uterus makes this symptom worse by increasing pressure on the stomach.
2. Shortness of breath
About three-quarters of women will regularly feel short of breath during pregnancy due to the upward displacement of their diaphragm. Don’t worry though, you (and your baby) are getting enough oxygen.
3. Emotional changes
Pregnant women are notorious for mood swings and emotional swings. They are caused by several different factors: the physical stresses of the pregnancy itself, fatigue, changes in metabolism, and hormonal ups and downs.
4. Dizziness
Dizziness is a common symptom that worsens in the last trimester of pregnancy, as the uterus grows and pushes the veins that return blood from the legs further.
When you suddenly change position or stand up, there is less blood flowing to your brain, causing you to feel dizzy and unsteady. I advise women to go slow and give your body plenty of time to adjust when standing or sitting.
5. Increased skin pigmentation
Increased skin pigmentation is not limited to your breasts. Other prominent changes include darkening of the line from below the navel to the pubic bone and dark spots that appear on the forehead and cheeks.
Finally, many pregnant women struggle with insomnia. This can continue during pregnancy and can be difficult to resolve. Decreasing the time you spend in front of a screen immediately before bed and taking a hot nightly bath can help. Check with your OB provider if you can’t develop a good sleep routine.
