So you think you are pregnant
- nothing could be more exciting! But with this excitement
comes worry, delight, wonder, and a lot of questions. So
the real question is are you really pregnant? Well find
all the answers to your questions here, from sure signs of
pregnancy, to which pregnancy test to take, to calculating
your due date yourself.
Sign
When it appears
Other possible causes
Amenorrhea
(absence of menstruation)
Usually the entire pregnancy
Travel, fatigue, fear of pregnancy,
hormonal problems or illness, extreme weight
gain or loss, going off the pill,
breastfeeding.
Morning Sickness (any time of the
day)
2-8 weeks after conception
Food poisoning, tension, infection,
and a variety of diseases.
Darkening of Areola (area around
nipple) and elevation of tiny glands around
nipple. Blue and pink lines under skin on
breasts and later abdomen.
First Trimester
Hormonal imbalance or effect of
prior pregnancy
Food Cravings
First Trimester
Poor diet, stress, imagination, or
impending menstruation
Darkening of line from navel to
pubis
Months 4 or 5
Hormonal imbalance or effect of
prior pregnancy.
*Signs of pregnancy looked for in a medical exam.
** Source: Eisenberg, Murkoff, Hathaway, What to Expect When
Expecting 1991, Workman Publishing You may have all of the
signs of early pregnancy and not be pregnant. Or you may have
only a couple of them or only one and very definitely be
pregnant. The various signs and symptoms of pregnancy are only
clues and should not be relied on as a definitive diagnosis. In
fact the first sign that definitely confirms pregnancy is your
baby’s heartbeat, which is audible at around 10 weeks, but more
likely at 12 weeks of pregnancy with the sensitive Doppler
device. Earlier signs only indicate the probability that you
are pregnant. Combined with a reliable pregnancy test and your
doctor’s examination, they can help provide an accurate
diagnosis.
Sign
When it appears
Other possible causes
Softening of uterus and
cervix*
2-8 weeks after conception
A delayed menstrual period
Enlarging uterus * and abdomen
8-12 weeks after conception
Tumor, fibroids
Intermittent painless
contractions
Early in pregnancy, increasing in
frequency as pregnancy advances
Bowel contractions
Fetal movements
First noted at 16-22 weeks of
pregnancy
Gas, bowel contractions
*Signs of pregnancy looked for in a medical exam ** Source:
Eisenberg, Murkoff, Hathaway, What to Expect when Expecting,
1991, Workman Publishing
Sign
When it appears
Other possible causes
Visualization of embryo or
gestational sac through ultrasound*
As early as 4-6 weeks after
conception (using trans-vaginal
ultrasound)
*Signs of pregnancy looked for in a medical exam ** Source:
Eisenburg, Murkoff, Hathaway, What to expect when expecting,
1991, Workman publishing.
There are basically three types of pregnancy testing
available today.
The Home pregnancy test. These tests are much more
sophisticated and accurate now than they were in the past-and a
lot easier to understand and use. This is a urine-based test
and similar the one you would be given in the lab or at your
doctor’s office. It tests for the presence of the hormone HCG
(human Chorionic Gonadotropin) in your urine. Some of the tests
on the market are accurate to the first day of your missed
period and you will have your answer within 5 minutes taken
with a urine sample at any time of the day. (Many tests in the
past advised testing with urine first thing in the morning as
the concentrations of HCG are higher in the morning.) If this
test is done correctly-it is almost as accurate as the tests
administered in the lab or the doctor’s office (the accuracy is
close to 100% according to the manufacturers).
Home testing offers the advantages of privacy and immediate
results that are easy to interpret. Because they can provide an
accurate result so early in pregnancy-usually earlier than you
would consider consulting a physician-they can give you a head
start in caring for your self and taking the appropriate steps
toward a healthy pregnancy.
The major drawback to the in-home test is if it produces a
false-negative result and you actually are pregnant it may
prevent you from consulting your physician and taking good care
of yourself. And even with a positive result, you may postpone
your office visit because you may assume that a pregnancy
diagnosis is the only reason to see your doctor in early
pregnancy. This is not so, it is still very important to have a
consultation with a medical professional to not only confirm
your pregnancy but to also start you on an prenatal program as
soon a possible. Medical follow–up to the test is essential. If
the results are negative and your period still has not started
you may wish to wait a few days and re-test or make an
appointment to see your doctor and find our why your period has
not yet started.
The lab or In-office Test. Like the at-home test this test
detects the presence or absence of HCG in the urine with an
accuracy rate of close to 100%. Unlike the home test it is
preformed by a heath care professional, who is, at least in
theory, more likely to perform it correctly. If you are
planning on having a doctor’s urine or lab test call the day
before and see if there are any special instructions for you to
follow. Like the home test the in-office test will usually
yield results within minutes and will not normally require
first-morning urine. The lab test however, may require
first-morning urine and you may have to wait for less than
instant results as the lab is usually required to report to the
doctor’s office directly.
The Blood Test. This more sophisticated testing can detect
pregnancy with virtually 100% accuracy as early as one week
past conception (excluding lab error). It can also help to date
your pregnancy in the event that your practitioner is not able
to calculate your due date based on your first day of your last
menstrual period. This serum test is sensitive enough to
measure the exact amount of HCG in your blood, since HCG values
change as the pregnancy progresses, and therefore determine how
far along your pregnancy is.
No matter which test you choose, the chances of the
diagnosis being correct are further enhanced by when the test
is followed up and confirmed by a licensed medical
practitioner. If there is ever a question that you may be
pregnant-it is a good idea to act as if you are, taking all
prenatal precautions, until it is confirmed otherwise.
Often after the question "Am I pregnant?" is answered the
next question is "When is the baby due?" Well here is a quick
and easy way to calculate the magic due date your bundle of joy
should arrive.
Take the first day of your last regular menstrual period and
add 7 to it. From that date, count back 3 months and you have
your due date for the following year. For example if your last
regular menstrual period was May 20th 2010, add 7 to it, which
gives you 27; then count back three months. Your estimated due
date will be February 27th, 2011. Happy Counting!