Pregnancy symptoms – how to know if I'm pregnant?

Many women cannot wait for the first signs of pregnancy to appear. Although vomiting, fatigue and implantation bleeding are not pleasant, these can mean that you are expecting your long-awaited baby! Sometimes, the only pregnancy symptom is not having your period on the expected date – this is perfectly normal! Learn about the symptoms of pregnancy in first month and see if pregnancy without symptoms is possible.

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In the fourth week of pregnancy, the embryo implantation in the uterus would already occur in most women. This may be accompanied by implantation spotting, which is a typical symptom of the fourth week of pregnancy. If you notice mild spotting or bleeding, use pantyliners or [Always Ultra Normal period pads](/en-gb/feminine-products/sanitary-towels/always-ultra/always-ultra-normal-sanitary-pads-with-wings/), which will protect your underwear from stains. Always period pads are dermatologically tested so they will not irritate your skin, which can be particularly delicate and sensitive during pregnancy. In the fourth week of pregnancy, you can choose the smallest period pads – implantation spotting is not too heavy and resolves quickly. Since the egg has implanted itself in the soft, expanding mucous membrane, the embryo can more easily take up the nutrients it now needs for dynamic growth. It also begins to produce an important hormone necessary for the normal development of early pregnancy – human chorionic gonadotropin, or beta-HCG. At the same time, the production of another hormone – progesterone responsible for maintaining pregnancy – also increases. The higher levels of these hormones may lead to the first subtle signs of pregnancy before missed period, which include:

- breast tenderness and soreness,
- tiredness in pregnancy,
- mood swings,
- more frequent urination.

The first symptoms of pregnancy in the fourth week are similar to the symptoms of an upcoming menstruation. It is not yet possible to clearly confirm or exclude pregnancy based on those symptoms.

4 weeks pregnant symptoms

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A106 More Discharge During Pregnancy Here’s Why You Shouldn’t Worry (A Lot of Discharge During Pregnancy)

More Discharge During Pregnancy Here’s Why You Shouldn’t Worry

A045 - Caurosal - Why is my period late? 10 Reasons for a Late Period

Why is my period late? 10 Reasons for a Late Period

Menstrual cramps occur when the lining of the uterus, which has built up in preparation for pregnancy, needs to flake off and leave the body. For this to happen, the uterine muscles alternately contract and relax. These contractions can in turn cause crampy menstrual pains. Not everyone experiences these. Some feel only slight discomfort, while others experience pain in the lower abdomen or sharp pain radiating to the legs and back. Other symptoms that may accompany menstrual pain include: 
- nausea,
- vomiting,
- diarrhoea.
 
However, it is important to remember that although menstrual pain is common, acute pain caused by these cramps is not. You should consult your doctor if you have acute pain, if it impedes your daily functioning or if it intensifies over time. These symptoms may suggest that there are other factors behind what appears to be normal, expected menstrual pain.

A015 - T02 - Why period cramps happen and how do you know it's it?

Why period cramps happen and how do you know it's it?

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There are six main energy-draining culprits that lead to PMS fatigue.

- Hormonal fluctuations – Oestrogen usually acts as a stimulant, but its levels drop significantly after you ovulate, depriving you of its energy. At the same time, your levels of feel-good serotonin also dip, leaving you without its mood-boosting effects as well. Meanwhile, the calming effects of progesterone begin to kick in, which makes you feel more mellow.

- Energy burning – When you ovulate, your body temperature rises and your body starts burning more energy in preparation for pregnancy. For the next few days, your basal metabolic rate can go up by 9 percent, draining your energy. This all adds up to making you feel more tired.

- Anaemia – If your periods are heavy, you lose a lot of blood, which could lead to an iron deficiency in your red blood cells. This makes it difficult for your tissues to get the oxygen they need, meaning your cells need to work harder to function normally.

- Giving in to other symptoms – You’re sore and you’re hungry. You’re not sleeping well and you feel bloated. It’s no wonder you’re not jumping for joy. All these factors may stop you from exercising, which would make you feel rejuvenated. It is hard to get motivated when faced with these factors.

- Cravings – Your fluctuating hormones may have convinced you to binge on chocolate or other sugary foods, triggering a sugar high that is followed by a crash. This cycle can repeat itself unless you recognise it and actively switch to healthier alternatives.

- Premenstrual dysphoric disorder (PMDD) – If you are experiencing severe emotional lows, this acute form of PMS may be to blame. In addition to physical symptoms, you may find yourself crying, lashing out at others, feeling out of control or losing interest in things that used to bring you joy. If this happens monthly, you should see a doctor.

A149-T02-Can PMS cause fatigue?

Can PMS cause fatigue?

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A144 Can you have a period while pregnant?

Can you have a period while pregnant?

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As long as your discharge is not itchy, smelly, or greenish-brown coloured, it is perfectly normal. Signs to look out for are cramping, pelvic pain or bleeding during sex, spots, weight gain, fever, or – as mentioned earlier – strange smells. This may indicate an underlying medical condition or serious hormonal imbalance that requires treatment.

These include things such as ovarian cysts, polycystic ovary syndrome, and cervical cancer (infection should be in this list as would be most common). These are rarely the cause, and they are often accompanied by other symptoms, so please don’t worry, but it is always worth getting the opinion of a medical professional.

A101 - T03 - When Should I Be Concerned About Brown Discharge?

When Should I Be Concerned About Brown Discharge?

A101 Should I Be Worried About Brown Discharge?

Should I Be Worried About Brown Discharge?

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Put quite straightforwardly, brown discharge is caused by bits of blood getting caught up in your discharge, leaving your body. Here is a list of possible reasons why you might be experiencing brown discharge every once in a while:

- __You Have Just Finished Your Period__ Thick brown discharge is often a sign that your body is cleaning itself by flushing out residual blood from your period. Bits may come out with your discharge in the days after you think your period has ended. Older blood tends to turn more brownish. You might see this during your period when the blood is a bright red in the first few days and becomes browner a few days in. See this as a positive thing, as it means that your body is doing a good job of keeping clean.

- __You Are About To Ovulate__ Brown sticky discharge can also occur due to the hormonal changes your body experiences during ovulation. Oestrogen levels rise, prompting your body to release an egg from your ovaries, so the change in discharge texture is completely normal.

- __It’s Not You, It’s Your Birth Control__ Random brown discharge can be your body’s reaction to a new birth control pill or you might have forgotten to take your pill for a few days recently. This is thanks to the hormonal changes, and the spotting should stop as your body adjusts. If you have forgotten to take your birth control pill it’s important to start taking it as soon as possible and consider emergency contraception if you have had intercourse.

- __Your Cervix is Irritated__ The cervix is fairly sensitive, so anything from a slightly careless pelvic examination to vigorous bedroom antics can be causes of brown discharge.

- __You Are Stressed or Depressed__ Stress and depression can cause the lining of the uterus to thin, and parts of it to come away at unexpected times. Try to identify and remove the cause of stress from your life. Take some time out to relax or, if it feels more serious, see a doctor about the way you are feeling. With the right self-care and support, this brown discharge should clear up.

A101 - T01 - What Causes Brown Discharge?

What Causes Brown Discharge?

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As you already know, some of the first signs of pregnancy can be deceptively similar to symptoms of the dangerous bacterial disease – listeriosis. In healthy people, it is usually asymptomatic or quite mild, so it can easily be mistaken for a common cold.
Symptoms of listeriosis include:

- fever,
- muscle pain,
- chills,
- diarrhoea,
- vomiting.

Listeriosis is very dangerous for pregnant women – it often leads to miscarriage or is transmitted to the baby. If you experience listeria and pregnancy symptoms, consult your doctor as soon as possible!

Women who are pregnant or suspect they may be pregnant should protect themselves from listeria infection by avoiding eating certain foods (especially unpasteurised milk and milk products, raw meat and fish, and unwashed fruit and vegetables). If you notice the first symptoms of pregnancy, it is essential to exclude those foods from your diet.

Listeria and pregnancy symptoms

The menstrual cycle is affected by various diseases:

- thyroid diseases,
- pituitary tumours,
- adrenal diseases,
- ovarian cysts,
- liver dysfunction,
- coeliac disease,
- diabetes.

A045 - T04 - SUB08 -  Diseases

8. Diseases

Maybe you made a mistake counting the days since your last period, so you think why is my period delayed, when in fact, it’s right on schedule.

The average [menstrual cycle](/en-gb/period-hub/first-period-and-puberty/menstrual-cycle-phases) is 28 days. But most women’s cycles are slightly longer or shorter than this. If your period is just two days late, it may be a result of normal cycle fluctuations from month to month.

Many women have slightly irregular cycles with one month being on, say, a 27-day cycle and the following month a 29-day one. This means that if the previous month’s period came “early”, the next month may seem like it’s “late.” It happens to the best of us.

A045 - T04 - SUB02 -  Miscalculation or normal fluctuation?

2.  Miscalculation or normal fluctuation?

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A142 Can you get pregnant after your period?

One common cause of late periods is [Polycystic Ovary Syndrome](/en-gb/period-hub/symptoms-explained/ovarian-cysts-causes-treatment-and-prevention/), aka PCOS, a condition that many women and girls experience.

This is when multiple follicular cysts form on the ovaries. These cysts contain eggs. PCOS is associated with hormonal disruption, which means the eggs may not be released, resulting in delayed, infrequent or absent periods.

PCOS is very common, and often the symptoms of PCOS can be managed with medication. Ask your doctor if you’re concerned.

A045 - T04 - SUB06 - PCOS

6. PCOS

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Early signs of pregnancy are not only missed period. The list of pregnancy symptoms in the first weeks is much longer. Check, how to know you're pregnant

PVPA02 - Can you have a period while pregnant?

When you see vaginal bleeding, you may think that the chances of getting pregnant while on your period is lower since your body is clearing away any recently released eggs. However, the sight of blood could arise from ovulation, which means you have an egg ready to be fertilised.

While you are less likely to get pregnant during your period, it is still possible.
Your period begins 7 to 19 days after an egg is released – although usually between 12 and 16 days -- and travels down your Fallopian tubes. It survives for 12 to 24 hours, waiting to encounter viable sperm. If that does not happen, your body prepares for the next opportunity for pregnancy by shedding the blood-rich lining of your uterus and starting anew.
Typically, your body ovulates every 28 to 30 days, but some women have cycles of 20 or even 40 days between their periods and their next ovulation. You can track your personal patterns by counting the days between the start of one period and the next one. There are a few tools available, including paper journals, predictor kits or [mobile apps](https://www.parents.com/getting-pregnant/ovulation/fertile-days/the-10-best-period-and-ovulation-tracker-apps/).

If you are trying to get pregnant, this [ovulation calculator](https://uk.clearblue.com/how-to-get-pregnant/ovulation-calculator) may help you pinpoint the perfect timing.
While the chances of getting pregnant while on your period are particularly low in the first two days, it climbs to nine per cent by Day 13 after menstruation begins.

If you are trying to conceive, this is not the optimal time to achieve that goal. However, if you are not ready for a baby in your near future, then stick with your birth control plan during your entire cycle.
Even if you are taking birth control pills, you can conceive while taking the placebo pills during the inactive-pill week of the prescription. These pills are [91-per-cent effective at preventing pregnancy](https://www.parents.com/getting-pregnant/ovulation/fertile-days/can-a-woman-become-pregnant-during-her-period/), as long as you take them consistently during the entire month.

A142-T01-Can you get pregnant while on your period?

Can you get pregnant while on your period?

A045 7 Reasons for a Late Period - Related Products

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Every woman at some point in her life experiences crampy menstrual pains. And how to get reduce period pain and cramps? You can start with warm compresses!

A015 How to get rid of period pain and cramps

How to get reduce period pain and cramps

If there’s a silver lining to getting period cramps, it’s that they often start a day or two before your period.

This gives you a nice (if uncomfortable!) heads up that your period is on its way, and enough time to check if your supply of pads and tampons is fully replenished from last month’s period.

You can also start wearing pantyliners to catch that first bit of period blood when it starts.

A015 - Get prepared

Get prepared


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Why do you get cravings on your period?

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First period after pregnancy

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Discovering a little blood on your knickers before your period is due can be confusing. But breathe deep. It’s usually no big deal. Click to learn more!

A012 Why Am I Bleeding Before My Period Is Due?

Why Am I Bleeding Before My Period Is Due?

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Your body only menstruates after it ovulates each month. Therefore, it is not possible to have a period while pregnant.

Women who experience vaginal bleeding during the first three months of pregnancy often mistake spotting for their period. The good news is that most women who experience spotting go on to have healthy babies without any complications. On average, 15 to 25 percent of women have spotting early in pregnancy.

Although spotting can catch you off-guard, it does not mimic the flow of a period. When you menstruate, you begin with light bleeding, which then becomes heavier before tapering off.

However, if you are bleeding heavily enough to soak through a pad, you may no longer be pregnant and should seek medical attention.

A144-T01-Can you have a period while pregnant?

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Many women already feel tired on the average day, stretched by various demands of family, school, work and social networking. However, if you are feeling even more worn down in the week before your period, it’s time to look at possible remedies for premenstrual fatigue. 

In the days leading up to your period, your feel-good hormones take a holiday. This happens just as your body needs them to provide the energy to power through the cravings, the loss of blood and the other transitions occurring at this time of the month. 

You can combat PMS fatigue by committing to some healthy habits.

A149-T01-Why Are You Tired Before Your Period? Causes and Remedies

Why Are You Tired Before Your Period? Causes and Remedies

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## When to see your doctor

For the above reasons, one could conclude that a late period does not mean anything bad. In fact, in some cases it is perfectly normal. However, it is worthwhile in all cases to seek medical advice. Particularly if your period delay is repeated every month or if you have not had your period for two months. Rarely it can be a symptom of a serious illness, such as cancer or diseases of the reproductive system. Also, don't delay seeing your doctor if you have other complaints: severe pain, excessive hair loss, vaginal spotting, acne (which you cannot control), being overweight or underweight.

## What to do if your period is late

Always be prepared!

No one wants to toss their knickers in the bin because they’ve got a period stain on them.

Knowing how to prepare, especially if your period is late or irregular, is key. Wear an

[Always Dailies](/en-gb/feminine-products/panty-liners/always-dailies-fresh-and-protect/) 
Fresh & Protect pantyliner a few days before your period is supposed to come.

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We call that a win.

You don't know when exactly you'll get your period. Well, there's a simple solution - just be prepared for your period beforehand! [Always Dailies Normal Fresh](/en-gb/feminine-products/panty-liners/always-dailies-fresh-and-protect/always-dailies-fresh-and-protect-normal-panty-liners/) & [Protect pantyliners](/en-gb/feminine-products/panty-liners/always-dailies-fresh-and-protect/always-dailies-fresh-and-protect-normal-panty-liners/) have unique, breathable design and are so comfortable and flexible that you won't even notice wearing them. Irregular or late, your period won't keep surprising you.

A045 - When to see your doctor -Conculsion Text

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Can PMS cause fatigue? If you're feeling tired before your period, click here to learn what you can do about this!

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Why Are You Tired Before Your Period? Causes and Remedies | Always

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## Having "The Talk"
Puberty, with its physical and emotional changes, can be a rollercoaster ride for girls, so it’s important to have honest and open conversations. How you explain puberty to your daughter will set the tone for the next few years (no pressure!).

If you think it’s time to explain puberty to your daughter and have the ‘period talk’, follow these tips.

A117 How To Explain Periods And Puberty To Your Daughter

Read the full article below

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A012 - T03 - Why does spotting happen?

Why does spotting happen?

Period Hub - PH04 - Vaginal Discharge

Vaginal Discharge

While white-coloured discharge is totally normal, texture-wise it should be the same all the way through, without lumps – whether it is sticky, gooey, thin, elastic or thick. This alternative version with clumps in it is not so great, and is very rarely going to be a positive discovery. 

The closest thing we can compare it to is cottage cheese (and we’re so sorry if this puts you off your favourite jacket potato topping for life!) But if what you see in your underwear, or on the toilet paper when wiping after a trip to the loo, is thick curd-like discharge with white chunks in it, then that is what we are talking about here.

Other signs that you may have it include itching in the area, or some pain or swelling, and stinging during sex or having a wee. You might also notice a yeasty sort of smell in your underwear.

A128-T01- How To Recognize Yeast Infection Discharge?

How To Recognize Yeast Infection Discharge?

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Period Hub - PH01 - First Period & Puberty

First Period & Puberty

A149 PMS fatigue

A010-T01-Calculate your menstrual cycle

Calculate your menstrual cycle

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How To Explain Periods And Puberty To Your Daughter

PVDA03 - Vaginal discharge during pregnancy: What's normal?

Stress can take a toll on your body. If you’ve been under an unusual amount of stress recently (Hello, exams! We’re looking at you!), it can throw off your hormone levels and influence the timing of your period. Intense stress interrupts the production of gonadotropin-releasing hormone - the hormone that regulates ovulation and the menstrual cycle. Disturbances in the production of this hormone delayed period. It is important to remember that prolonged stress as well as sudden and unexpected stress affect menstrual disorders - especially delayed menstruation.

If you suspect your period is delayed due to stress, try some relaxation techniques like breath focus to get back on track.

A045 - T04 - SUB03 - Stress

3. Stress

Don’t worry if you find you have white discharge after yeast infection treatment, as it may well just be parts of the medication leaving your body with your discharge. Alternatively, things may have returned to normal and you are just at a point in your cycle where white discharge is to be expected. 

Of course, if it is still lumpy or you are concerned that this is still a white yeast infection discharge, make a new appointment and go back to see your doctor with your concerns. 

A yellow discharge yeast infection is possible if your discharge naturally has a pale yellow or creamy tinge to it. But more likely than not, like a yeast infection with green discharge, it may signify that something else is going on (either as well as, or instead of a yeast infection). These colours generally tend to mean you have a bacterial infection or STI, and should get this looked at by a doctor, or at a sexual health clinic.

Pink discharge after yeast infection treatment may be a sign that the cream has irritated your vagina, causing a bit of bleeding that has mixed with your discharge. A small amount is not unusual, but if it continues, or if you are feeling raw or painful inside, do follow up with your doctor.

A128-T10- What Should My Discharge Look Like After the Treatment?

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Why is my period late? This is a question that can keep many women awake at night. A period can appear a few days after the planned date for a completely different reason. If it happens occasionally, it does not necessarily mean there is a reason to worry. If your menstrual cycles are becoming increasingly irregular and the intervals between bleeds are getting longer, you should consult your doctor.

A045 Why is my period late? 10 Reasons for a Late Period

A141 Mucus Discharge and Getting Pregnant

Mucus Discharge and Getting Pregnant

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A103 Your guide to pregnancy discharge colour and texture changes

Your guide to pregnancy discharge colour and texture changes

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During breastfeeding you may have light periods, late periods or you may not have periods at all. When breastfeeding begins, a woman's body has high levels of prolactin, the hormone that makes milk appear in the breasts. Prolactin not only helps to feed the baby with natural food, but also inhibits ovulation, resulting in the stopping or delaying of menstruation.

Now you know what happens when your period is late – hopefully you feel more relaxed. Most of the time, hormone fluctuations that cause late periods will stabilise.

A045 - T04 - SUB10 - Breastfeeding 

10. Breastfeeding

A012 Article Flash card first Image Bleeding between Periods

A012 Bleeding Between Periods

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