Health

Early Signs of Pregnancy: First Symptoms Before a Missed Period

01 June 2026

Early Signs of Pregnancy: First Symptoms Before a Missed Period

Every woman's body is different, and early pregnancy signs can feel like an approaching period. Here are the most common early symptoms and what to do next.

Most common early signs

  • Missed period: the most reliable early sign for women with regular cycles.
  • Nausea, with or without vomiting: often called morning sickness, though it can happen at any time.
  • Tender, swollen breasts.
  • Tiredness: rising progesterone can make you very sleepy.
  • Frequent urination.
  • Light spotting (implantation bleeding) around the time of your expected period.
  • Food cravings or aversions and a heightened sense of smell.
  • Mood changes, bloating and mild cramps.

When to take a pregnancy test

Home urine tests are most accurate from the first day of a missed period. Testing with first morning urine helps. A blood test at a health facility can detect pregnancy earlier.

What to do if you are pregnant

  • Book your first antenatal visit early, ideally before 12 weeks
  • Start folic acid and iron supplements as advised
  • Avoid alcohol, smoking and unprescribed medicines
  • Sleep under a treated mosquito net
  • Eat a balanced diet

When to seek help urgently

Heavy bleeding, severe one sided abdominal pain, fainting or severe vomiting need immediate medical attention.

This article is for general information and does not replace advice from a qualified health worker. If you have symptoms, please see a doctor.

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