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Q

My girlfriend menstrual cycle is irregular, and it hasn't arrived yet this month. But she has had all of the back pains and cramps that she normally gets. I would like to know if those are the symptoms in the first month of pregnancy.

A

It sounds like the back-pains and cramps that your girlfriend has are a regular occurrence. This is usual for many women in the world and can simply indicate the onset of her menstrual cycle. The female body can work in strange ways sometimes. It is true that cramps can occasionally be a sign of pregnancy, but not always. Everything is down to the individual, as ever in these matters.

For many women, the first real signs (apart from a the period not arriving on schedule) are the extra tenderness in her breasts and in the pelvic region. If your partner is experiencing this and her menstrual bleeding has not begun, then you should talk to her about getting a home pregnancy test in the next week to look for hormone changes.

The most important thing at this stage, for you both, is to relax and enjoy life. Nothing positive can be achieved by feelings of stress about becoming pregnant. You both need to be patient and allow things to take their course. If she is an extra week later than normal, then try a home pregnancy test from a local pharmacy. If this looks positive, schedule a meeting with an obstetrician as soon as possible afterwards.

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