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What are the first changes that happen to a woman when she becomes pregnant, even before she realizes she’s pregnant?

Even before she knows she’s pregnant, she’ll notice breast changes. Her breasts become tender. Her nipples become tender. Her breasts enlarge ever so slightly and increase during the entire pregnancy. Some other changes are generalized gas production, so constipation as well as gas bloating of the belly occurs. These are some of the changes that people come into the office complaining of when they don’t even know they’re pregnant.

Other early changes occur in the skin. There are some ever-so-slight pigment changes in the face or all over the body. Some women can get increased oil production and acne as well in early pregnancy.