Nipple Pain After Period


Nipple Pain After Period
Cancer – According to the American Cancer Society, breast cancer does not usually cause pain. However, it can cause pain in some instances. Some other possible symptoms of breast cancer include:

a lump in the breast or armpit a hard lump that does not move thickening or swelling of breast tissuechanges to the skin of the breast, such as flushing, dimpling, or flakingchanges in the size or shape of the breastpulling in of the nipple nipple pain nipple discharge

A person should see a doctor if they experience any of the following:

cyclic breast pain that is severe enough to undermine daily functiona change in the pattern of cyclic breast painnon-cyclic breast pain, which could indicate an infection or diseasesymptoms of infection, such as flushing, swelling, and fever pain with breastfeeding, which may indicate an infectionany type of lump or growth in the breast or armpitany possible symptoms of breast cancer, such as a change in the size, shape, or texture of the breast or nipple

The best treatment for breast soreness after a period depends on the cause. Some possible treatment options include:

birth control pills for cyclic breast pain over-the-counter pain relievers for cyclic breast pain and muscle injuries gentle massage for muscle injurieswarm compresses and antibiotics for mastitis antifungal medication for thrushsurgery, radiation therapy, or chemotherapy for breast cancertreating and managing any underlying health conditions, such as acid reflux or gallstoneschanging medication type or dosage for drug-related breast pain

There are many potential causes of breast soreness after a period has ended. Common causes include injury, infection, and benign growths. In some cases, the condition that is causing the pain will clear up without the need for medical treatment. Less commonly, breast pain may be a symptom of breast cancer.

Anyone who experiences any possible symptoms of breast cancer should see a doctor for diagnosis. Early detection and treatment typically improve the treatment outcome. People should also seek medical treatment for any type of non-cyclic breast pain and for cyclic breast pain that changes in pattern or severely affects daily functioning.

A doctor will work to diagnose the cause of the pain and provide appropriate treatments.

What causes nipple pain after period?

Most women experience some form of breast pain at one time or another. Breast pain is typically easy to treat, but on rarer occasions it can be a sign of something more serious. Medical director of the Suburban Hospital Breast Center Pamela Wright, M.D,, discusses the most common causes of breast pain (mastalgia), their treatments and when to see a doctor:

  1. Hormones are making your breasts sore. Hormonal fluctuations are the number one reason women have breast pain. Breasts become sore three to five days prior to the beginning of a menstrual period and stop hurting after it starts. This is due to a rise in estrogen and progesterone right before your period. These hormones cause your breasts to swell and can lead to tenderness. “It’s normal to have breast tenderness that comes and goes around the time of your period,” says Wright. “It’s nothing to worry about.” If you become pregnant, your breasts may remain sore during the first trimester as hormone production ramps up. Breast tenderness is one of the earliest signs of pregnancy for many women. Steps you can take to minimize sore breasts include:
    • Eliminate caffeine
    • Eat a low-fat diet
    • Reduce salt intake
    • Avoid smoking
    • Take an over-the-counter pain reliever
    • Ask your doctor if switching birth control pills or hormone replacement therapy medications may help
  2. You have a breast injury. Like any part of your body, breasts can be injured. This can happen because of an accident, while playing sports or from breast surgery. You may feel a sharp, shooting pain at the time of injury. Tenderness can linger for a few days up to several weeks after trauma to the breast. See your doctor if the pain doesn’t improve or you notice any of these signs:
    • Severe swelling
    • A lump in the breast
    • Redness and warmth, which could indicate an infection
    • A bruise on your breast that doesn’t go away
  3. Your breasts hurt due to an unsupportive bra. Without proper support, the ligaments that connect breasts to the chest wall can become overstretched and painful by the end of the day. The result is achy, sore breasts. This may be especially noticeable during exercise. Make sure your bra is the correct size and provides good support.
  4. Breast pain is really coming from your chest wall. What feels like breast pain may actually be coming from your chest wall. This is the area of muscle, tissue and bone that surrounds and protects your heart and lungs. Common causes of chest wall pain include:
    • A pulled muscle
    • Inflammation around the ribs
    • Trauma to the chest wall (getting hit in the chest)
    • Bone fracture
  5. Breastfeeding is causing breast tenderness. Breastfeeding can sometimes be the source of breast pain. Some of the things you can experience while nursing include:
    • Painful nipples from an improper latch (the way a baby latches on to suck)
    • Tingling sensation during letdown (when the milk starts to flow to the baby)
    • Nipple soreness due to being bitten or having dry, cracked skin or an infection

    If you have pain while breastfeeding, it’s best to talk to your doctor or a lactation consultant. They can help you troubleshoot the problem while maintaining your milk supply.

  6. You have a breast infection. Breastfeeding women are most likely to get breast infections (mastitis), but they occasionally occur in other women, too. If you have a breast infection, you may have a fever and symptoms in one breast, including:
    • Pain
    • Redness
    • Swelling

    If you think you may have a breast infection, it’s important to see a doctor. Treatment typically includes antibiotics and pain relievers.

  7. Breast pain could be a medication side effect. Some medications may cause breast pain as a side effect. Talk to your doctor about the medications you’re on and if this could be the case for you. Some drugs with this known side effect include:
    • Oxymethone, used to treat some forms of anemia
    • Chlorpromazine, used to treat various mental health conditions
    • Water pills (diuretics), drugs that increase urination and are used to treat kidney and heart disease and high blood pressure
    • Hormone therapies (birth control pills, hormone replacement or infertility treatments)
    • Digitalis, prescribed for heart failure
    • Methyldopa, used to treat high blood pressure
  8. You have a painful breast cyst. If a tender lump suddenly appears in your breast, you may have a cyst, says Wright. “These fluid-filled lumps aren’t dangerous and often don’t need to be treated as they may resolve on their own. But it’s important to get any lump in your breast evaluated by a doctor.” To diagnose a cyst, your doctor may recommend a mammogram, ultrasound or aspiration (drawing fluid from the lump). Draining fluid from the cyst is also a form of treatment. If the cyst isn’t bothersome, you may not need any treatment at all. Learn more about breast cysts and other noncancerous breast lumps,
  9. You’re experiencing painful complications from breast implants. Some women have complications with breast implants, whether made of silicone or saline. One of the most common causes of pain after breast augmentation surgery is capsular contracture, when scar tissue forms too tightly around implants. Breast pain can also be an indication that one of your implants has ruptured. Talk to your doctor about any pain you’re having to determine if it could be related to the breast implants.
  10. Breast pain can sometimes be a sign of breast cancer. It’s unusual for breast cancer to cause pain, says Wright, but not impossible. Inflammatory breast cancer often causes pain but it’s rare, accounting for 1% to 5% of breast cancer cases in the United States. Symptoms of this aggressive disease often come on suddenly and progress rapidly. Inflammatory breast cancer may cause the breast to become:
    • Red or discolored
    • Swollen or heavy
    • Painful

    Skin on the breast may also thicken or dimple. If you’re concerned about inflammatory breast cancer, see your doctor immediately.

Is breast pain common after period?

What is cyclical breast pain? – The most common type of breast pain is linked to the menstrual cycle. It is nearly always hormonal. Some women begin to have pain around the time of ovulation. The pain continues until the start of their menstrual cycle. The pain may be barely noticeable.

  1. Or it may be so severe that you can’t wear tight-fitting clothing or handle close contact of any kind.
  2. The pain may be felt in only one breast.
  3. Or it may be felt as a radiating feeling in the underarm area.
  4. Some healthcare providers have women chart their breast pain to figure out if the pain is cyclical or not.

After a few months, the link between the menstrual cycle and breast pain will appear. Researchers continue to study the role that hormones play in cyclical mastalgia. One study has suggested that some women with this condition have less progesterone than they do estrogen in the second half of the menstrual cycle.

  • Other studies have found that an abnormality in the hormone prolactin may affect breast pain.
  • Hormones can also affect cyclical breast pain due to stress.
  • Breast pain can increase or change its pattern with the hormone changes that happen during times of stress.
  • Hormones may not provide the total answer to cyclical breast pain.

That’s because the pain is often more severe in one breast than in the other. Hormones would tend to affect both breasts equally. Many researchers believe that the answer may be a combination of hormonal activity and something in the breast that responds to this activity.

Do nipples hurt before or after period?

1. Menstruation – The hormonal changes that occur as part of a woman’s normal monthly cycle can trigger nipple pain and breast soreness. Both estrogen and progesterone levels increase just before a woman’s period starts. Both these hormones draw fluid into the breasts making them feel swollen and tender.

Estrogen causes breast ducts to enlarge and progesterone causes milk glands to swell. Nipple pain during this time is also common. Symptoms often peak just before menstruation and then fade and resolve during menstruation. The severity of symptoms can vary from woman to woman but in most cases it is more of an annoyance rather than a serious medical concern.

However, if you notice any discharge from the nipple, especially if discharge is brown or bloody, see your doctor.

What causes pain in the nipple?

Why are my nipples sore? – Many things can cause nipple soreness or painful nipples. Along with discomfort or sensitivity, you can also experience itching, redness or changes in the texture of your skin around your nipple. In most cases, sore nipples are caused by hormonal changes from pregnancy or menstruation, allergies or friction from clothing.

Very sensitive to touch. Throbbing or stabbing. Aching. Burning. Tender or sore. Red or swollen. Itchy.

Do nipples hurt after or during ovulation?

Changing hormone levels around ovulation may cause sore nipples or tender breasts. However, this is not necessarily a sign of ovulation or pregnancy. Everybody is different, and breast pain is not a reliable indicator of ovulation, People monitoring their fertility should look for other symptoms.

Sore nipples around ovulation are also not a sign of pregnancy because this is too early for a person to experience pregnancy symptoms. This article explores the potential connections between sore nipples, ovulation, and pregnancy. A number of hormones trigger ovulation. Before ovulation, estrogen and luteinizing hormone levels are higher.

For some people, estrogen may stimulate breast tissue and cause breast pain, Shortly after ovulation, estrogen levels drop, and progesterone levels rise. In some people, these shifts in progesterone may trigger breast pain or sore nipples. If a person becomes pregnant, progesterone levels will continue to rise.

This causes breast tissue changes that can make the nipples or breasts sore. However, it takes several weeks for these developments to occur, so breasts that become sore suddenly after ovulation do not indicate pregnancy. Sore nipples may be a sign of cyclical breast pain, This type of pain usually coincides with a person’s menstrual cycle each month, though the specific point may vary.

For example, some females experience nipple pain before ovulation, while others get it right after. Sore breasts are not a reliable sign of ovulation. Some other symptoms include :

A positive ovulation test: Ovulation tests measure increases in luteinizing hormone, For most people, a rise in luteinizing hormone triggers ovulation within a day or two of the positive test. Cervical mucus: Rises in estrogen cause cervical fluid to become watery and have a consistency similar to raw egg whites. As a person produces more of this fluid, ovulation may be imminent. Basal body temperature: Progesterone rises right after ovulation, causing a person’s morning body temperature to increase slightly. Therefore, a rise in morning body temperature indicates a person has ovulated.

Some people notice other signs, such as ovulation pain in their side or bloating. These symptoms are less reliable, especially if they do not log their ovulation symptoms over time. Sore nipples are a common pregnancy symptom, However, ovulation and the days immediately after are too early for a person to be pregnant or have pregnancy symptoms.

Implantation marks the beginning of pregnancy. It occurs when a fertilized egg embeds in the lining of the uterus. At this stage, the body begins producing pregnancy hormones that can trigger pregnancy symptoms, Before implantation, the symptoms that a person feels are due to other factors than pregnancy.

Therefore, nipple soreness around ovulation cannot indicate pregnancy, even if a person conceives in that month. Early pregnancy symptoms cannot appear until implantation, which causes the body to begin producing human chorionic gonadotropin (HCG) and other pregnancy-related hormones.

spotting early in pregnancy breast tenderness, soreness, or swellingnausea, dizziness, or vomiting exhaustion headaches a frequent need to urinatemood changes

There is no reliable way to distinguish nipple pain due to ovulation from nipple pain due to pregnancy. The pain is often identical. One of the best ways to distinguish them is the timing. If nipple pain occurs at or right around the time a person expects to ovulate, pregnancy is highly unlikely.

Nipple pain that occurs after ovulation that gets worse, or nipple pain that does not go away around the time a person expects their period, may signal pregnancy. The only way to know with a high degree of certainty is to take a pregnancy test. Early in pregnancy, HCG levels start low and quickly rise.

Pregnancy tests will measure the levels of this hormone. If a pregnancy test is negative, and a person’s period does not arrive, they may receive a positive result if they test again in a few days. Normal hormonal fluctuations can trigger nipple soreness.

an injury to the nipple pain from nipple play during sex breastfeeding pain or injuries mastitis, a breast infection a cyst in the breast lifestyle or diet factors, including caffeine or alcohol consumption muscle pain in rare cases, cancer

See a healthcare provider if:

a person gets a positive pregnancy test or does not get their period the pain is very intensethe pain follows an injury and does not go away in a few days there is a lump in the breast or discharge from the nipple there is acute pain when breastfeeding

Sore nipples are a common symptom throughout the menstrual cycle. Sometimes they indicate a person is pregnant or about to ovulate. They may also signal a health problem or mean nothing at all. The best way to identify the cause of sore nipples is to track the symptom across several ovulation cycles and look for specific patterns. A healthcare provider can provide further assistance.

Is it possible to be pregnant after period?

Yes, although it’s not very likely. If you have sex without using contraception, you can conceive (get pregnant) at any time during your menstrual cycle, even during or just after your period. You can also get pregnant if you have never had a period before, during your first period, or after the first time you have sex.

Why are my breasts so heavy after my period?

There are many possible causes for feeling a heaviness in your breasts, including changes in hormones caused by menstrual cycles, pregnancy, or breastfeeding, or certain medications. Discuss any concerns with a doctor. It’s natural to feel concerned when you notice changes in your breasts.

  1. But rest assured, breast changes are a normal part of female anatomy.
  2. If your breasts are feeling heavier than usual, it’s probably not anything to worry about.
  3. Eep in mind that breast heaviness is rarely a sign of cancer.
  4. Here’s the lowdown on some of the more common culprits behind breast heaviness.

Fibrocystic breast changes are very common. According to the Mayo Clinic, half of women experience them at some point in their lives. This noncancerous condition can cause a variety of changes in the breasts, including the accumulation of water in the breast tissue.

free-moving lumpspain or tenderness that’s often worse right before your periodpain that extends into your armpit or down your armthe appearance or disappearance of lumps or lumps that change sizegreen or brown nipple discharge

As cysts appear and disappear in your breasts, they can cause a scarring and thickening of the breast tissue, called fibrosis (fibrosis). You can’t see these changes, but they can make your breasts feel lumpy or heavier than they used to. Breast pain and swelling often follow a monthly pattern that’s clearly connected to your menstrual cycle.

This is known as cyclical breast pain, In the days leading up to your period, your estrogen and progesterone levels can fluctuate dramatically. Estrogen and progesterone increase the size and number of ducts and glands in the breast. They also cause your breasts to retain water, making them heavy and tender.

These types of cyclical breast changes usually affect both breasts. Symptoms may get progressively worse in the two weeks leading up to your period, and then disappear. You may notice:

swelling and heavinessa heavy, dull, and aching painlumpy breast tissuepain that radiates to the armpit or outside the breast

Breast swelling is sometimes one of the first signs of pregnancy. Your breasts can begin to swell about one to two weeks after conception. Swelling occurs because of the hormonal changes happening in your body. They can cause the breasts to feel heavy, achy, and tender.

missing one or more periodslight spottingnausea or vomitingfatigue

If you’re pregnant, your breasts will continue to grow up to, and even past, your due date. In the final stretch of your pregnancy, they may become even heavier as your body prepares for breastfeeding. Learn more about breast changes during pregnancy. If you’re breastfeeding, then you’re probably getting used to the feeling of full, heavy breasts and painful nipples.

breast hardnesstendernesswarmththrobbing painrednessflattened nipplelow-grade fever

Engorgement is common during the first week of breastfeeding, but it can happen at any time. It’s more likely to occur when you aren’t feeding your baby or pumping often enough. Certain medications can cause breast-related side effects. The most common sources are hormonal medications such as birth control pills, fertility treatments, and hormone replacement therapy.

  1. Hormonal medications work in different ways to regulate your hormone levels.
  2. Fluctuations in your levels of either estrogen or progesterone can cause fluid retention in your breasts, making them feel heavy.
  3. Certain antidepressants have also been connected with breast symptoms, namely pain.
  4. These include selective serotonin reuptake inhibitors (SSRIs), such as sertraline (Zoloft) and citalopram (Celexa).

Breast infections, known as mastitis, are most common among those who are breastfeeding. Mastitis can cause inflammation, leading to swelling and feelings of heaviness in the affected breast. It tends to happen when milk becomes stuck in the breast, allowing bacteria to grow out of control.

tendernessbreasts that are warm to the touchswellingpain or burning (can be constant or only while breastfeeding)a lump in the breast or thickening of breast tissuerednesssick, rundown feelingfever

Heaviness usually isn’t a breast cancer symptom. The exception to this is inflammatory breast cancer. Still, it’s the least likely cause breast heaviness. Inflammatory breast cancer is very rare, making up only about 1 to 5 percent of all breast cancers, according to the National Cancer Institute,

swelling and redness covering a third or more of the breastbreast skin that looks bruised, purplish, or pinkbreast skin that resembles an orange peel burning or tendernessnipple turning inwardswollen lymph nodes

It’s perfectly normal for your breasts to feel heavy from time to time, but it never hurts to get things checked out. If you’re worried it could be something serious, speaking with a doctor will definitely help. If you don’t already have a primary care provider, you can browse doctors in your area through the Healthline FindCare tool,

  • Eeping track of how your breasts feel throughout the month may also provide some peace of mind if you find that the heaviness seems to occur the week or so before your period.
  • If that’s the case, an over-the-counter pain reliever, like ibuprofen (Advil), should offer some relief.
  • But in some cases, it’s definitely best to make an appointment as soon as possible.

Infections, for example, can only be treated with prescription antibiotics. If you’re in pain, either constantly or intermittently, your doctor can help figure out the cause of your pain, whether its your menstrual cycle or something else. They can recommend medications that will help regulate your hormones or dosage adjustments that may work better than your current treatments.

If you’re taking an SSRI, your doctor may recommend switching to a different antidepressant with fewer side effects or adjusting your dosage. If you’re having trouble breastfeeding, your best bet is to speak with a lactation consultant. They can advise you on how often to feed or pump each breast and how to be sure your breast empties.

You can ask your doctor for a referral or search the International Association of Lactation Consultant Association’s directory, Any new lump that doesn’t resolve on its own within a few weeks should be checked out by a doctor. It can be hard to tell the difference between a benign cyst and a cancerous tumor.

Is random nipple pain normal?

Summary – Nipple pain occurs when you have an aching, burning, throbbing, tingling, or tender sensation on your nipple. Most nipple pain is normal and nothing to worry about. It could be caused by an allergic reaction, eczema, hormonal changes, sexual activity, or sunburns.

How do you know if you’re pregnant after period?

What are common symptoms of pregnancy? – Everyone experiences different symptoms of pregnancy and at different times. It’s important not to compare your pregnancy to someone else’s because pregnancy symptoms can vary so dramatically. There are several signs of early pregnancy that you may or may not have. The most common symptoms include:

A missed period : The most common and obvious sign of pregnancy is a missed period. Once conception has happened, your body produces hormones that stop ovulation and the shedding of the lining of your uterus, This means that your menstrual cycle has stopped and you won’t have a period again until after your baby is born. But missing your period isn’t always a sign of pregnancy. You can also miss your period from stress, excessive exercise, dieting, hormone imbalances and other factors that might cause irregular periods, Frequent trips to the bathroom : Before you even miss a period, you may notice that you have to pee more often. This happens because you have more blood than before. During pregnancy, your body’s blood supply increases. Your kidneys filter your blood and remove the extra waste. This waste leaves your body as pee. The more blood in your body, the more you’ll have to pee. Fatigue (feeling tired) : Many people feel extremely tired in early pregnancy. This sign of pregnancy happens because of high levels of the hormone progesterone. Similar to other early pregnancy symptoms, fatigue tends to get better in the second trimester (after week 13 of pregnancy). However, it does come back in the third trimester for many people. Morning (and noon and night) sickness : Despite the name, this pregnancy symptom can happen at any time of the day or night. Nausea can happen as early as two weeks into a pregnancy. Not everyone experiences nausea and there are various levels of nausea. You can feel nausea but never vomit. About half of pregnant people vomit due to nausea. Though nausea during pregnancy is fairly normal, it can be a problem if you become dehydrated. People who can’t keep down food and fluids because of extreme nausea could have a condition called hyperemesis gravidarum, Contact your healthcare provider if you’re experiencing extreme nausea and dehydration, Sore (and swollen) breasts : Your breasts can become tender to the touch during pregnancy. The soreness may be similar to the way your breasts feel before a period, only more so. Your areolas (the area around your nipple) might also begin to darken and enlarge. This soreness is temporary and fades once your body gets used to the increased hormones. You may also notice that your breasts have gotten larger and your bra is tighter than normal.

Remember, the only way to know for sure that you’re pregnant is to take a pregnancy test or have your healthcare provider perform an ultrasound,

How long after fertilization do nipples hurt?

Timing – You may notice soreness in your breasts and nipples as soon as one to two weeks after conception. Here’s what to expect from trimester to trimester.

Is it possible to be pregnant after period?

Yes, although it’s not very likely. If you have sex without using contraception, you can conceive (get pregnant) at any time during your menstrual cycle, even during or just after your period. You can also get pregnant if you have never had a period before, during your first period, or after the first time you have sex.

How long do nipples hurt after ovulation?

Your nipples, and maybe even your breasts, may feel sore or achy around ovulation. The discomfort could range from minor to severe. You might have pain in one or both nipples. Ovulation is a phase in the menstrual cycle that happens when the ovary releases an egg each month.

It occurs about 14 days before your period starts. For a 28-day cycle, that means you’d ovulate on day 14, whereas for a 31-day cycle, you’d ovulate around day 17. The chances of getting pregnant are highest during ovulation. Read on to learn more about ovulation and sore nipples, and other possible causes for nipple pain or tenderness.

Hormone fluctuations happen during different stages of your menstrual cycle, and those fluctuations can cause symptoms at various times throughout the month. Not everyone will experience symptoms. It depends on how sensitive your body is to these hormone changes.

Sore nipples. Sore nipples can occur at various times throughout your cycle, not just around ovulation. Breast discomfort that’s caused by hormones and linked to your cycle is known as cyclical mastalgia. Vaginal discharge changes. Right before you ovulate, you may notice you have more clear, wet, and stretchy vaginal secretions, Basal body temperature changes. Your basal body temperature, or your temperature at rest, goes up right after ovulation. You can use a special thermometer to measure and track your basal body temperature. Light bleeding or spotting. You may have bleeding or spotting around the time of ovulation. This is likely related to hormone changes. Increased sex drive. Some people report having a higher sex drive when they ovulate. Ovary pain. You might experience mittelschmerz, which is a term that describes lower abdominal or pelvic pain linked to ovulation. Most of the time, this discomfort only lasts a few minutes or hours.

Paying attention to your symptoms can be a helpful way to predict when you’re ovulating. But, because signs vary, monitoring symptoms alone isn’t a foolproof way to forecast ovulation. Nipple or breast pain that starts during ovulation typically continues until the start of your period.

Can I have a period and still be pregnant?

While you cannot get your period while pregnant, you may experience spotting or bleeding for other reasons. The short answer is no. Despite all of the claims out there, it isn’t possible to have a period while you’re pregnant. Rather, you might experience “spotting” during early pregnancy, which is usually light pink or dark brown in color.

As a rule of thumb, if there’s enough bleeding to fill a pad or tampon, then it’s a sign you’re probably not pregnant. If you’ve had a positive pregnancy test and are bleeding heavily, seek medical care. Your period occurs every month or so in lieu of an egg becoming fertilized. Eggs are released once a month from the ovary.

When they aren’t fertilized, the egg travels out of the uterus and sheds through the vagina. Bleeding during a “normal” period often starts off light, then gets heavier and darker red. It also lightens in color and quantity toward the end of the cycle.

The differences between menstruation and being pregnant are supposed to be clear-cut: Once you’re pregnant, you don’t get periods anymore. But it isn’t always so obvious. Some people claim they’ve gotten periods while pregnant. Fueling some of the inquiries in the “periods while pregnant” conspiracy are social media, blogs, and even television shows like ” I Didn’t Know I Was Pregnant,” Bleeding is a warning sign, but it doesn’t have to be something bad.

Many people go on to have healthy babies after experiencing spotting during their first trimester. If you do bleed during pregnancy, it’s related to something else other than regular menstruation. After all, periods only happen when you’re not pregnant.

implantation bleeding changes in the cervixinfection molar pregnancy (abnormal mass fertilizes instead of a fetus) ectopic pregnancy (a pregnancy outside of the uterus)early signs of a miscarriage