### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I think I am pregnant, I am not sure though.. could you help?My breasts constantly ache, I get back aches, I get a lack of breath sometimes, dizziness, fatigue (often) My breasts feel as if they have got heavier, my nipples have enlarged. I am on the contraceptive pill, however I have not been taking it correctly and therefore I am unsure whether my pregnancy chances could be high. Please get back to me asap. Many thanks.

### output:

Hallow Dear, Had you been taking birth control pills regularly, I would have written off the possibility of any pregnancy. However, since you are irregular in contraceptive pills, I cannot say that you would not be pregnant. The first cardinal symptom to appear is missing a period. Somehow, I do not find any mention your last/missing period in your history. All other symptoms appear about 8-10 days after missed period. The other cardinal symptoms of early pregnancy are:1. Nausea & vomiting with pica2. Frequent urination3. Breast symptoms and signs like engorgement & tenderness, dark discoloration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions through the nipples. However, if you have not missed period, these symptoms cannot be weighed much as they may appear due to some other causes also. Heaviness and tenderness of the breasts can be due to the oral contraceptive pills you are taking. Nipples enlargement also can be due to the pills or due to rough overhanging. Breathlessness, backache, fatigue & dizziness are not symptoms of early pregnancy. Irrespective of your pregnancy status, you should get investigated for these symptoms. Please get your hemoglobin tested and report to the Physician. If you have missed period, pregnancy test on overnight first morning urine sample 8-10 days after missed period will clarify your doubts. Done earlier, these tests may give false negative results. Alternatively you may opt for Beta Chat Doctor test which can give you reliable results even few days before missing period also. If you have not missed your period, please wait for your menses. If they appear, forget about pregnancy. If they do not appear, you may opt for pregnancy test(s) as suggested above. I hope this helps you.